Eyes, Ears, Nose and Throat (EENT) Flashcards
7 cards from real Physician Assistant practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Eyes, Ears, Nose and Throat (EENT) flashcards as text
A 16-year-old has fever, tonsillar exudates, tender anterior cervical nodes, and no cough; rapid strep test is positive. With no allergies, what is the treatment of choice?
Answer: Penicillin V or amoxicillin
Penicillin or amoxicillin for 10 days is first-line for group A streptococcal pharyngitis.
A patient with a sore throat has trismus, a muffled 'hot potato' voice, and uvular deviation to the left. What is the most likely diagnosis?
Answer: Right peritonsillar abscess
The uvula deviates away from the affected side in peritonsillar abscess.
A febrile, drooling adult sits in the tripod position with severe odynophagia. A lateral neck x-ray would most likely show which finding?
Answer: Thumbprint sign
The thumbprint sign reflects a swollen epiglottis in epiglottitis, which requires immediate airway protection.
A college student with fever, exudative pharyngitis, posterior cervical lymphadenopathy, and fatigue develops a diffuse rash after taking amoxicillin. What advice is most important?
Answer: Avoid contact sports for at least 3–4 weeks
Infectious mononucleosis causes splenomegaly, and contact sports are avoided to prevent splenic rupture.
A patient with HIV has painless white corrugated plaques on the lateral tongue that cannot be scraped off. What is the most likely cause?
Answer: Epstein-Barr virus
Oral hairy leukoplakia is caused by EBV and is a marker of immunosuppression.
After a lower molar infection, a patient develops bilateral submandibular swelling, an elevated tongue, and drooling. What is the greatest immediate concern?
Answer: Airway compromise
Ludwig angina can rapidly obstruct the airway, so airway management takes priority with IV antibiotics.
A patient reports painful swelling under the jaw that worsens during meals. Which gland is most commonly affected by sialolithiasis?
Answer: Submandibular gland
About 80–90% of salivary stones form in the submandibular gland due to its viscous, alkaline saliva and upward-draining Wharton duct.
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