Physician Assistant Eyes, Ears, Nose and Throat (EENT) 5

Question 1

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?

Accepted Answer

Penicillin V or amoxicillin

Answer

Penicillin or amoxicillin for 10 days is first-line for group A streptococcal pharyngitis.

Question 2

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?

Accepted Answer

Right peritonsillar abscess

Answer

The uvula deviates away from the affected side in peritonsillar abscess.

Question 3

A febrile, drooling adult sits in the tripod position with severe odynophagia. A lateral neck x-ray would most likely show which finding?

Accepted Answer

Thumbprint sign

Answer

The thumbprint sign reflects a swollen epiglottis in epiglottitis, which requires immediate airway protection.

Question 4

A college student with fever, exudative pharyngitis, posterior cervical lymphadenopathy, and fatigue develops a diffuse rash after taking amoxicillin. What advice is most important?

Accepted Answer

Avoid contact sports for at least 3–4 weeks

Answer

Infectious mononucleosis causes splenomegaly, and contact sports are avoided to prevent splenic rupture.

Question 5

A patient with HIV has painless white corrugated plaques on the lateral tongue that cannot be scraped off. What is the most likely cause?

Accepted Answer

Epstein-Barr virus

Answer

Oral hairy leukoplakia is caused by EBV and is a marker of immunosuppression.

Physician Assistant Practice Test

Physician Assistant Practice Test

Physician Assistant Eyes, Ears, Nose and Throat (EENT) 5