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You are here: Home / Podcast / Topic Specific Content Blueprint Review / EENT (9%) / EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33

EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33

February 5, 2016 By Stephen Pasquini PA-C Leave a Comment

PANCE and PANRE HEENT Audio Review Part OneWelcome to episode 33 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.

Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint.

This week we will be covering 10 topic specific EENT board review questions.

Eyes, Ears Nose and Throat accounts for 9% of your PANCE/PANRE board exam.  

Below you will find an interactive exam to complement the podcast.

I hope you enjoy this free audio component to the examination portion of this site. The full EEMT review includes over 111 EENT specific questions and is available to all members of the PANCE and PANRE Academy.

  • You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio.
  • You can listen to the latest episode, take an interactive quiz and download your results below.

Listen Carefully Then Take The Quiz

If you can't see the audio player click here to listen to the full episode.

EENT PANCE and PANRE Podcast Quiz

 

The Audio PANCE and PANRE EENT Quiz 1

Start
Question 1
A 4 year-old child presents with a rapid onset of high fever and extremely sore throat. Which of the following findings are suggestive of the diagnosis of epiglottitis?
A
Croupy cough and drooling
B
Thick gray, adherent exudate
Hint:
Thick gray adherent exudate is suggestive of diphtheria.
C
Beefy red uvula, palatal petechiae, white exudate
Hint:
Beefy red uvula, palatal petechiae, and white exudate are findings suggestive of streptococcal pharyngitis.
D
Inflammation and medial protrusion of one tonsil
Hint:
Inflammation with medial protrusion of the tonsil is suggestive of a peritonsillar abscess.
Question 1 Explanation: 
A croupy cough with drooling in a patient who appears very ill is consistent with epiglottitis. Examining the throat is contraindicated, unless the airway can be maintained.
Question 2
Which of the following are normal findings in a Weber test?
A
The tympanic membrane is movable with pneumatic otoscopy.
Hint:
A movable tympanic membrane indicates there is no effusion, and is not the Weber test.
B
The tympanic membrane is pearly gray with a sharp cone of light with apex at the umbo.
Hint:
The tympanic membrane is evaluated by direct observation with an otoscope, and is not the Weber test.
C
Sound is heard equally in both ears when a vibrating tuning fork is placed on the mid forehead.
D
Air conduction is greater than bone conduction when a vibrating tuning fork is moved from the mastoid bone to close to the ear canal.
Hint:
A normal Rinne test means that tuning fork vibration is heard longer through the air than the bone.
Question 2 Explanation: 
A normal Weber test means there is no lateralization of sound perception when a vibrating tuning fork is placed on the mid forehead.
Question 3
Which of the following is diagnosed by use of the cover/uncover test?
A
Adie's pupil
Hint:
Adie's pupil is a sluggish pupil reaction to light and accommodation, evaluated by papillary reaction to light.
B
Strabismus
C
Glaucoma
Hint:
Tonometry is used to measure intraocular pressure to evaluate for glaucoma.
D
Myopia
Hint:
Myopia is evaluated by using a Snellen chart.
Question 3 Explanation: 
The cover/uncover test is used to diagnose strabismus.
Question 4
A 45 year-old male complains of loss of hearing in his left ear. He also complains of ringing in the ear, and has had occasional dizziness. On exam, there is unilateral left-sided sensorineural hearing loss and a diminished corneal reflex. Neuro exam is otherwise normal. TMs are normal, and canals are clear. Neck is supple, without adenopathy. Oropharynx is normal. Of the following, the best diagnostic study to identify the cause of this patient's complaints is
A
auditory brainstem evoked response.
Hint:
See B for explanation.
B
gadolinium-enhanced MRI.
C
acoustic reflex testing.
Hint:
See B for explanation.
D
vestibular testing.
Hint:
Vestibular testing is not a useful screening test for acoustic neuromas.
Question 4 Explanation: 
MRI has replaced auditory brainstem evoked response and acoustic reflex testing in the evaluation of patients for acoustic neuromas
Question 5
A 23 year-old graduate student presents with sudden onset of severe dizziness, with nausea and vomiting for the past couple of hours. She denies hearing loss or tinnitus. She has had a recent cold. Which of the following is the most likely diagnosis?
A
Ménière's disease
Hint:
Ménière's disease is associated with hearing loss, tinnitus, and vertigo that lasts from seconds to hours.
B
Vestibular neuronitis
C
Benign positional vertigo
Hint:
Benign positional vertigo occurs with changes in position, especially rapid movements of the head. Nausea may occur, but vomiting is not significant.
D
Vertebrobasilar insufficiency
Hint:
Vertebrobasilar insufficiency is usually accompanied by brain stem findings, such as diplopia, dysarthria, or dysphagia, and is not common in this age group.
Question 5 Explanation: 
Vestibular neuronitis or labyrinthitis presents with vertigo, nausea, and vomiting, but not hearing loss or tinnitus. It is related to viral URIs, and develops over several hours, with symptoms worse in the first day, with gradual recovery over several days.
Question 6
A 4 year-old boy presents with purulent, foul-smelling nasal discharge for three days. He has not had any other symptoms of respiratory illness, cough, wheeze, or fever. His activity level and appetite has been normal. On exam, he is afebrile. TM's have normal light reflex, canals are clear. Left nare is clear; there is considerable amount of purulent exudate from the right nare, and a bright reflection of light is noticed. Oropharynx is without inflammation or exudate. Neck is supple, without lymphadenopathy. Lungs are clear, with equal breath sounds and no wheezing. Heart has regular rhythm without murmurs. Which of the following is the most likely diagnosis?
A
Viral URI
Hint:
Viral URI does not present with foul-smelling nasal discharge.
B
Acute sinusitis
Hint:
Acute sinusitis may present with purulent nasal discharge, but the observation of a bright light reflection suggests a foreign body.
C
Allergic rhinitis
Hint:
Allergic rhinitis is seasonal, associated with sneezing and other allergy-related symptoms.
D
Nasal foreign body
Question 6 Explanation: 
Nasal foreign body is suggested by unilateral nasal obstruction or discharge.
Question 7
A 59 year-old male complains of "flashing lights behind my eye" followed by sudden loss of vision, stating that it was "like a curtain across my eye." He denies trauma. He takes Glucophage for his diabetes mellitus and atenolol for his hypertension. He has no other complaints. On funduscopic exam, the retina appears to be out of focus. Which of the following is the most likely diagnosis?
A
Central retinal vein occlusion
Hint:
Central retinal vein occlusion causes painless, variable loss of vision. Exam shows retinal hemorrhages in all quadrants and edema of the optic disk.
B
Retinal artery occlusion
Hint:
Retinal artery occlusion presents with sudden, painless loss of vision. Exam shows pale retina with normal macula, seen as a cherry-red spot.
C
Retinal detachment
D
Hyphema
Hint:
Hyphema is usually associated with trauma, and is a collection of blood in the anterior chamber.
Question 7 Explanation: 
Patients with retinal detachment frequently complain of flashes of light or floaters that occur during traction on the retina as it detaches. This is followed by loss of vision. In small detachments, the retina may appear out of focus, but with larger detachments, a retinal fold may be identified.
Question 8
A 64 year-old woman complains of headache and left eye pain for about a day. She says it started yesterday as a dull ache and now is throbbing. She also complains of nausea and vomiting, which she attributes to the popcorn she ate at the movie theater yesterday afternoon. On exam, the left pupil is mid-dilated and nonreactive. The cornea is hazy. A ciliary flush is noted. Which of the following is the most likely diagnosis?
A
Migraine headache
Hint:
Migraine headache does not present with eye findings.
B
Temporal arteritis
Hint:
Temporal arteritis presents with headache and systemic symptoms of fever, myalgias, anorexia, and tenderness over the temporal artery.
C
Acute glaucoma
D
Retinal artery occlusion
Hint:
Retinal artery occlusion presents with sudden, painless, severe loss of vision. There are no systemic symptoms.
Question 8 Explanation: 
Acute glaucoma often presents with abdominal complaints that may delay diagnosis. Findings of ciliary flush, mid-dilated and nonreactive pupil, and hazy cornea in a patient with severe eye pain are consistent with acute angle closure glaucoma.
Question 9
The most reliable sign of acute otitis media (AOM) is
A
bulging of the tympanic membrane.
Hint:
Bulging and air bubbles behind the TM represent OM with effusion.
B
loss of tympanic membrane mobility.
C
reddening of the tympanic membrane.
Hint:
Reddening of the eardrum is not reliable as it may be due to crying or other vascular changes.
D
air bubbles behind the tympanic membrane.
Hint:
See A for explanation.
Question 9 Explanation: 
Loss of tympanic membrane mobility during pneumoinsufflation is the most reliable sign for diagnosing acute otitis media.
Question 10
A patient presents with eye pain and blurred vision. Snellen testing reveals vision of 20/200 in the affected eye and 20/20 in the unaffected eye. Fluorescein staining reveals the presence of a dendritic ulcer. Which of the following is the most likely diagnosis?
A
Viral keratitis
B
Fungal corneal ulcer
Hint:
Fungal corneal ulcers have an indolent course with intraocular infection being common but fluorescein staining is negative for a dendritic pattern.
C
Acanthamoeba keratitis
Hint:
Acanthamoeba keratitis has a waxing and waning course over several months and has no fluorescein staining in a dendritic pattern.
D
Bacterial corneal ulcer
Hint:
Bacterial corneal ulcers can progress aggressively resulting in corneal perforation. Fluorescein staining does not occur in a dendritic pattern.
Question 10 Explanation: 
Herpes Simplex virus is a common cause of dendritic ulceration noted on fluorescein staining.
Question 11
Small grayish vesicles and punched-out ulcers in the posterior pharynx in a child with pharyngitis is representative of which organism?
A
Epstein-Barr virus
Hint:
Epstein-Barr virus presents with enlarged tonsils with exudates and petechiae of the palate.
B
Group C Streptococcus
Hint:
Group C Streptococcus presents with a red pharynx and enlarged tonsils with a yellow, blood tinged exudates
C
Coxsackievirus
D
Gonorrhea
Hint:
Neisseria gonorrhea of the pharynx may be asymptomatic
Question 11 Explanation: 
Coxsackievirus presents with small grayish vesicles and punched-out ulcers in the posterior pharynx.
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  • The Audio PANCE and PANRE Board Review Podcast Episode 1
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  • The Audio PANCE and PANRE Board Review Podcast Episode 5
  • The Audio PANCE and PANRE Board Review Podcast Episode 7
  • The Audio PANCE and PANRE Board Review Podcast Episode 9
  • The Audio PANCE and PANRE Board Review Podcast Episode 11
  • The Audio PANCE and PANRE Board Review Podcast Episode 13
  • The Audio PANCE and PANRE Board Review Podcast Episode 15
  • The Audio PANCE and PANRE Board Review Podcast Episode 17
  • The Audio PANCE and PANRE Board Review Podcast Episode 19
  • The Audio PANCE and PANRE Board Review Podcast Episode 21
  • The Audio PANCE and PANRE Board Review Podcast Episode 23
  • The Audio PANCE and PANRE Board Review Podcast Episode 25
  • Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27
  • Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29
  • Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31
  • EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33
  • Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35
  • Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37
  • Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39
  • Episode 41: The Audio PANCE and PANRE Board Review Podcast
  • Episode 43: The Audio PANCE and PANRE Board Review Podcast
  • Murmur Madness: The Audio PANCE and PANRE Episode 45
  • Episode 47: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
  • Episode 49: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
  • Episode 51: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
  • Episode 53: General Surgery End of Rotation Exam – The Audio PANCE and PANRE Podcast
  • Episode 55: The Audio PANCE and PANRE Board Review Podcast
  • Episode 57: The Audio PANCE and PANRE Board Review Podcast
  • Episode 59: Emergency Medicine EOR – The Audio PANCE and PANRE Board Review Podcast
  • Episode 61: The Audio PANCE and PANRE Board Review Podcast
  • Episode 63: The Audio PANCE and PANRE PA Board Review Podcast
  • Podcast Episode 65: Hepatitis B Breakdown With Joe Gilboy PA-C
  • Podcast Episode 67: Ten PANCE and PANRE Board Review Audio Questions
  • Podcast Episode 69: Ten PANCE and PANRE Board Review Audio Questions
  • Podcast Episode 71: Ten PANCE and PANRE Board Review Audio Questions
  • Podcast Episode 73: Ten FREE PANCE and PANRE Audio Board Review Questions
  • Podcast Episode 75: Ten FREE PANCE and PANRE Audio Board Review Questions
  • Podcast Episode 77: The Audio PANCE and PANRE Board Review Podcast
  • How to Study for Your PANCE: Podcast Episode 79
  • Podcast Episode 81: Internal Medicine EOR Cardiology Questions
  • How to Answer the Hardest PANCE and PANRE Test Questions: Podcast Episode 82
  • How to Answer Tricky PANCE and PANRE Test Questions Part 2: Podcast Episode 83
  • Cardiac Pharmacology Part One: The Audio PANCE and PANRE Episode 84
  • Podcast Episode 85: Ten Mixed Multiple Choice Questions
  • How to Be a Better PA Part 1: Nurses, Lab Techs, and X-Ray Technicians
  • Podcast Episode 87: Ten Internal Medicine EOR Questions
  • How to Be a Better PA Part 2: Medical Staff, Administrators, and Supervisors
  • Podcast Episode 89: Ten PANCE, PANRE, and Rotation Review Questions
  • Podcast Episode 90: Ten PANCE, PANRE, and Rotation Review Questions

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About Stephen Pasquini PA-C

Stephen has been a family practice PA since 2004 and is the creator of The PA Life and Smarty PANCE Board Review websites. A National Health Service Corps Scholar and a graduate of The University of Medicine and Dentistry of NJ (Rutgers) PA Program and the University of Washington in Seattle, WA. Stephen's goal is to provide one-of-a-kind online resources for those interested in or practicing in the PA profession, to promote better access to healthcare for all, and foster universal recognition/awareness of the PA profession. Read more about Stephen.

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Episode 55 The Audio PANCE and PANRE Physician Assistant Board Review

Episode 55: The Audio PANCE and PANRE Board Review Podcast

The Audio PANCE/PANRE PA Board Review Podcast Welcome to episode 55 of the FREE Audio PANCE and PANRE … View episode and take the quiz about Episode 55: The Audio PANCE and PANRE Board Review Podcast

General Surgery End of Rotation Exam - The Audio PANCE and PANRE Board Review Podacst - The PA Life and SMARTY PANCE

Episode 53: General Surgery End of Rotation Exam – The Audio PANCE and PANRE Podcast

Welcome to episode 53 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Episode 53: General Surgery End of Rotation Exam – The Audio PANCE and PANRE Podcast

The Audio PANCE and PANRE Physician Assistant Board Review Episode 51

Episode 51: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

Welcome to episode 51 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Episode 51: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

The Audio PANCE and PANRE Episode 49

Episode 49: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

Welcome to episode 49 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Episode 49: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

Episode 47

Episode 47: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

Welcome to episode 47 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Episode 47: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

Murmur Madness - The Audio PANCE and PANRE Physician Assistant Board Review Podcast

Murmur Madness: The Audio PANCE and PANRE Episode 45

Welcome to episode 45 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Murmur Madness: The Audio PANCE and PANRE Episode 45

Episode 43: The Audio PANCE and PANRE Board Review Podcast

Welcome to episode 43 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Episode 43: The Audio PANCE and PANRE Board Review Podcast

Episode 41: The Audio PANCE and PANRE Board Review Podcast

Welcome to episode 41 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Episode 41: The Audio PANCE and PANRE Board Review Podcast

Reproductive System Board Review Podcast

Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39

Welcome to episode 39 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39

Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37

Welcome to episode 37 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37

The Audio PANCE and PANRE Genitourinary Review 1

Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35

Welcome to episode 35 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35

PANCE and PANRE HEENT Audio Review Part One

EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33

Welcome to episode 33 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33

Gastroenterology 1 The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

Welcome to episode 31 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29

Welcome to episode 29 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29

The Audio PANCE and PANRE Board Review Podcast Episode 27

Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27

Welcome to episode 27 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27

Episode 25 The Audio PANCE and PANRE Board Review Podcast They Physician Assistant Life

The Audio PANCE and PANRE Board Review Podcast Episode 25

Welcome to episode 25 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 25

EPISODE 23 THE AUDIO PANCE AND PANRE PODCAST

The Audio PANCE and PANRE Board Review Podcast Episode 23

Welcome to episode 23 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 23

The Audio PANCE and PANRE Board Review Podcast Episode 21

Welcome to episode 21 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 21

The Audio PANCE and PANRE Board Review Podcast Episode 19

Welcome to episode 19 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 19

The Audio PANCE and PANRE Board Review Podcast Episode 17

Welcome to episode 17 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 17

The Audio PANCE and PANRE Board Review Podcast Episode 15

Welcome to episode 15 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 15

The Audio PANCE and PANRE Board Review Podcast Episode 13

Welcome to episode 13 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 13

The Audio PANCE and PANRE Board Review Podcast Episode 11

Welcome to episode 11 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 11

The Audio PANCE and PANRE Board Review Podcast Episode 9

Welcome to episode 9 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 9

The Audio PANCE and PANRE Episode 7

The Audio PANCE and PANRE Board Review Podcast Episode 7

Welcome to episode 7 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 7

The Audio PANCE and PANRE Board Review Podcast Episode 5

Welcome to episode 5 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 5

The Audio PANCE and PANRE Board Review Podcast Episode 3

Are you bored to death in the car and worried about your upcoming PANCE or PANRE? Do you have a long, … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 3

The Audio PANCE and PANRE Board Review Podcast Episode 1

Welcome to episode 1 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 1

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