ENT Board Exam Started: Jul 13, 2026 03:27 Page 11 of 51 Attempt #1830 Overall: 0 / 253 questions answered Question 51 / 253 Not answered During ward handover: a 76-year-old woman presents with ear pain with fever. Relevant risk context includes alcohol misuse. What is the most likely diagnosis? A. Laryngeal malignancy concern B. Acute otitis media C. Otitis externa D. Meniere disease E. Chronic sinusitis Show Answer & Explanation Correct Answer: C Explanation: The pattern of ear pain with fever with risk factors such as alcohol misuse is most consistent with Otitis externa. This answer best matches the expected diagnostic framework for ENT. Reference: AAO-HNS Clinical Practice Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 52 / 253 Not answered A 3-year-old with fever ear pain and bulging tympanum. Most appropriate antibiotic: A. Observation only B. Penicillin V C. Amoxicillin D. Fluoroquinolone E. Metronidazole Show Answer & Explanation Correct Answer: C Explanation: Amoxicillin is first-line for acute otitis media in children and covers H. influenzae and S. pneumoniae. Reference: American Academy of Pediatrics Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 53 / 253 Not answered During morning rounds: a 80-year-old man is evaluated for ear pain with fever in the context of smoking. Which is the most appropriate next investigation? A. Vestibular assessment B. Sinus imaging when indicated C. Otoscopic examination D. Audiometry with tympanometry E. Airway risk assessment Show Answer & Explanation Correct Answer: C Explanation: Otoscopic examination is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in ENT. Reference: ESPO Recommendations; ENT topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 54 / 253 Not answered A 45-year-old with persistent nasal congestion and facial pain despite intranasal corticosteroids for 12 weeks. Next step: A. Continue corticosteroids B. Add antihistamines C. Refer to ENT for sinus CT and possible surgery D. Broad-spectrum antibiotics E. Topical decongestants Show Answer & Explanation Correct Answer: C Explanation: Failure to respond to medical therapy warrants ENT evaluation and imaging to assess for complications and surgical candidacy. Reference: American Academy of Otolaryngology Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 55 / 253 Not answered A 65-year-old has symmetrical high-frequency hearing loss on audiometry. Most likely etiology: A. Conductive hearing loss B. Age-related sensorineural hearing loss (presbycusis) C. Otosclerosis D. Sudden sensorineural hearing loss E. Tumor Show Answer & Explanation Correct Answer: B Explanation: Presbycusis is the most common cause of sensorineural hearing loss in elderly and typically affects high frequencies first. Reference: American Academy of Otolaryngology Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 11 of 51 Next → »