ENT Board Exam Started: Jul 13, 2026 05:16 Page 13 of 51 Attempt #2049 Overall: 0 / 253 questions answered Question 61 / 253 Not answered During ward handover: a 60-year-old woman is evaluated for persistent hoarseness over weeks in the context of immunosuppression. Which is the most appropriate next investigation? A. Otoscopic examination B. Flexible nasolaryngoscopy C. Vestibular assessment D. Airway risk assessment E. Sinus imaging when indicated Show Answer & Explanation Correct Answer: E Explanation: Sinus imaging when indicated is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in ENT. Reference: NICE ENT Guidance; 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 62 / 253 Not answered In an emergency department assessment: a 37-year-old woman presents with persistent hoarseness over weeks. Relevant risk context includes immunosuppression. What is the most likely diagnosis? A. Peritonsillar abscess B. Laryngeal malignancy concern C. Acute otitis media D. Chronic sinusitis E. Otitis externa Show Answer & Explanation Correct Answer: D Explanation: The pattern of persistent hoarseness over weeks with risk factors such as immunosuppression is most consistent with Chronic sinusitis. This answer best matches the expected diagnostic framework for ENT. Reference: NICE ENT Guidance; 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 63 / 253 Not answered In an outpatient specialty clinic: a 62-year-old man presents with vertigo with fluctuating hearing loss. Relevant risk context includes water exposure. What is the most likely diagnosis? A. Meniere disease B. Laryngeal malignancy concern C. Peritonsillar abscess D. Acute otitis media E. Otitis externa Show Answer & Explanation Correct Answer: E Explanation: The pattern of vertigo with fluctuating hearing loss with risk factors such as water exposure is most consistent with Otitis externa. This answer best matches the expected diagnostic framework for ENT. Reference: NICE ENT Guidance; 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 64 / 253 Not answered At a preventive-care consultation: a 48-year-old woman presents with nasal obstruction with purulent discharge. Relevant risk context includes smoking. What is the most likely diagnosis? A. Chronic sinusitis B. Otitis externa C. Laryngeal malignancy concern D. Meniere disease E. Acute otitis media Show Answer & Explanation Correct Answer: B Explanation: The pattern of nasal obstruction with purulent discharge with risk factors such as smoking is most consistent with Otitis externa. This answer best matches the expected diagnostic framework for ENT. Reference: NICE ENT Guidance; 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 65 / 253 Not answered At a multidisciplinary case conference: a 71-year-old woman presents with vertigo with fluctuating hearing loss. Relevant risk context includes water exposure. What is the most likely diagnosis? A. Peritonsillar abscess B. Meniere disease C. Acute otitis media D. Otitis externa E. Chronic sinusitis Show Answer & Explanation Correct Answer: E Explanation: The pattern of vertigo with fluctuating hearing loss with risk factors such as water exposure is most consistent with Chronic sinusitis. This answer best matches the expected diagnostic framework for ENT. Reference: NICE ENT Guidance; 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 Cancel « ← Previous Page 13 of 51 Next → »