ENT Board Exam Started: Jul 13, 2026 13:32 Page 31 of 51 Attempt #2768 Overall: 0 / 253 questions answered Question 151 / 253 Not answered At a preventive-care consultation: a 70-year-old woman has vertigo with fluctuating hearing loss with risk profile of recent URI. After initial stabilization and assessment, what is the most appropriate management step? A. Drainage strategy for abscess when indicated B. Intranasal corticosteroid and saline program C. Topical otic therapy for external canal infection D. Vestibular symptom-directed treatment E. Guideline-concordant antimicrobial therapy when indicated Show Answer & Explanation Correct Answer: D Explanation: Vestibular symptom-directed treatment is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in 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 152 / 253 Not answered In an emergency department assessment: a 45-year-old woman has ear pain with fever with risk profile of allergic rhinitis. After initial stabilization and assessment, what is the most appropriate management step? A. Drainage strategy for abscess when indicated B. Intranasal corticosteroid and saline program C. Vestibular symptom-directed treatment D. Topical otic therapy for external canal infection E. Guideline-concordant antimicrobial therapy when indicated Show Answer & Explanation Correct Answer: D Explanation: Topical otic therapy for external canal infection is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes 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 153 / 253 Not answered During ward handover: a 51-year-old man presents with severe otalgia after water exposure. Relevant risk context includes water exposure. What is the most likely diagnosis? A. Meniere disease B. Otitis externa C. Peritonsillar abscess D. Chronic sinusitis E. Acute otitis media Show Answer & Explanation Correct Answer: E Explanation: The pattern of severe otalgia after water exposure with risk factors such as water exposure is most consistent with Acute otitis media. 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 154 / 253 Not answered In an emergency department assessment: a 76-year-old woman is evaluated for vertigo with fluctuating hearing loss in the context of recent URI. Which is the most appropriate next investigation? A. Vestibular assessment B. Flexible nasolaryngoscopy C. Otoscopic examination D. Airway risk assessment E. Audiometry with tympanometry Show Answer & Explanation Correct Answer: E Explanation: Audiometry with tympanometry 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 155 / 253 Not answered During morning rounds: a 26-year-old man is evaluated for nasal obstruction with purulent discharge in the context of alcohol misuse. Which is the most appropriate next investigation? A. Vestibular assessment B. Sinus imaging when indicated C. Audiometry with tympanometry D. Otoscopic examination E. Flexible nasolaryngoscopy Show Answer & Explanation Correct Answer: B 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 Cancel « ← Previous Page 31 of 51 Next → »