ENT Board Exam Started: Jul 13, 2026 12:43 Page 32 of 51 Attempt #2724 Overall: 0 / 253 questions answered Question 156 / 253 Not answered At a multidisciplinary case conference: a 74-year-old man presents with nasal obstruction with purulent discharge. Relevant risk context includes water exposure. What is the most likely diagnosis? A. Meniere disease B. Laryngeal malignancy concern C. Acute otitis media D. Peritonsillar abscess E. Chronic sinusitis Show Answer & Explanation Correct Answer: C Explanation: The pattern of nasal obstruction with purulent discharge 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: 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 157 / 253 Not answered During ward handover: a 25-year-old man has nasal obstruction with purulent discharge with risk profile of water exposure. After initial stabilization and assessment, what is the most appropriate management step? A. Drainage strategy for abscess when indicated B. Topical otic therapy for external canal infection C. Guideline-concordant antimicrobial therapy when indicated D. Intranasal corticosteroid and saline program E. Vestibular symptom-directed treatment Show Answer & Explanation Correct Answer: B 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 158 / 253 Not answered During morning rounds: a 68-year-old man has persistent hoarseness over weeks with risk profile of immunosuppression. After initial stabilization and assessment, what is the most appropriate management step? A. Topical otic therapy for external canal infection B. Vestibular symptom-directed treatment C. Guideline-concordant antimicrobial therapy when indicated D. Drainage strategy for abscess when indicated E. Intranasal corticosteroid and saline program Show Answer & Explanation Correct Answer: D Explanation: Drainage strategy for abscess when indicated is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in ENT. Reference: EPOS Rhinosinusitis 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 159 / 253 Not answered At a preventive-care consultation: a 75-year-old man 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. Acute otitis media D. Peritonsillar abscess E. Meniere disease 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 160 / 253 Not answered At a preventive-care consultation: a 80-year-old man presents with persistent hoarseness over weeks. Relevant risk context includes water exposure. What is the most likely diagnosis? A. Meniere disease B. Peritonsillar abscess C. Laryngeal malignancy concern D. Acute otitis media E. Chronic sinusitis Show Answer & Explanation Correct Answer: D Explanation: The pattern of persistent hoarseness over weeks 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: EPOS Rhinosinusitis 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 Cancel « ← Previous Page 32 of 51 Next → »