ENT Board Exam Started: Jul 13, 2026 10:05 Page 35 of 51 Attempt #2547 Overall: 0 / 253 questions answered Question 171 / 253 Not answered At a preventive-care consultation: a 48-year-old woman presents with persistent hoarseness over weeks. Relevant risk context includes immunosuppression. What is the most likely diagnosis? A. Otitis externa B. Peritonsillar abscess C. Chronic sinusitis D. Laryngeal malignancy concern E. Meniere disease Show Answer & Explanation Correct Answer: A Explanation: The pattern of persistent hoarseness over weeks with risk factors such as immunosuppression is most consistent with Otitis externa. 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 Question 172 / 253 Not answered At a multidisciplinary case conference: a 66-year-old woman has persistent hoarseness over weeks with risk profile of smoking. After initial stabilization and assessment, what is the most appropriate management step? A. Guideline-concordant antimicrobial therapy when indicated B. Topical otic therapy for external canal infection C. Drainage strategy for abscess when indicated D. Urgent cancer exclusion referral when red flags are present E. Intranasal corticosteroid and saline program Show Answer & Explanation Correct Answer: A Explanation: Guideline-concordant antimicrobial therapy when indicated 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 173 / 253 Not answered During a primary-care follow-up visit: a 58-year-old woman is evaluated for severe otalgia after water exposure in the context of water exposure. Which is the most appropriate next investigation? A. Otoscopic examination B. Audiometry with tympanometry C. Vestibular assessment D. Flexible nasolaryngoscopy E. Airway risk assessment Show Answer & Explanation Correct Answer: C Explanation: Vestibular assessment is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management 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 174 / 253 Not answered During ward handover: a 48-year-old man presents with muffled voice with trismus. Relevant risk context includes water exposure. What is the most likely diagnosis? A. Otitis externa B. Acute otitis media C. Meniere disease D. Chronic sinusitis E. Laryngeal malignancy concern Show Answer & Explanation Correct Answer: E Explanation: The pattern of muffled voice with trismus with risk factors such as water exposure is most consistent with Laryngeal malignancy concern. 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 175 / 253 Not answered In an emergency department assessment: a 74-year-old woman presents with muffled voice with trismus. Relevant risk context includes immunosuppression. What is the most likely diagnosis? A. Acute otitis media B. Otitis externa C. Meniere disease D. Peritonsillar abscess E. Chronic sinusitis Show Answer & Explanation Correct Answer: A Explanation: The pattern of muffled voice with trismus with risk factors such as immunosuppression 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 Cancel « ← Previous Page 35 of 51 Next → »