NEW
Font size
WorksheetsER EEMT
Total questions: 50
Worksheet time: 25mins
A 72-year-old woman presents with sudden vision loss, severe eye pain, and halos around lights. Her intraocular pressure is 45 mmHg. What is the most appropriate first-line treatment?
Oral prednisone
Timolol eye drops
Erythromycin ointment
Acetazolamide IV and PO
A patient presents with eye pain and dendritic corneal lesions seen on fluorescein staining. What is the most likely diagnosis?
Bacterial conjunctivitis
Corneal abrasion
HSV keratitis
Uveitis
Which of the following is an early symptom of retinal detachment?
Photophobia
Purulent discharge
Flashing lights and floaters
Eye pruritus
A 10-year-old presents with eyelid swelling, erythema, normal EOMs, and normal visual acuity. What is the next step?
MRI brain
Admit for IV antibiotics
Outpatient amoxicillin-clavulanate
Emergent CT orbit
What finding differentiates orbital cellulitis from preseptal cellulitis?
Erythematous eyelid
Normal EOMs
Normal visual acuity
EOM impairment and proptosis
Which organism is commonly associated with malignant otitis externa that spreads to the skull base?
Staphylococcus aureus
Streptococcus pneumoniae
Moraxella catarrhalis
Pseudomonas aeruginosa
A patient presents with subconjunctival hemorrhage after coughing. What is the appropriate treatment?
Topical antibiotics
Artificial tears
No treatment needed
Oral NSAIDs
A contact lens wearer presents with a painful red eye and photophobia. What complication must be ruled out?
Corneal ulcer
Acute glaucoma
Optic neuritis
Subconjunctival hemorrhage
A fluorescein stain shows a linear uptake pattern on the cornea. Which condition is most likely?
Retinal detachment
Orbital cellulitis
Corneal abrasion
Preseptal cellulitis
Which of the following would most likely require urgent ophthalmology consultation and CT imaging?
Chalazion
Viral conjunctivitis
Orbital cellulitis
Allergic conjunctivitis
A 67-year-old diabetic presents with ear pain and purulent discharge unresponsive to otic drops. On exam, the ear canal is granulated. What is the most likely diagnosis?
Acute otitis media
Malignant otitis externa
Cerumen impaction
Cholesteatoma
What is the first-line treatment for acute otitis externa with an intact tympanic membrane?
Oral amoxicillin
Oral azithromycin
Ciprofloxacin-dexamethasone ear drops
IV vancomycin
Which of the following is an appropriate management step for a live insect in the external auditory canal?
Immediate irrigation with cold water
Use of topical lidocaine to immobilize
Referral to ENT without intervention
Removal with cerumen loop only
A patient with a painful, swollen jaw and purulent discharge from Stensen’s duct likely has:
Sialolithiasis
Parotid neoplasm
Suppurative parotitis
Viral parotitis
A 25-year-old male has jaw pain after yawning and cannot close his mouth. What is the best initial management?
CT head
Oral antibiotics
Mandibular reduction
Biopsy of masseter
Which of the following patients with otitis externa is at highest risk of progression to malignant otitis externa?
Healthy 20-year-old swimmer
50-year-old with allergic rhinitis
65-year-old with poorly controlled diabetes
35-year-old with a history of frequent ear infections
A patient presents with jaw pain and clicking during chewing. No trauma is reported. What is the most likely diagnosis?
Mandibular dislocation
Temporomandibular joint disorder (TMJ)
Mandibular fracture
Parotitis
What imaging modality is most appropriate for suspected mastoiditis?
MRI brain with contrast
Non-contrast CT mastoids
X-ray skull
PET scan
Which of the following best describes the treatment for sialolithiasis?
Immediate IV antibiotics
Surgical excision of the gland
Massage, hydration, and sialogogues
Radiation therapy
A child presents with post-auricular swelling, fever, and ear pain. Tympanic membrane is normal. What is the next best step?
Watchful waiting
CT scan of mastoid
Start antihistamines
Ear lavage
A 12-year-old presents with a persistent foul-smelling unilateral nasal discharge. What is the most likely diagnosis?
Allergic rhinitis
Sinusitis
Nasal foreign body
Viral upper respiratory infection
The majority of anterior nosebleeds originate from which structure?
Sphenopalatine artery
Woodruff's plexus
Ethmoidal arteries
Kiesselbach's plexus
What is the most appropriate initial step in treating an anterior epistaxis?
Posterior balloon packing
Direct nasal pressure for 10-15 minutes
CT of the sinuses
IV vasopressors
A 68-year-old with hypertension presents with continuous bleeding from both nares and blood flowing into the oropharynx. What is the most likely diagnosis?
Anterior epistaxis
Septal hematoma
Posterior epistaxis
Nasal polyp bleed
Which of the following is an appropriate antibiotic choice if nasal packing is placed?
Cephalexin
Azithromycin
Augmentin
Ciprofloxacin
A 23-year-old is punched in the face. His nose is tender with lateral deviation, swelling, and crepitus. What is the best initial management?
Maxillofacial CT
Immediate nasal surgery
Plain X-ray of the nose
Analgesics and ice, ENT follow-up in 5–7 days
A patient has a nasal fracture with clear fluid dripping from the nose. What complication must be ruled out?
Posterior epistaxis
CSF leak
Allergic rhinitis
Orbital blowout fracture
A nasal septal hematoma is suspected. What is the appropriate next step?
Observe for resolution
Apply nasal packing
Incision and drainage
Ice and elevation only
What is the most appropriate step if a loose nasal foreign body is visible on inspection?
Refer to ENT only
Blind probing with metal curette
Removal with bayonet forceps under visualization
Flush aggressively with cold water
What is the best management for a posterior epistaxis that is not controlled with nasal packing?
Watchful waiting
Intranasal corticosteroids
Admission and ENT consultation for balloon catheter or surgical intervention
Oral tranexamic acid
A 35-year-old presents with facial pressure, purulent nasal discharge, and maxillary tenderness for 10 days. What is the most appropriate treatment?
Nasal saline spray only
Oral antihistamines
Amoxicillin-clavulanate
Intravenous ceftriaxone
What is the most common bacterial cause of acute bacterial sinusitis?
Moraxella catarrhalis
Staphylococcus aureus
Streptococcus pneumoniae
Pseudomonas aeruginosa
A patient has sinus pain, congestion, and purulent discharge for 3 days. What is the best initial management?
Initiate antibiotics immediately
Nasal corticosteroids and supportive care
CT of the sinuses
Sinus aspiration
Which of the following symptoms indicates a likely bacterial rather than viral sinusitis?
Headache and sore throat for 2 days
Clear nasal discharge with sneezing
Symptoms lasting >10 days with facial pain and purulent drainage
Fever and fatigue for 24 hours
Chronic sinusitis is defined as symptoms lasting:
>7 days
>2 weeks
>3 weeks
>12 weeks
A patient has recurrent sinus infections unresponsive to antibiotics. What imaging is best to assess for anatomical abnormalities?
Skull X-ray
Sinus ultrasound
CT sinuses
MRI brain
In sinusitis, transillumination of the sinuses may reveal:
Hypertransparency
Air-fluid levels
Diminished light transmission
Clear visualization of the septum
Which of the following organisms is most commonly seen in chronic sinusitis?
Group A streptococcus
Pseudomonas aeruginosa
Anaerobic bacteria (polymicrobial)
Corynebacterium diphtheriae
Which is an indication for ENT referral in a sinusitis patient?
Symptoms less than 7 days
Positive strep test
Periorbital edema or orbital cellulitis
Mild maxillary tenderness
What is the role of cultures in diagnosing acute bacterial sinusitis?
Always required for diagnosis
Done routinely in urgent care
Not typically needed unless invasive disease is suspected
Used only in viral sinusitis
A 3-year-old presents with white, curd-like plaques on the tongue that can be scraped off, revealing a red base. What is the most likely diagnosis?
Oral leukoplakia
Oral candidiasis
Herpangina
Hand-foot-and-mouth disease
A patient with painful, shallow, round oral ulcers on the buccal mucosa but no systemic symptoms most likely has:
HSV gingivostomatitis
Aphthous stomatitis
Herpangina
Candidiasis
Which virus is most commonly responsible for herpangina?
Epstein-Barr virus
HSV-1
Coxsackie A virus
Cytomegalovirus
A child presents with painful oral ulcers and vesicles on hands and feet. What is the diagnosis?
Herpetic stomatitis
Scarlet fever
Hand-foot-and-mouth disease
Herpangina
A patient presents with fever, trismus, muffled “hot potato” voice, and unilateral tonsillar bulge. What is the most likely diagnosis?
Streptococcal pharyngitis
Tonsillitis
Peritonsillar abscess
Ludwig’s angina
A patient with a history of dental trauma presents with swelling and purulence at the gumline. What is the most likely cause?
Pulpitis
Dental caries
Dental abscess
Periodontitis
What is the best storage medium for an avulsed permanent tooth if immediate reimplantation is not possible?
Dry gauze
Tap water
Patient’s mouth under the tongue
Ice pack
A child presents after dental trauma with exposure of dentin but not pulp. What is the best next step?
Immediate extraction
Smoothing only
Apply calcium hydroxide and refer to dentist in 24 hrs
Leave untreated
A trauma patient has a tooth avulsed for over 2 hours. What is the expected outcome after reimplantation?
Full recovery
90% survival
50% survival
<5% survival
Which treatment is most appropriate for pseudomembranous oral candidiasis (thrush)?
Oral clindamycin
IV acyclovir
Oral fluconazole or topical nystatin
Supportive care only
