Free Otolaryngology Board Review Questions

Free Otolaryngology [ENT] Board Review Questions

Preparing for the 2019 ABOto ENT Qualifying Exam is no easy feat. But not to worry – any Otolaryngologist will tell you the key to passing is to be properly prepared for the content that will be found on the exam.

It’s important to be competent in the following areas of Otolaryngology for a successful outcome:

Clinical Areas

  • Allergy
  • Head and neck surgery
  • Laryngology
  • Otology
  • Pediatrics
  • Plastic and Reconstructive
  • Rhinology
  • Sleep

Non-specialty Specific Areas

  • Professionalism
  • Patient safety
  • Ethics
  • Miscellaneous

How can you ensure you’re prepared for your ENT exam? Many practitioners find question banks to be one of the most helpful resources to practice for the exam.

Below are two free otolaryngology board review questions taken from the BoardVitals ENT Board Review Question Bank.

Question 1

QID: 55746

A 70 year old male presents with a 3 month history of right pulsatile tinnitus with hearing loss, unstable gait, and autophany. ECOG demonstrates a SP/AP ratio of 0.6. A diagnosis of superior semicircular cancal dehiscence is suspected. Which of the following is a good indicator test that would give support to this diagnosis?

A.) Otoacoustic emissions
B.) Tympanometry
C.) Cervical vestibular evoked myogenic potential
D.) Auditory brainstem response
E.) Acoustic reflexes

Answer

C.) Cervical vestibular evoked myogenic potential

Explanation

Correct: (C) Cervical vestibular evoked myogenic potential. Explanation: Superior semicircular canal dehiscence (SSCD) usually demonstrates an elevated SP/AP ration above 0.4 on ECOG. An additonal test that can be a good diagnositic indicator is cervical vestibular evoked myogenic potential (cVEMP). This tests the function of the saccule and the inferior vestibular nerve. In SSCD the threshold of the cVEMP is abnormally low (65 dB or less) making this test a good indicator of SSCD. Choices A,B, D, and E will not specifically differentiate between SSCD and other vestibular disorders. A high SP/AP ratio on ECOG and low threshold on cVEMP is very sensitive for SSCD.

Reference

Cummings Otolaryngology. Chapter 133. Diagnostic Audiology. Saunders Elsevier. 6th Edition. 2015.

Question 2

QID: 48096

Which of the following is a correct indication for surgery in a patient with asymptomatic primary hyperparathyroidism?

A.) Serum calcium greater than 0.5 mg/dL above the upper limit of normal
B.) Creatinine clearance reduced by more than 10% for age in the absence of another cause
C.) Patient is younger than 50 years of age
D.) Measurement of 24-hour urinary calcium is greater than 200 mg/dL
E.) Bone mineral density reduced by more than 1 standard deviation by T-score

Answer

C.) Patient is younger than 50 years of age

Explanation

Correct: C The National Institutes of Health set forth recommendations on management of asymptomatic primary hyperparathyroidism. The indications for surgery are: 1) Serum calcium greater than 1.0 mg/dL above the upper limit of normal 2) Creatinine clearance reduced by more than 30% for age in the absence of another cause 3) Patient is younger than 50 years of age 4) Measurement of 24-hour urinary calcium is greater than 400 mg/dL 5) Bone mineral density reduced by more than 2.5 standard deviations by T-score 6) Patient requests surgery, or patients are unsuitable for long-term surveillance.

Reference

Cummings Otolaryngology. Chapter 124. Management of Parathyroid Disorders. Saunders Elsevier. 6th Edition. 2015.

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Good luck with your ENT exam preparation!