HEENT Leik Practice Questions and

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HEENT Leik Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

What is the most common cause of bacterial conjunctivitis?

• Viral infection

✔✔B. Staphylococcus aureus

• Allergic reaction
• Fungal infection

Which symptom is most characteristic of acute otitis media?

• Ear fullness
• Tinnitus

✔✔C. Ear pain

• Vertigo

What is the first-line treatment for allergic rhinitis?

• Oral antibiotics
• Oral corticosteroids 1 / 4

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✔✔C. Intranasal corticosteroids

• Decongestants

Which finding is typical in a patient with viral pharyngitis?

• Exudative tonsils
• Tender anterior cervical lymphadenopathy

✔✔C. Mild sore throat with cough

• High-grade fever

What is the most appropriate initial test for suspected sinusitis?

• Sinus CT scan
• Nasal endoscopy

✔✔C. Clinical diagnosis based on symptoms

• Nasal culture

Which cranial nerve is tested by asking a patient to shrug their shoulders?

• Cranial nerve V

✔✔B. Cranial nerve XI 2 / 4

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• Cranial nerve VII
• Cranial nerve X

A patient presents with sudden painless vision loss in one eye. What is the most urgent next step?

• Prescribe eye drops
• Schedule outpatient ophthalmology follow-up

✔✔C. Immediate referral to emergency ophthalmology

• Order MRI

Which symptom is most common in a patient with acute labyrinthitis?

• Hearing loss

✔✔B. Vertigo

• Tinnitus
• Ear pain

What is the best initial treatment for bacterial otitis externa?

• Oral antibiotics
• Systemic steroids 3 / 4

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✔✔C. Topical antibiotic ear drops

• Antifungal drops

Which of the following is a hallmark of bacterial tonsillitis?

• Hoarseness

✔✔B. Tonsillar exudate

• Rhinorrhea
• Cough

What is the best method to assess hearing loss in a clinical setting?

• Tympanometry
• Auditory brainstem response

✔✔C. Pure tone audiometry

• Whisper test

Which condition is characterized by sudden onset of severe vertigo, hearing loss, and tinnitus?

• Meniere’s disease
• Benign positional vertigo
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