Management of Diseases of Ear, nose and throat
Otorhinolaryngology (ENT) · Topic 4
Source: NMC CBME Curriculum 2024 · Volume III · Otorhinolaryngology (ENT) · Topic 4 · combined PDF page 421
Practice questions
- In the structured review of scuba-related ENT disorders, which injury was reported as the most prevalent and particularly associated with descent?
- A scuba diver develops ear symptoms during descent. Which diagnosis is most directly supported by the phase-specific pattern reported in the review?
- Which comparison between middle-ear and inner-ear dive injuries best reflects the structured review?
- After a dive, a patient has a persistent auditory deficit. Which inference is most consistent with the review?
- A diver asks whether prior tympanoplasty permits a standard, evidence-based return-to-dive interval. What is the best response based on the review?
- Which set contains only additional conditions reported in the structured review of diving-related ENT problems?
- Which approach best reflects the review's proposed use of a phase-of-dive framework in clinical assessment?
- Which statement best characterizes the relation between inner-ear barotrauma and inner-ear decompression sickness in the review?
- In the clinician survey on ENT manifestations of AAV, which symptom received the highest agreement rating as an indicator of active ENT disease?
- Which combination consists of rhinoscopic findings rated as particularly suspicious for active ENT involvement in AAV?
- A patient has persistent nasal crusting and epistaxis, systemic symptoms, and chronic-rhinosinusitis symptoms that have not responded to conventional therapy. Which interpretation is best supported by the AAV study?
- Which symptom was specifically identified among the highly rated indicators of active ENT AAV apart from nasal crusting?
- Which procedural sequence was supported by surveyed otorhinolaryngologists when assessing possible nasal AAV involvement?
- Which approach to ongoing ENT involvement in a patient with AAV was supported by the surveyed otorhinolaryngologists?
- How should the 0–10 ratings in the AAV clinician survey be interpreted?
- Which acute ENT presentations were represented in the guideline-integrated decision-support study?
- In the emergency vignette study, what was the effect of adding guideline content through retrieval-augmented generation?
- Which outcome was reported as unchanged after guideline integration in the language-model study?
- Which statement best describes the evidence for guideline-integrated large language model support in acute ENT emergencies?
- A patient presents to an emergency department with sudden sensorineural hearing loss. Which general management principle is supported by the supplied emergency-decision study?
- In the retrospective study of children with persistent or recurrent ENT infections after surgery, what proportion had titers reported as indeterminate or non-protective against Hib?
- What proportion of the selected children in the recurrent ENT infection study had pneumococcal titers considered non-protective?
- A child continues to have recurrent sinus and ear infections despite prior adenoidectomy or ear-tube placement. Which next consideration is most consistent with the supplied study?
- Which limitation most directly constrains generalization of the 55% Hib and 43% pneumococcal findings?
- The authors compared their findings with reported vaccine response rates of approximately 95% for Hib and 97–100% for Prevnar. What is the most defensible interpretation of this comparison?
- Which statement about the study's proposed role for booster vaccination is best supported?
- Which statement best integrates the supplied evidence on recognizing ENT disease across the AAV and recurrent-infection studies?