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On-Call Facial Erysipelas and Auricular Swelling Questions1

A 50-year-old male presents with facial erysipelas. Which feature makes herpetic dermatitis more likely than erysipelas?

On-Call Foreign Bodies in the Nose, Ear, and Esophagus Questions2

After successful removal of a foreign body from the esophagus, what is the most important step in follow-up after 2-4 weeks? A live insect is in a patient's ear canal. What is the most appropriate first step before attempting removal?

On-Call Neck Infections and Abscesses II Questions1

In a patient with suspected Lemierre Syndrome, which clinical sign can help differentiate between simple cervical lymphadenitis and Lemierre syndrome in ea…

On-Call Neck Infections and Abscesses I Questions1

Which of the following signs warrants immediate suspicion of Necrotizing Fasciitis on clinical examination?

On-Call Anaphylaxis Questions3

Which of the following groups is at highest risk for poor outcomes in anaphylaxis? Which of the following symptoms, if present, makes hereditary angioedema more likely than anaphylaxis? Which of the following best describes the role of tryptase testing in anaphylaxis management?

On-Call Aphthous Oral Lesions Questions2

Which of the following is NOT a main goal of emergency management for a patient with severe oral ulcers? Why is recurrent aphthous stomatitis (RAS) NOT considered an infectious disease?

On-Call Tracheostomy & Complications Questions4

A 2-year-old girl with a tracheostomy was brought to the emergency department due to acute respiratory difficulty that started suddenly. On examination, th… A patient with an 8-day-old tracheostomy had the tube accidentally dislodged during nursing care. The patient has moderate dyspnea and oxygen saturation 94… A patient underwent percutaneous tracheostomy (PDT) only 12 hours ago. The tube dislodged. You are ventilating him with a face mask. The patient is breathi… A nurse is suctioning secretions from a tracheostomy tube in an adult patient. What is the correct rule regarding suction catheter insertion depth?

Vestibular Disorders3

Which of the following features of nystagmus is NOT consistent with an acute peripheral vestibular lesion? A patient presents with persistent vertigo for 3 days and nausea. Examination reveals horizontal nystagmus to the right, positive (abnormal) Head Impulse T… Which of the following medications can cause bilateral vestibulotoxicity?

Salivary Gland Malignancies1

Which of the following is NOT a typical feature of Warthin's tumor?

Acute and Chronic Salivary Gland Disorders3

A 55-year-old female has recurrent painful swelling of the right submandibular gland during meals. The physician plans to perform sialography. Which of the… What mechanism is believed to contribute to the higher incidence of submandibular gland stones compared to parotid gland stones? Which of the following is considered a risk factor for salivary gland cancer?

Allergic and Nonallergic Rhinitis2

In an immunological study investigating allergic rhinitis mechanisms, interaction between antigen-presenting cells (APCs) and T lymphocytes is examined. Up… A 50-year-old man with allergic rhinitis was prescribed intranasal mometasone spray. After two weeks, he has not experienced significant improvement. What …

Acute and Chronic Otitis Media1

Which of the following complications is more common with acute otitis media compared to chronic otitis media?

Clinical Cases and Differential Diagnosis of Allergy, Anaphylaxis, and Mastocytosis2

A 48-year-old man with cutaneous mastocytosis (urticaria pigmentosa) is brought to the emergency department 10 minutes after a wasp sting. He complains of … A 58-year-old male with hypertension and diastolic heart failure on metoprolol 100 mg daily was brought to the emergency department 20 minutes after consum…

Clinical Cases and Differential Diagnosis of Facial Nerve Palsy2

A 70-year-old woman diagnosed with Ramsay Hunt syndrome 24 hours ago presents with complete right facial palsy graded VI on the House-Brackmann scale with … A 17-year-old male is brought to the emergency department due to rapidly progressive bilateral facial palsy over the past two days — complains of severe fa…

Clinical Cases and Differential Diagnosis of Stridor1

A 65-year-old male with a history of chronic obstructive pulmonary disease (COPD) and heavy smoking. He was recently admitted to the intensive care unit fo…

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