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APEA- EENT Assessment actual solution.docx
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A patient complains of a sore tongue. Findings reveal a smooth and erythematous tongue. This condition is termed: gingivitis. stomatitis. glossitis. candidiasis. - ans-glossitis. A condition that involves optic nerve damage and visual field changes is termed: retinoblastoma. cataracts. glaucoma. pterygium. - ans-glaucoma.
Ophthalmoscopic examination of the fundus reveals small, rounded, slightly irregular red spots embedded in the retina. These findings are consistent with: superficial retinal hemorrhages. preretinal hemorrhages. microaneurysms. deep retinal hemorrhages. - ans-deep retinal hemorrhages. A cyclist sustained an avulsion of the upper central incisor. If he is unable to position the tooth in the socket until he is able to be seen by a dentist, he should: transport the tooth in a cup of lukewarm tap water. place the tooth between the molars and the inside of the cheek. rinse the tooth and transport it in a clean dry cloth. not rinse the tooth but transport it in a clean dry cloth. - ans-place the tooth between the molars and the inside of the cheek. A condition in which the eyes are not properly aligned with each other is termed: hyperopia. myopia. strabismus. astigmatism. - ans-strabismus.
press down on the ethmoid sinus. press up on the maxillary sinus. palpate around the orbit. observe the turbinates. - ans-press up on the maxillary sinus. Gingival hyperplasia could be seen in all the following conditions except: those patients undergoing phenytoin (Dilantin) therapy. adolescents with nickel braces. in patients diagnosed with diabetes. in adults with leukemia - ans-in patients diagnosed with diabetes. When the corneal reflex is stimulated by shining the light in the right eye, the right eye blinks. The left eye: does not blink. blinks. turns inward. turns outward. - ans-blinks. A term used to describe drainage from the nose is: rhinitis. rhinorrhea. cerumen. otorrhea. - ans-rhinorrhea.
A 57-year-old man with a history of diabetes complains of difficulty hearing on the telephone and muffled sounds while watching the television at a low volume. He should be further evaluated for: acoustic neuroma. granulomatous disease. cholesteatoma. presbycusis. - ans-presbycusis. When comparing veins and arteries in the eyes of older adults, the arteries appear: bright red. widened. less brilliant. curvy. - ans-less brilliant. Sudden bilateral and painful visual loss is rare but can be associated with: cholinergics. anticholinergics. steroids. radiation exposure. - ans-radiation exposure. Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss?
dacryocystitis. pinguecula. - ans-an obstructed nasolacrimal duct. A six-year-old child presents with sore throat, difficulty swallowing, and a temperature of 102 °F. Findings reveal lymphadenopathy and pharyngeal erythema. This is probably: sinusitis. exudative tonsillitis. pharyngitis. the flu. - ans-pharyngitis. Ophthalmoscopic examination of the retina reveals AV banking. This appears as if the: vein tapes down on either side of the artery. vein is twisted on the distal side of the artery. vein crosses beneath the artery. vein stops abruptly on either side of the artery. - ans-vein is twisted on the distal side of the artery. An eight-year-old complains of itching in the right ear and an increase in pain when the pinna is pulled or the tragus is palpated. Examination reveals slight redness in the ear canal with a clear odorless fluid. This could be suggestive of: otitis media.
otitis externa. mastoiditis. a tympanic membrane rupture. - ans-otitis externa. The ethmoidal sinuses: are located between the eyes. are located above the eyes. surround the nasal cavity. are located behind the sphenoid sinuses. - ans-are located between the eyes. On examination of the tympanic membrane, a red bulging ear drum is detected. This is consistent with: acute otitis externa. chronic otitis externa. acute otitis media. a serous effusion. - ans-acute otitis media. Ophthalmoscopic examination of the retina reveals AV tapering. This appears as if the: vein "winds" down on either side of the artery. vein is twisted on the distal side of the artery. vein crosses beneath the artery. vein stops abruptly on either side of the artery. - ans-vein "winds" down on either side of the artery.
a tonic pupil. oculomotor nerve (CN III) paralysis. Horner's syndrome. Argyll Robertson pupils. - ans-a tonic pupil. A teenage complains of itching and burning of his eye. Examination reveals an erythematous eyelid margin with crusting and a clear mucus discharge. These findings are consistent with: conjunctivitis. a chalazion. a corneal ulcer. blepharitis. - ans-blepharitis. A toddler with a suspected hearing loss would: exhibit little or no babbling or vocalization sounds. likely communicate through gestures. display poor school performance. need to watch television with the volume on high. - ans- likely communicate through gestures. A patient complains of seeing specks that obscure his line of vision when he looks in a certain direction. This impairment could be caused by: vitreous floaters. retinal detachment.
macular degeneration. scotomas. - ans-scotomas. Examination of the eye reveals a painful, erythematous, and tender area around the nose and lower eyelid. This condition is most likely: conjunctivitis. chalazion. dacryocystitis. pinguecula. - ans-dacryocystitis. Ophthalmoscopic examination of a 30-year-old with a history of an eye injury 3 years ago, reveals a superficial grayish-white opacity in the right cornea. This may be indicative of a: corneal arcus. corneal scar. pterygium. cataract. - ans-corneal scar All of the following diseases may be associated with the appearance of a strawberry tongue except: scarlet fever. folic acid and B-12 deficiencies. rubeola. Kawasaki syndrome. - ans-rubeola.
Surgical perforation of the tympanic membrane to allow drainage of middle ear secretions is termed: otosclerosis. a myringotomy. a tympanocentesis. a tympanoplasty. - ans-a myringotomy. A localized Staphylococcal infection of the hair follicles at the lid margin is suggestive of: a hordeolum. blepharitis. a chalazion. dacryocystitis. - ans-a hordeolum. When examining the conjunctiva and sclera, have the patient look upward and then: cover one eye while visualizing the sclera and conjunctiva of the uncovered eye. depress both lower lids with your thumbs, exposing the sclera and conjunctiva. look for excessive tearing or dryness in the conjunctiva sac. note the position of the lids in relation to the eyeballs and color of the sclera. - ans-depress both lower lids with your thumbs, exposing the sclera and conjunctiva.
A 40-year-old male was umpiring a little league baseball game when he was hit in the face with flying debris. He presents with decreased vision and severe pain in the left eye. Findings reveal watery, left ocular discharge. The pupils are normal in appearance and the cornea is slightly cloudy with areas of corneal erythema. These findings are most consistent with: acute iritis. corneal injury. corneal infection. acute angle closure glaucoma. - ans-corneal injury. Actinic cheilitis is a condition of the lower lip most commonly seen in: dark-skinned males who work in coal mines. people of all races with nutritional deficiencies. people with a history of intestinal polyps. fair-skinned men who work outdoors. - ans-fair-skinned men who work outdoors. The Rinne hearing test allows the examiner to screen for: sensorineural hearing loss. conductive hearing loss. general hearing loss bilateral hearing loss. - ans-conductive hearing loss.
use the ophthalmoscope to view the fundus. include the cardinal directions of gaze. shine a penlight into the pupils. - ans-include the cardinal directions of gaze. Ophthalmoscopic examination of the fundus reveals blood anterior to the retina and obscuring retinal vessels. These findings are consistent with: superficial retinal hemorrhages. preretinal hemorrhages. microaneurysms. deep retinal hemorrhages. - ans-preretinal hemorrhages. When a person shifts gaze from a near object to a far object, the pupils: dilate. constrict. remain unchanged. depends. - ans-dilate. A fine rhythmic oscillation of the eyes is termed: presbyopia. nystagmus. strabismus. proptosis. - ans-nystagmus.
The maxillary sinuses: are located between the eyes. surround the nasal cavity. are located above the eyes. are located behind the ethmoidal sinuses. - ans-surround the nasal cavity. A 50- year-old patient complains of being unable to read the hymnal at church. This describes: hyperopia. myopia. presbyopia. astigmatism. - ans-presbyopia. All of the following are examples of causes of sensorineural hearing loss in children except: the presence of cerumen impaction. prolonged use of tobramycin. maternal history of Herpes infection. congenital rubella syndrome. - ans-the presence of cerumen impaction. Assessment of a patient's visual acuity resulted in 20/ using the Snellen eye chart. This means that: at 200 feet the patient can read printed information that a person with normal vision could read at 20 feet.
One cause of nasal septum perforation may be: nasal polyps. intranasal use of cocaine. cystic fibrosis. chronic sinusitis. - ans-intranasal use of cocaine. A 60-year-old was concerned about a yellowish colored lesion above her right eyelid. Findings revealed a slightly raised yellowish, well circumscribed plaque along the nasal area of her right eyelid. This finding is most consistent with: a pinguecula. a chalazion. episcleritis. xanthelasma. - ans-xanthelasma. Which disorder of the eye can be detected with the cover- uncover and the Hirschberg test? Amblyopia Conjunctivitis Strabismus Cataracts - ans-Strabismus The whispered voice test allows the examiner to screen for: low frequency hearing loss.
high frequency hearing loss. general hearing loss. conductive hearing loss. - ans-general hearing loss. Leukoplakia was noted during an exam of the mouth. This symptom may be: a normal finding. precancerous. associated with periodontal disease. consistent with gingivitis. - ans-precancerous. A patient presents with complaints of earache, blood tinged discharge from the ear, and hearing loss. Findings reveal painful hemorrhagic vesicles on the tympanic membrane and the ear canal. These findings and symptoms are suggestive of: tympanosclerosis. serous effusion. otitis media with purulent effusion. bullous myringitis. - ans-bullous myringitis. A 30-year-old patient presents with a moderate "aching" in his right eye. Findings reveal a small and irregular shaped right pupil. The cornea appears cloudy with a slight erythematous area around the corneal limbus. There is no ocular discharge noted. These findings are consistent with:
