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APEA- EENT Assessment actual solution
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. Findings following assessment of a person's left eye gaze include impaired movements when attempting to look upward, downward, or inward. This condition is most consistent with: a conjugate gaze. left cranial nerve III (oculomotor) paralysis cranial nerve IV (trochlear) paralysis. cranial nerve VI (abducens) paralysis.- ans-left cranial nerve III (oculomotor) paralysis On ophthalmoscopic exam of the older adult, there is an increased cup-to-disc ratio: This finding is suggestive of: cataracts. macular degeneration.
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? Weber Test Rinne Test Whispered Voice Test bilateral hearing loss.- ans-Weber Test Where in the mouth would reddened areas, nodules, or ulcerations that are suspicious of malignancy be present? Mucous membranes Tongue Gums Palate- ans-Tongue A patient presents with complaints of burning, itching, tearing, and some pain in the eye. Findings reveal red, scaly, greasy flakes and thickened, crusted lid margins. This would be suggestive of: a chalazion. blepharitis. a hordeolum. dacryocystitis.- ans-blepharitis Examination of the nasolacrimal duct reveals a mucopurulent discharge from the puncta. This finding is suggestive of: conjunctivitis. an obstructed nasolacrimal duct. dacryocystitis. pinguecula.- ans-an obstructed nasolacrimal duct.
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. Ectropion is defined as: an inward turning of the lower eyelid. an outward turning of the lower eyelid. drooping of the eyelid. a retracted eyelid with a wide-eyed stare.- ans-an outward turning of the lower eyelid. When a light beam shines into one pupil causing pupillary constriction in that eye, the term used is: indirect reaction to light. consensual reaction to light.
optic radiation. direct reaction to light.- ans-direct reaction to light. When a 512 Hz tuning fork is placed over the mastoid bone and then held next to the ear canal with recordings of how long sound was heard in each ear, this is known as the: absolute bone conduction test. pure tone audiometry test. Weber test. Rinne test.- ans-Rinne test. On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of: 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.
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. Performance of the Weber and Rinne tests to assess for hearing loss is best performed using tuning fork with a frequency of: 256 Hz. 512 Hz. 800 Hz. 1000Hz.- ans-512 Hz. On ophthalmoscopic examination, optic atrophy appears: pink and hyperemic. yellowish orange to creamy pink. pale. white.- ans-white. What visual acuity constitutes legal blindness? Visual acuity of 20/80 or worse bilaterally. Visual acuity of 20/200 or worse in the better eye with corrected lens. Visual acuity of 20/200 in the better eye without corrected lens. Visual acuity of 20/100 with corrected lens.- ans-Visual acuity of 20/200 or worse in the better eye with corrected lens. 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:
peritonsillar abscess. person who smokes cigarettes. a normal finding in the elderly population.- ans-vagus nerve lesion. In order to visualize the opening of Stensen's duct, examine the: dorsal surface of the tongue. area beneath the mandible at the angle of the jaw. buccal mucosa opposite the second molar. small openings along the sublingual fold under the tongue.- ans- buccal mucosa opposite the second molar. When assessing extraocular movements: use the Snellen eye chart. 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.
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: acute iritis. corneal injury. corneal infection. acute angle closure glaucoma.- ans-acute iritis. All of the following symptoms in a 10-month-old would be indicative of acute otitis media (OM) except: nausea, vomiting, and possibly diarrhea
Kaposi's sarcoma. torus palatinus. Fordyce spots.- ans-Kaposi's sarcoma. On otoscopic examination, the cone of light can be visualized: at the 1 o'clock to 2 o'clock position of the left tympanic membrane. at the 4 o'clock to 5 o'clock position of the left tympanic membrane. at the 7 o'clock to 8 o'clock position of left tympanic membrane. at the 12 o'clock position of the left ear tympanic membrane.- ans-at the 7 o'clock to 8 o'clock position of left tympanic membrane. Miosis is a term used to describe: the shape of the pupils. constriction of the pupils. dilation of the pupils. symmetry of the pupils.- ans-constriction of the pupils. On ophthalmoscopic examination, glaucomatous cupping appears: pink and hyperemic. yellowish orange to creamy pink. pale. white.- ans-pale. Which of the paranasal sinuses are accessible to clinical examination? Ethmoidal sinuses Sphenoidal sinuses Frontal sinuses. Vestibular sinuses- ans-Frontal sinuses.
A person who has been blind since birth presents for a physical exam. Expected findings of the pupillary reaction when light is shown would be: constriction of both pupils. dilation of both pupils. no reaction from either pupil. it depends.- ans-it depends. A patient presents with findings of pain, warmth, redness, and swelling below the inner canthus toward nose. Tearing is present and when pressure is applied to the lacrimal sac, purulent discharge from the puncta is noted. This is suggestive of: blepharitis. dacryocystitis. a hordeolum. a chalazion.- ans-dacryocystitis. If a patient complains of seeing flashing lights across the field of vision, this could be: a normal response if around bright lights. a retinal detachment. detachment of the vitreous from the retina. lesion in the visual pathways.- ans-detachment of the vitreous from the retina. When administering ear drops to a 6-year-old, the pinna should be pulled: downward. downward and back.
