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EENT Qbank A fine rhythmic oscillation of the eyes is termed: Correct Ans - nystagmus When administering ear drops to a 6-year-old, the pinna should be pulled: Correct Ans - upward and back A patient complains of a sore tongue. Findings of a smooth an erythematous tongue. This condition is termed: Correct Ans - glossitis Round or oval shaped lesions surrounded by erythematous mucosa and noted on an area of the oral mucosa may be: Correct Ans - aphthous ulcers Upon examination of the right tympanic membrane, a cone of light was visible at the four o'clock mark. This would be interpreted as: Correct Ans - a normal eardrum A condition that involves optic nerve damage and visual field changes is termed: Correct Ans - glaucoma One cause of nasal septum perforation may be: Correct Ans - intranasal use of cocaine
A patient presents with findings of pain, warmth, redness, and swelling below the 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 suggestive of: Correct Ans - dacryocystitis Sudden bilateral and painful visual loss is rare but can be associated with: Correct Ans - radiation exposure Examination of the nose and paranasal sinuses reveal local tenderness, pain, fever, and rhinorrhea. These symptoms are suggestive of: Correct Ans - acute sinusitis of the frontal and maxillary sinuses A swollen deviated uvula may be associated with a: Correct Ans - peritonsillar abscess To palpate for sinus tenderness, press up on the frontal sinuses from under the bony brows, then: Correct Ans - press up on the maxillary sinus A toddler with a suspected hearing loss would: Correct Ans - likely communicate through gestures A deviated trachea could be caused by all of the following except: Correct Ans - pneumonia
Surgical perforation of the tympanic membrane to allow drainage of middle ear secretions is termed: Correct Ans
- a myringotomy A condition of the sclera that appears as localized ocular inflammation of the episcleral vessels is most likely: Correct Ans - episcleritis On ophthalmoscopic examination, glaucomatous cupping appears: Correct Ans - pale Ophthalmoscopic examination of the retina reveals AV banking. This appears as if the: Correct Ans - vein is twisted on the distal side of the artery A person who has been blind sice birth presents for a physical exam. Expected findings of the pupillary reaction when light is shown would be: Correct Ans - It depends Examination of the eye reveals a painful, erythematous, and tender area around the nose and lower eyelid. This condition is most likely: Correct 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: Correct Ans - corneal scar
Actinic cheilitis is a condition of the lower lip most commonly seen in: Correct Ans - fair-skinned men who work outdoors When a 512 Hz tuning fork is placed over the mastoid bone and then held next to the ear canal with recordings of how sound was heard in each ear, this is known as the: Correct Ans - Rinne test On otoscopic examination, the cone of light can be visualized: Correct Ans - at the 7 o'clock to 8 o'clock position of left tympanic membrane Ophthalmoscopic examination of the fundus reveals small, rounded, slightly irregular red spots embedded in the retina. These findings are consistent with: Correct Ans - deep retinal hemorrhages Examples of sudden, painful, unilateral visual loss included all the following except: Correct Ans - retinal detachment A deviated uvula without swelling may be suggestive of a: Correct Ans - vagus nerve lesion
In order to visualize the opening of Stensen's duct, examine the: Correct Ans - buccal mucosa opposite the second molar A cyclist sustained an avulsion of the upper central incisor. If he is unable to position the tooth in the socket until he s able to be seen by a dentist, he should: Correct Ans - place the tooth between the molars and the inside of the cheek Which disorder of the eye can be detected with the cover- uncover and the Hirschberg test? Correct Ans - Strabismus A man with a history of long-term use of chewing tobacco presents with a mouth lesion that is suspicious for malignancy. Oral assessment findings describe: Correct Ans - an ulcerated lesion with indurated margins on the lateral tongue Leukoplakia was noted during an exam of the mouth. This symptom may be: Correct Ans - precancerous All of the following diseases may be associated with the appearance of a strawberry tongue except: Correct Ans - rubeola Gingival hyperplasia could be seen in all of the following conditions except: Correct Ans - in patient diagnosed with diabetes
A forty-five-year old female complains of frequent attacks of dizziness accompanied by a sense of fullness in the right ear, headache, nausea, reduced hearing in the right ear. This patient may need further workup for: Correct Ans - Meniere's disease The Rinne hearing test allows the examiner to screen for: Correct Ans - conductive hearing loss Which of the paranasal sinuses are accessible to clinical examination? Correct Ans - frontal sinuses The patient complains of seeing floating spots. This is consistent with: Correct Ans - a detached retina Performance of the Weber and Rinne tests to assess for hearing loss is best performed using tuning fork with a frequency of: Correct Ans - 512 Hz When a person shifts gaze from a near object to a far object, the pupils Correct Ans - dilate A sixty-year-old complains of progressive bilateral hearing loss over the past four months. He has difficulty understanding spoken words and has become sensitive to loud noises. These
If a patient complains of seeing flashing lights across the field of vision, this could be: Correct Ans - detachment of the vitreous from the retina All of the following symptoms in a 10-month-old would be indictive of acute otitis media (OM) except: Correct Ans - increased mobility of the tympanic membrane Wen examining the pupils, the left pupil is noted to be fixed and dilated to light and near accommodation. This condition may be suggestive of: Correct Ans - oculomotor nerve (CN 3) paralysis Ophthalmoscopic examination of the retinal reveals AV tapering. This appears as if the: Correct Ans - vein "winds" down on either side of the artery On examination of the tymapanic membrane, a red bulging ear drum is detected. This is consistent with: Correct Ans - acute otitis media On ophthalmoscopic examination, optic atrophy appears: Correct Ans - white Ptosis is defined as: Correct Ans - drooping of the eyelid
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 erthema. These findings are most consistent with: Correct Ans - corneal injury A six-year-old child presents with sore throat, difficulty swallowing, and a temperature of 102 F. Findings reveal lymphadenopathy nd pharyngeal erythema. This is probably: Correct Ans - pharyngitis The gradual loss of vision with a change in color and size of the optic disc is referred to as: Correct Ans - glaucoma A 57-year-old man with history of diabetes complains of difficulty hearing on the telephone and muffled sounds while watching the TV at a low volume. He should be further evaluated for: Correct Ans - presbycusis All of the following are examples of causes of sensorineural hearing loss in children except: Correct Ans - The presence of cerumen impaction
On ophthalmoscopic exam of the older adult, there is an increased cup-to-disc ratio. This finding is suggestive of: Correct Ans - open angle glaucoma What visual acuity constitutes legal blindness? Correct Ans - 20/200 or worse in the better eye with corrected lenses Mydriasis is a term used to describe: Correct Ans - dilation of the pupils Reddness, bleeding, pain, and swelling of the gums is most likely: Correct Ans - gingivitis 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: Correct Ans - otitis externa A softening of the skin at the angles of the mouth which may be due to nutritional deficiency is commonly referred to as: Correct Ans - angular cheilitis Ophthalmoscopic examination of the fundus reveals blood anterior to the retina and obscuring retinal vessels. These
findings are consistent with: Correct Ans - preretinal hemorrhages With transillumination of the frontal sinuses, a dim red glow is observed on the forehead. The dim red glow would be indicative of: Correct Ans - clear frontal sinuses A localized staphylococcal infection of the hair follicles at the lid margin is suggestive of: Correct Ans - a hordeolum Assessment of a patient's visual acuity resulted in 20/200 using the Snellen eye chart. This means that: Correct Ans - at 20 feet the patient can read printed information that a person with normal vision could read at 200 feet In patients who have allergic rhinitis, the nasal mucosa appears: Correct Ans - pale 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: Correct Ans - scotomas The maxillary sinuses: Correct Ans - surround the nasal cavity
