NSG 6020 HEENT Question &Answers (Latest Update)

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NSG 6020 HEENT Question &Answers 1. Drooping of the upper eyelid is termed: ptosis 2. 8-year-old c/o itching in the right ear & increased in pain when the pinna is pulled, or the tragus is palpated.... Exam reveals slight redness in the ear canal w/a clear odorless fluid. This could be suggestive of: otitis externa. 3. A localized staphylococcal infection of the hair follicles at the lid margin is suggestive of: a hordeolum 4. What connects the middle ear to the nasopharynx? The proximal end of the eustachian tube 5. When a light beam shines into one pupil causing pupillary constriction in that eye, the term used is: direct reaction to light 6. A Pt is able to recognize distant objects but has difficulty reading a book’s small print. This describes: hyperopia 7. A Pt is able to read a magazine w/o difficulty but cannot distinguish distant objects. This describes: myopia 8. A child presents w/a c/o left earache that worsens w/ head movement. Findings on exam include temp of 102F, cellulitis behind the left ear. These findings are consistent w/: mastoiditis 9. The gradual loss of vision w/a change in color and size of the optic disc is referred to as: glaucoma 10. A nodular protuberance that points backward over the entrance to the ear canal is called the: Tragus 11. Which disorder of the eye can be detected w/the cover-uncover and the Hirschberg test? Strabismus 12. The mouth of a ten-month-old infant has white patches on the mucosa that cannot be removed. These patches are consistent w/: thrush 13. A condition of the sclera that appears as localized ocular inflammation of the episcleral vessels is most likely: episcleritis 14. In order to exam the tongue, ask the Pt to stick out his tongue & w/the examiner’s right hand: grasp the tip of the tongue gently pull it to the left side, and inspect the side of the tongue 15. Person’s eye gaze included both eyes moving in the same direction simultaneously: conjugate gaze 16. 35-year-old Pt c/o vertigo accompanied by nausea and vomiting. Exam reveals bilateral diplopia and an unsteady gait. These symptoms could be suggestive of: a neurological condition 17. An example of a cause of conductive hearing loss in children would be: the presence of a peanut in the ear for three weeks 18. Ophthalmoscopic exam of the retina reveals a normal arteriovenous crossing. This appears as if the: vein crosses beneath the artery 19. 50-year-old Pt presents w/ c/o seeing double bilaterally. Exam reveals a vertical diplopia. This maybe suggestive of a: palsy of cranial nerve III or IV 20. Ophthalmoscopic exam of the retina reveals AV tapering. This appears as if the: vein “wind” down on either side of the artery 21. A condition that involves optic nerve damage and visual field changes is termed: glaucoma 22. The most common cause of bacterial pharyngeal infection in children is: group A beta-hemolytic streptococcus 23. Janeway lesions of the palms and soles appear as: small, nontender, erythematous nodules 24. A softening of the skin at the angles of the mouth which maybe due to nutritional deficiency is commonly referred to as: angular cheilitis 25. The maxillary sinuses: surround the nasal cavity 26. Sudden bilateral and painful visual loss is rare but can be associated w/: radiation exposure 27. Eversion of the upper eyelid can be performed by placing the cotton applicator on the upper lid above the level of the internal tarsal plates and then: gently push down w/the stick and left the lashes up & flip the lid inside out 28. On Ophthalmoscopic exam of a 70-year-old, a thin grayish white arc is noted on the lower end of the cornea. This appearance is referred to as a: corneal arcus 29. 50-year-old Pt c/o being unable to read the hymnal at church. This describes: presbyopia 30. The ossicles are located in the: middle ear 31. On physical exam, an abnormal Rinne test might indicate: impaired hearing ability 32. With transillumination of the frontal sinuses, a dim red glow is observed on the forehead. This dim red glow would be indicative of: clear frontal sinuses 33. The nasolacrimal duct drains into the: inferior meatus 34. All of the following symptoms in a 10-month-old would be indicative of acute otitis media (OM) except: increased mobility of the TM 35. In the normal ear, all of the following landmarks ca be visualized when using the otoscope, except the: eustachian tube 36. When examining the conjunctiva and sclera, have the Pt look upward and then: depress both lower lids w/your thumbs, exposing the sclera and conjunctiva 37. In Pts who have allergic rhinitis, the nasal mucosa appears: pale 38. Fordyce spots or granules are considered: normal sebaceous glands of the buccal mucosa 39. In order to visualize the opening of Stensen’s duct, examine the: buccal mucosa opposite the second molar 40. 30-year-old Pt presents w/a moderated “aching” in his right eye. Findings reveal a small and irregular shaped right pupil. The cornea appears cloudy w/a slight erythematous area around the corneal limbus. There is no ocular discharge noted. These findings are consistent w/: acute iritis 41. Miosis is a term used to described: constriction of the pupils 42. Most of the paranasal sinuses drain into: middle meatus 43. A condition in which the eyes are not properly aligned w/each other is termed: strabismus 44. Current indications for tympanostomy tube placement include all of the following except which one? Persistent serous otitis media (SOM) that has not responded to a 3-6 weeks course of medical treatment 45. A man w/a history of long term use of chewing tobacco presents, w/a mouth lesion that is suspicious for malignancy. Oral assessment findings described: an ulcerated lesion w/ indurated margins on the lateral tongue 46. Children who pick their noses are at a higher risk for development of: epistaxis 47. A teenage c/o itching and burning of his eye. Examination reveals an erythematous eyelid margin w/ crusting and a clear mucus discharge. These findings are consistent w/: blepharitis 48. A Pt w/ diagnosed as being farsighted. The term for this condition is: hyperopia 49. Ptosis is defined as: drooping of the eyelid 50. Actinic cheilitis is a condition of the lower lip most commonly seen in: fair-skinned men who work outdoors 51. 30-year-old Pt present w/ c/o seeing double in the right eye. Exam reveals diplopia in the right eye when the left eye is closed. This maybe suggestive of: a problem in the cornea 52. On exam of the tympanic membrane, red bulging ear drum is detected. This is consistent w/: acute otitis media 53. The ethmoidal sinuses: are located between the eyes 54. 45-year-old Pt c/o vertigo, tinnitus, and pressure in the right ear. These symptoms are consistent w/: Meniere’s disease 55. When examining the eyes, both pupils appear small and have an irregular shape. They are noted to accommodate but do not appear to react to light. This could be indicative of: Argyll Robertson pupils 56. The lacrimal puncta are located: along the margin of the upper and lower eyelids 57. If there is an abnormal protrusion, what condition should be suspected if there is an abnormal protrusion of the eye? Graves’ disease 58. Mydriasis is a term used to describe: dilation of the pupils 59. A toddler w/a suspected hearing loss would: likely communicate through gestures 60. 6-year-old child presents w/ sore throat, difficulty swallowing and a temp 102F. Findings reveal lymphadenopathy and pharyngeal erythema. This is probably: pharyngitis 61. 60-year-old Pt presents with severe, deep left eye pain. Findings reveal dilated and fixed left pupil and the cornea is cloudy. There is no ocular discharge noted. These findings are most likely consistent w/: acute angle closure glaucoma 62. Where in the mouth would reddened areas, nodules, or ulcerations that are suspicious of malignary be present? Tongue 63. Ophthalmoscopic examination of the fundus reveals small, rounded, slightly irregular red spots embedded in the retina. These findings are consistent w/: deep retinal hemorrhages 64. On ophthalmoscopic exam of the older adult, there is an increased cup-to-disc ratio: This findings is suggestive of: open angle glaucoma 65. Leukoplakia was noted during an exam of the mouth. This symptom may be: precancerous 66. Ectropion is defined as: an outward turning of the lower eyelid 67. A fine rhythmic oscillation of the eyes is termed: nystagmus 68. 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 w/: left cranial nerve III (oculomotor) paralysis 69. A Pt c/o seeing specks that obscure his line of vision when he looks in a certain direction. This impairment could be caused by: scotomas 70. Surgical perforation of the tympanic membrane to allow drainage of middle ear secretions is termed: a myringotomy 71. A Pt presents w/ c/o earache, blood tinged d/c 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: bullous myringitis 72. An inward turning of the lower lid margin is called: entropion 73. 6-year-old c/ that something is in her left eye. There is a red raised area of the left lid. There is redness and tenderness of the eye and tearing. These findings are consistent w/: a hordeolum 74. The Pt c/o seeing floating spots. This is consistent w: a detached retina 75. 45-year-old female c/o frequent attacks of dizziness accompanied by a sense of fullness in the right ear, headache, nausea, reduced hearing in the right ear. This Pt may need further workup for: Meniere’s disease 76. On ophthalmoscopic examination, optic atrophy appears: white 77. When inspecting the neck for the thyroid gland, slightly tilt the Pt’s head back, and using tangential lighting directed downward from the tip of the Pt’s chin, inspect the: region below the cricoid cartilage 78. Causes of sensorineural hearing loss include all of the following except: perforated tympanic membrane 79. Ophthalmoscopic examination of a 30-year-old w/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 scar 80. Gingival hyperplasia could be seen in all the following conditions except: in patients diagnosed with diabetes 81. Examination of the eye reveals a painful, erythematous, and tender area around the nose and lower eyelid. This condition is most likely: dacryocystitis 82. When examining pupillary equality, the left pupil is slightly greater than the right pupil. This condition is termed: anisocoria 83. The Rinne hearing test allows the examiner to screen for: conductive hearing loss 84. The usual position of the trachea is located: in the middle of the anterior neck behind the jugular notch of the manubrium 85. All of the following are examples of causes of sensorineural hearing loss in children except: the presence of cerumen impaction 86. One of the main differences between a migraine headache and tension headache is that: migraine headaches have a rapid onset whereas, tension headaches appear gradually 87. A deviated uvula w/o swelling may be suggestive of a: vagus nerve lesion 88. Examination of the nose and paranasal sinuses reveal local tenderness, pain, fever, and rhinorrhea. These symptoms are suggestive of: acute sinusitis of the frontal and maxillary sinuses 89. To visualize the ear canal and the tympanic membrane of an adult, use the otoscope w/: the largest ear speculum the canal will accommodate 90. Eyelid retraction with exophthalmos presents as: a retracted eyelid w/a wide-eyed stare 91. Ophthalmoscopic examination of the retina reveals AV banking. This appears as if the: vein is twisted on the distal side of the artery 92. Ophthalmoscopic examination of the fundus reveals blood anterior to the retina and obscuring retinal vessels. These findings are consistent w/: preretinal hemorrhages 93. On the outer ear, anterior and parallel to the helix, is a curved prominence known as the: Antihelix 94. 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 95. 4-year-old child presents w/ bilateral watery d/c from the eyes. Examination reveals subconjunctival hemorrhage, and eyelid ecchymosis. These findings are consistent w/: adenoviral conjunctivitis 96. Symptoms of bacterial conjunctivitis in an infant include: eyelid edema and purulent discharge from the eyes. 97. The middle ear consists of: the malleus, incus, and the stapes 98. The majority of people who present w/ non-24 hour -sleep-wake disorder are: totally blind 99. The function of the labyrinth in the inner ear is to: maintain equilibrium 100. Assessment of a Pt’s visual acuity resulted in 20/200 using the Snellen eye chart. This means that: at 20 feet the patient can read printed information that a person with normal vision could read at 200 feet 101. Otosclerosis is an example of a(n): conductive hearing loss 102. When examining the eyes, the right pupil reacts briskly to light, near effort, and is much smaller than the left pupil. This condition is mostly likely: Horner’s syndrome 103. A reduction in vision in one or both eyes causing loss of binocular vision is termed: amblyopia 104. Examples of sudden, painful, unilateral visual loss include all the following except: retinal detachment 105. One of the refractive errors of vision that presents w/ symptoms of blurriness and improved w/ corrective lens, is known as: astigmatism 106. A Pt presents w/ c/o burning, itching, tearing, and some pain in the eye. Findings reveal red, scaly, greasy flakes and thickened, crusted lid margin. This would be suggestive of: blepharitis 107. All of the following diseases may be associated with the appearance of a strawberry tongue except: rubeola 108. A granulomatous eyelid cyst or nodule that is painless and erythematous is termed: Chalazion 109. The most common disorder of visual acuity in children is: myopia 110. Round and oval shaped lesions surrounded by erythematous mucosa and noted on an area of the oral mucosa may be: aphthous ulcers 111. A deposit of uric acid crystals appearing as hard nodules on the helix or antihelix is termed: a tophi 112. When assessing extraocular movements: include the cardinal directions of gaze 113. Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely: vitreous floaters 114. Assessment of a 4-year-olds visual acuity resulted in 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means: his vision is normal for his age 115. On ophthalmoscopic examination, glaucomatous cupping appears: pale 116. If a patient complains of seeing flashing lights across the field of vision, this could be: detachment of the vitreous from the retina 117. Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with: microaneurysms 118. 60-year-old c/o a progressive bilateral hearing loss over the past four months. He has difficulty understanding spoken words and has become sensitive to loud noises. These symptoms are consistent with: presbycusis 119. 40-year-old Pt presents w/ c/o seeing double bilaterally. Examination reveals a horizontal diplopia. This may be suggestive of a: palsy of cranial nerve III or VI 120. With transillumination of the maxillary sinuses, a reddish glow is observed on the hard palate. This red glow would be indicative of: clear maxillary sinuses 121. A deviated trachea could be caused by all of the following except: pneumonia 122. A Pt presents w/ c/o a bump on the eyelid. Findings reveal nontender, firm nodule w/ freely movable skin overlying the nodule. This could be consistent w/: chalazion 123. Upon examination of the right tympanic membrane, a cone of light was visible at the four o'clock mark. This would be interpreted as: a normal eardrum 124. The function of the auditory ossicles is to: transform sound vibrations into mechanical waves for the inner ear 125. A Pt c/o a sore tongue. Findings reveal a smooth and erythematous tongue. This condition is termed: glossitis 126. A patient was diagnosed as nearsighted. The term for this condition is: myopia 127. When the corneal reflex is stimulated by shining the light in the right eye, the right eye blinks. The left eye: blinks 128. During the newborn's physical assessment of the mouth, the soft and hard palates are palpated to detect: an opening in the palates 129. The acronym for pupils that are equal, round, react to light and accommodate is: PERRLA 130. If a patient has a history of heat intolerance with a preference to light clothing, this behavior could be consistent with: hyperthyroidism 131. When administering ear drops to a 6-year-old, the pinna should be pulled: upward and back 132. 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: it depends 133. A buildup of excess fluid around the periphery of the eye orbits is known as: periorbital edema 134. What visual acuity constitutes legal blindness? Visual acuity of 20/200 or worse in the better eye with corrected lens 135. Sudden bilateral and painless visual loss is rare but can be associated with all the following except: chemical exposure 136. The Rinne test uses a tuning fork to test hearing. The frequency range closest to that of conversational speech would be one with a frequency of: 512Hz 137. Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss? Weber Test 138. Raised or flat, deep purple colored lesions noted in the mouth may be suggestive of: Kaposi's sarcoma 139. When comparing veins and arteries in the eyes of older adults, the arteries appear: less brilliant 140. The gradual loss of vision with a change in color and size of the optic disc is referred to as: glaucoma 141. The curved outer ridge of the auricle of the ear is known as the: Helix 142. A swollen deviated uvula may be associated with a: peritonsillar abscess 143. Which of the following findings in a preschooler would indicate the need for further evaluation? Responds to facial expressions and gestures rather than to verbal explanations 144. Redness, bleeding, pain, and swelling of the gums is most likely: gingivitis 145. On otoscopic examination, the cone of light can be visualized: at the 7 o'clock to 8 o'clock position of left tympanic membrane 146. When examining the pupils, the left pupil is noted to be fixed and dilated to light and near accommodation. This condition may be suggestive: oculomotor nerve (CN III) paralysis 147. When a person shifts gaze from a near object to a far object, the pupils: dilate 148. A term used to describe drainage from the nose is: rhinorrhea 149. An infant with a suspected hearing loss: does not babble 150. The fleshly projection of the earlobe is known as the: lobule 151. Sudden visual loss suggests: retinal detachment 152. The conductive and sensorineural phases are necessary for hearing to take place. The conductive phase of hearing involves the: external auditory canal and the middle ear 153. 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: corneal injury 154. The sphenoidal sinuses: are located behind the ethmoidal sinuses 155. Examination of the nasolacrimal duct reveals a mucopurulent discharge from the puncta. This finding is suggestive of: an obstructed nasolacrimal duct 156. The Weber test uses a tuning fork to test hearing. The frequency range closest to that of conversational speech would be one with a frequency of: 512 Hz 157. That portion of the ear that consists of the auricle and ear canal is the: external ear 158. The whispered voice test allows the examiner to screen for: general hearing loss 159. A Pt presents w/ 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: dacryocystitis 160. 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: place the tooth between the molars and the inside of the cheek 161. 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: xanthelasma 162. 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: presbycusis 163. Which of the paranasal sinuses are accessible to clinical examination? Frontal sinuses 164. Findings following assessment of a person's gaze include the inability of the left eye to look down when turned inward. This condition is most consistent with: left cranial nerve IV (trochlear) paralysis 165. One cause of nasal septum perforation may be: intranasal use of cocaine 166. [Show More]

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