NSG 6020 APEA EXAM HEENT QUESTIONS AND ANSWERS/ GRADED A

NSG 6020 APEA HEENT Drooping of the upper eyelid is termed 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: A localized staphylococcal infection of the hair follicles at the lid margin is suggestive of: What connects the middle ear to the nasopharynx? When a light beam shines into one pupil causing pupillary constriction in that eye, the term used is: A Pt is able to recognize distant objects but has difficulty reading a book’s small print. This describes: A Pt is able to read a magazine w/o difficulty but cannot distinguish distant objects. This describes: 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/: The gradual loss of vision w/a change in color and size of the optic disc is referred to as: A nodular protuberance that points backward over the entrance to the ear canal is called the: Which disorder of the eye can be detected w/the cover-uncover and the Hirschberg test? The mouth of a ten-month-old infant has white patches on the mucosa that cannot be removed. These patches are consistent w/: A condition of the sclera that appears as localized ocular inflammation of the episcleral vessels is most likely In order to exam the tongue, ask the Pt to stick out his tongue & w/the examiner’s right hand: Person’s eye gaze included both eyes moving in the same direction simultaneously: 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: An example of a cause of conductive hearing loss in children would be: Ophthalmoscopic exam of the retina reveals a normal arteriovenous crossing.This appears as if the: 50-year-old Pt presents w/ c/o seeing double bilaterally. Exam reveals a vertical diplopia. This maybe suggestive of a: Ophthalmoscopic exam of the retina reveals AV tapering. This appears as if the: A condition that involves optic nerve damage and visual field changes is termed: The most common cause of bacterial pharyngeal infection in children is: Janeway lesions of the palms and soles appear as: A softening of the skin at the angles of the mouth which maybe due to nutritional deficiency is commonly referred to as: The maxillary sinuses: Sudden bilateral and painful visual loss is rare but can be associated w/: 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: 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: 50-year-old Pt c/o being unable to read the hymnal at church. This describes: The ossicles are located in the: On physical exam, an abnormal Rinne test might indicate: With transillumination of the frontal sinuses, a dim red glow is observed on the forehead. This dim red glow would be indicative of: The nasolacrimal duct drains into the: All of the following symptoms in a 10-month-old would be indicative of acute otitis media (OM) except: In the normal ear, all of the following landmarks ca be visualized when using the otoscope, except the: When examining the conjunctiva and sclera, have the Pt look upward and then: In Pts who have allergic rhinitis, the nasal mucosa appears: Fordyce spots or granules are considered: In order to visualize the opening of Stensen’s duct, examine the: 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/: Miosis is a term used to described: Most of the paranasal sinuses drain into: A condition in which the eyes are not properly aligned w/each other is termed: Current indications for tympanostomy tube placement include all of the following except which one? 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: Children who pick their noses are at a higher risk for development of: 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/: A Pt w/ diagnosed as being farsighted. The term for this condition is: Ptosis is defined as: Actinic cheilitis is a condition of the lower lip most commonly seen in: 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: On exam of the tympanic membrane, red bulging ear drum is detected. This is consistent w/: The ethmoidal sinuses: 45-year-old Pt c/o vertigo, tinnitus, and pressure in the right ear. These symptoms are consistent w/: 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: The lacrimal puncta are located: If there is an abnormal protrusion, what condition should be suspected if there is an abnormal protrusion of the eye? Mydriasis is a term used to describe: A toddler w/a suspected hearing loss would: 6-year-old child presents w/ sore throat, difficulty swallowing and a temp 102F. Findings reveal lymphadenopathy and pharyngeal erythema. This is probably: 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/: Where in the mouth would reddened areas, nodules, or ulcerations that are suspicious of malignary be present? Ophthalmoscopic examination of the fundus reveals small, rounded, slightly irregular red spots embedded in the retina. These findings are consistent w/: On ophthalmoscopic exam of the older adult, there is an increased cup-to-disc ratio: This findings is suggestive of: Leukoplakia was noted during an exam of the mouth. This symptom may be: Ectropion is defined as: A fine rhythmic oscillation of the eyes is termed: 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 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: Surgical perforation of the tympanic membrane to allow drainage of middle ear secretions is termed: 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: An inward turning of the lower lid margin is called: 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 The Pt c/o seeing floating spots. This is consistent w: 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: On ophthalmoscopic examination, optic atrophy appears: 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: Causes of sensorineural hearing loss include all of the following except: 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 Gingival hyperplasia could be seen in all the following conditions except: Examination of the eye reveals a painful, erythematous, and tender area around the nose and lower eyelid. This condition is most likely: When examining pupillary equality, the left pupil is slightly greater than the right pupil. This condition is termed: The Rinne hearing test allows the examiner to screen for: The usual position of the trachea is located: All of the following are examples of causes of sensorineural hearing loss in children except: One of the main differences between a migraine headache and tension headache is that: A deviated uvula w/o swelling may be suggestive of a: Examination of the nose and paranasal sinuses reveal local tenderness, pain, fever, and rhinorrhea. These symptoms are suggestive of: To visualize the ear canal and the tympanic membrane of an adult, use the otoscope w/: Eyelid retraction with exophthalmos presents as: Ophthalmoscopic examination of the retina reveals AV banking. This appears as if the: Ophthalmoscopic examination of the fundus reveals blood anterior to the retina and obscuring retinal vessels. These findings are consistent w/: On the outer ear, anterior and parallel to the helix, is a curved prominence known as the: 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: 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/: Symptoms of bacterial conjunctivitis in an infant include: The middle ear consists of: The majority of people who present w/ non-24 hour -sleep-wake disorder are: The function of the labyrinth in the inner ear is to: Assessment of a Pt’s visual acuity resulted in 20/200 using the Snellen eye chart. This means that: Otosclerosis is an example of a(n): 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: A reduction in vision in one or both eyes causing loss of binocular vision is termed: Examples of sudden, painful, unilateral visual loss include all the following except: One of the refractive errors of vision that presents w/ symptoms of blurriness and improved w/ corrective lens, is known as: 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: All of the following diseases may be associated with the appearance of a strawberry tongue except: A granulomatous eyelid cyst or nodule that is painless and erythematous is termed: The most common disorder of visual acuity in children is: Round and oval shaped lesions surrounded by erythematous mucosa and noted on an area of the oral mucosa may be: A deposit of uric acid crystals appearing as hard nodules on the helix or antihelix is termed: When assessing extraocular movements: Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely: 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: On ophthalmoscopic examination, glaucomatous cupping appears: If a patient complains of seeing flashing lights across the field of vision, this could be: Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with: 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: 40-year-old Pt presents w/ c/o seeing double bilaterally. Examination reveals a horizontal diplopia. This may be suggestive of a: With transillumination of the maxillary sinuses, a reddish glow is observed on the hard palate. This red glow would be indicative of: A deviated trachea could be caused by all of the following except: 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/: Upon examination of the right tympanic membrane, a cone of light was visible at the four o'clock mark.This would be interpreted as: The function of the auditory ossicles is to: A Pt c/o a sore tongue. Findings reveal a smooth and erythematous tongue. This condition is termed: A patient was diagnosed as nearsighted. The term for this condition is: When the corneal reflex is stimulated by shining the light in the right eye, the right eye blinks. The left eye During the newborn's physical assessment of the mouth, the soft and hard palates are palpated to detect The acronym for pupils that are equal, round, react to light and accommodate is If a patient has a history of heat intolerance with a preference to light clothing, this behavior could be consistent with When administering ear drops to a 6-year-old, the pinna should be pulled A person who has been blind since birth presents for a physical exam. Expected findings of the pupillary reaction when light isshown would be A buildup of excess fluid around the periphery of the eye orbits is known as What visual acuity constitutes legal blindness? Sudden bilateral and painless visual loss is rare but can be associated with all the following except: 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 Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss? Raised or flat, deep purple colored lesions noted in the mouth may be suggestive of: When comparing veins and arteries in the eyes of older adults, the arteries appear: The gradual loss of vision with a change in color and size of the optic disc is referred to as: The curved outer ridge of the auricle of the ear is known as the A swollen deviated uvula may be associated with a Which of the following findings in a preschooler would indicate the need for further evaluation? Redness, bleeding, pain, and swelling of the gums is most likely: gingivitis On otoscopic examination, the cone of light can be visualized: When examining the pupils, the left pupil is noted to be fixed and dilated to light and near accommodation. This condition may be suggestive: When a person shifts gaze from a near object to a far object, the pupil A term used to describe drainage from the nose is An infant with a suspected hearing loss The fleshly projection of the earlobe is known as the Sudden visual loss suggests The conductive and sensorineural phases are necessary for hearing to take place. The conductive phase of hearing involves the 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 The sphenoidal sinuses:are located behind the ethmoidal sinuses Examination of the nasolacrimal duct reveals a mucopurulent discharge from the puncta. This finding is suggestive of 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 That portion of the ear that consists of the auricle and ear canal is the The whispered voice test allows the examiner to screen for 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 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 60-year-old was concerned about a yellowish colored lesion above her right eyelid. Findings revealed a slightlyraised yellowish, well circumscribed plaque along the nasal area of her right eyelid. This finding is most consistent with 57-year-old man with a history of diabetes complains of difficulty hearing on the telephone and muffled sounds while watchingthe television at a low volume. He should be further evaluated for Which of the paranasal sinuses are accessible to clinical examination?