Seidel Chapter 13 - Ears, Nose, and Throat, question and answer| A+ content

Seidel Chapter 13 - Ears, Nose, and Throat, question and answer| A+ content Mr. Harris is a 67-year-old patient who presents to your office with a complaint of hearing loss. On examination, you perform the Weber test. Which of the following is considered a normal finding? The patient hears the tone equally in both ears. Which finding is most likely to cause an examiner to suspect a foreign object in the nose of a young child? There is a purulent discharge from the child's nose. Mrs. Jones is a 45-year-old patient who presents to your office with a complaint of fatigue. On examination, you observe a blackish area on the top surface of the tongue. Mrs. Jones tells you that her tongue is painful. Which question by the examiner would be helpful in explaining this finding? "Have you been taking antibiotics lately?" Which of the following situations is an indication for transillumination he patient complains of pain over the sinuses with palpation For which assessment would you use an otoscope with a pneumatic attachment? Mobility of the tympanic membrane Mr. Torres brings his 8-year-old son in with a complaint of sore throat. On examination, you note that the patient's tonsils are enlarged and nearly touch the uvula. This is documented as 3+. Mr. Jones presents to your office following a fistfight. On examination of the tympanic membrane, you notice a blue color. This indicates the patient has: blood in the middle ear. When examining a patient's ear, you hear a cracking sound when you ask the patient to yawn. This finding is indicative of otitis media with effusion Which statement made by a 75-year-old patient indicates a normal process of aging? Food does not taste the same as it used to." Mrs. Lineman brings her 6-week-old infant in for a follow-up examination. On examination, you observe a tympanic membrane lacking conical appearance and with a diffuse light reflex. These findings: are normal for an infant of this age Which behavior described by a parent indicates that an infant or young child may have a hearing problem? "My 2-month-old baby does not seem to respond to loud noises." What is your conclusion when you find gingival enlargement in a pregnant patient? It is a normal finding. Mr. Fitzgerald is a 26-year-old patient who complains of chronic sniffling, nasal congestion, nosebleeds, mucosal scabs, and septum perforation. You would suspect: cocaine abuse A function of cerumen in the ear canal is to provide: lubrication The middle ear is an air-filled cavity in which of the following bones? Temporal The external ear is separated from the middle ear by the tympanic membrane Saliva, which is secreted by the salivary glands, is responsible for moisturizing the mucosa and initiating digestion The function of the turbinates in the nose is to increase the surface area of the nose Mrs. Lukin is a 46-year-old patient who complains of seasonal allergies. During her examination, which of the following pairs of sinuses are accessible for physical examination? Maxillary and frontal The tongue is anchored to the floor of the mouth by the: frenulum. During the course of the interview, a patient indicates that he has been given the drug gentamicin (an aminoglycoside antibiotic) for an upper respiratory infection. Based on this information, you would check for which type of problem? Hearing loss To which problem are older individuals more prone? Decreased salivation The set of the ears is determined by an imaginary line that originates at the inner canthus On examination, the auditory canal of a 13 year old is found to be obstructed with cerumen. Which tool would you use to clean out an obstructed auditory canal? Body temperature water irrigation Mrs. Vellok is a 38-year-old patient who presents with a complaint of hearing loss. On examination, pulling Mrs. Vellok's auricle upward and back facilitates visualization of the tympanic membrane by: straightening the auditory canal A tympanic membrane that is retracted is also more concave The pneumatic attachment to the otoscope is used to evaluate which characteristic of the tympanic membrane? Mobility Screening for auditory function in an individual begins when the patient responds to your questions and directions Mr. Kooler is a 38-year-old patient who, during the Weber test, indicates that sound is heard better in one ear. This is described as: lateralization. A sensorineural hearing loss is the result of: a defect in the inner ear that leads to distortion of sound and misrepresentation of speech. Mr. Scottman is a 55-year-old patient who complains of a bilateral watery discharge from the nose that is associated with sneezing and nasal congestion. This is indicative of a(n): allergy. Mrs. Wheeler is a 64-year-old patient who presents to your office. She tells you that she has a vitamin B12 deficiency. The examiner can easily detect this by observing: a smooth tongue Gingivitis is characterized by redness and swelling of the margins of the gums. The color of the nasal mucosa should appear deep pink. Mr. Davids is a 67-year-old patient who presents to your office with a complaint of thickened white plaques on the tongue. These are most likely: leukoplakia A bony protuberance at the midline of the hard palate that is of no clinical significance is called: torus palatinus On examination of a 15-year-old patient, you find scabs on the nasal mucosa and a decrease in taste and smell. Which problem do you suspect? Cocaine use When the patient sticks out his tongue as part of the oral examination, you note that it deviates to the right. How do you interpret this finding? The hypoglossal nerve is impaired When you ask the patient to clench the teeth and then to smile, which cranial nerve are you testing? Facial