NU 650 HEENT
A 40 year old male patient presents with sinus pain, pressure and yellow nasal discharge. Your exam would include
palpation of:
A. Ethmoid and frontal sinuses
B. Maxillary and sphenoid sinuses
C. Frontal and maxillary sinuses
D. Sphenoid and ethmoid sinuses - ANS -C. Frontal and maxillary sinuses
\A 60 y.o presents with a 3 day history of left eye irritation. Which of the following findings should be recorded in the ROS?
A. Patient denies eye pain or change in vision
B. Vision is 20/20 by Snellen Chary
C. Yellow crust is visible at the inner canthus of the left eye
D. all of the above - ANS -A. Patient denies eye pain or change in vision
\A newborn is in the office with cold symptoms. you go into the room to see a distressed mom who is very concerned
about her baby. She expresses to you that something is wrong. Your initial thought that comes to mind is that this could be
RSV. You must look for signs of respiratory distress. Those signs include________________
A. Vomiting and diarrhea
B. coughing, pulling legs up
C. retractions, nasal flaring, tachypnea, grunting
D. fever of 100.4 or higher, tachypnea, vomiting - ANS -C. retractions, nasal flaring, tachypnea, grunting
\An 85 y.o. woman is brought to the urgent care center for possible aspiration pneumonia. The NP understands that,
based on normal anatomy adventitious lung sounds will most likely be heard in which of the following areas?
A. left upper lobe
, B. left middle & lower lobes
C. right upper lobe
D. Right middle and lower lobes - ANS -D. Right middle and lower lobes
\Barrel chest is an abnormal chest configuration that may occur in which of the following disorders?
A. COPD
B. Pneumonia
C. Pneumothorax
D. TB - ANS -A. COPD
\bronchovesticular sounds are heard normally at which location?
A. second intercostal space anteriorly bilaterally
B. base of lungs bilaterally, posteriorly
C. laterally at the midaxillary line, bilaterally
D. Bilaterally at the mid-clabicular line, 5th intercostal space - ANS -A. second intercostal space anteriorly bilaterally
\During a P.E of the throat, which of the following structures of the mouth/throat should rise when the patient says "aah"?
A. Hard palate
B. Soft palate
C. Lingual frenulum
D. Buccal mucosa - ANS -B. Soft palate
\In conductive type hearing loss, you would expect:
A. sound lateralizes to the good ear when the weber test is used
B. sound lateralizes to the affected (bad) ear when the weber test is used
C. The weber test remains unaltered with conductive type hearing loss and sound will be heard equally in both ears
D. The weber test can cause discomfort in a patient with conductive type hearing loss and should not be used in this
situation - ANS -B. sound lateralizes to the affected (bad) ear when the weber test is used
\Normally when the lung fields are percussed the resulting sound is described as _______:
A 40 year old male patient presents with sinus pain, pressure and yellow nasal discharge. Your exam would include
palpation of:
A. Ethmoid and frontal sinuses
B. Maxillary and sphenoid sinuses
C. Frontal and maxillary sinuses
D. Sphenoid and ethmoid sinuses - ANS -C. Frontal and maxillary sinuses
\A 60 y.o presents with a 3 day history of left eye irritation. Which of the following findings should be recorded in the ROS?
A. Patient denies eye pain or change in vision
B. Vision is 20/20 by Snellen Chary
C. Yellow crust is visible at the inner canthus of the left eye
D. all of the above - ANS -A. Patient denies eye pain or change in vision
\A newborn is in the office with cold symptoms. you go into the room to see a distressed mom who is very concerned
about her baby. She expresses to you that something is wrong. Your initial thought that comes to mind is that this could be
RSV. You must look for signs of respiratory distress. Those signs include________________
A. Vomiting and diarrhea
B. coughing, pulling legs up
C. retractions, nasal flaring, tachypnea, grunting
D. fever of 100.4 or higher, tachypnea, vomiting - ANS -C. retractions, nasal flaring, tachypnea, grunting
\An 85 y.o. woman is brought to the urgent care center for possible aspiration pneumonia. The NP understands that,
based on normal anatomy adventitious lung sounds will most likely be heard in which of the following areas?
A. left upper lobe
, B. left middle & lower lobes
C. right upper lobe
D. Right middle and lower lobes - ANS -D. Right middle and lower lobes
\Barrel chest is an abnormal chest configuration that may occur in which of the following disorders?
A. COPD
B. Pneumonia
C. Pneumothorax
D. TB - ANS -A. COPD
\bronchovesticular sounds are heard normally at which location?
A. second intercostal space anteriorly bilaterally
B. base of lungs bilaterally, posteriorly
C. laterally at the midaxillary line, bilaterally
D. Bilaterally at the mid-clabicular line, 5th intercostal space - ANS -A. second intercostal space anteriorly bilaterally
\During a P.E of the throat, which of the following structures of the mouth/throat should rise when the patient says "aah"?
A. Hard palate
B. Soft palate
C. Lingual frenulum
D. Buccal mucosa - ANS -B. Soft palate
\In conductive type hearing loss, you would expect:
A. sound lateralizes to the good ear when the weber test is used
B. sound lateralizes to the affected (bad) ear when the weber test is used
C. The weber test remains unaltered with conductive type hearing loss and sound will be heard equally in both ears
D. The weber test can cause discomfort in a patient with conductive type hearing loss and should not be used in this
situation - ANS -B. sound lateralizes to the affected (bad) ear when the weber test is used
\Normally when the lung fields are percussed the resulting sound is described as _______:
