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NURS 612 FINAL EXAM 2026
When doing an ear exam what do you start out looking at? - ANSWER-Look at the
outer structures of the ear then palpate
If you look at the outside of the ear and you see drainage, is this normal or
abnormal? - ANSWER-Abnormal
What is your differential diagnoses if you see drainage outside of the ear? -
ANSWER-Otitis Externa, Otitis Media, Ear effusion, or foreign body in the ear
What kind of patients get Otitis Externa? - ANSWER-Swimmers, breast/ bottle fed
children
When you exam the ear what things are you looking for? - ANSWER-TM
(whether it is perforated or not), cone of light, look at the canal (whether it is
swollen or red, look for cerumen impaction)
,what is palpated while examining external ear? - ANSWER-the preauricular and
post auricular lymph nodes and mastoid area
What is the worst differential diagnosis for a patient that comes in with an ear
infection? - ANSWER-Mastoid infection or meningitis
How is the Rinne test performed? - ANSWER-Place the base of the tuning fork
against patients mastoid bone, ask patient to tell you when sound is no longer heard
(bone conduction)
Place the still vibrating tines (1-2 cm) in from the auditory canal and ask patient to
tell you when sound is no longer heard (air conduction)
You have a 42 y/o female that comes in to you saying "I have dizziness" what
differential diagnoses could be and what test can you do to check if it is vertigo? -
ANSWER-Ear infection, Meniere's disease, vertigo; Dix Hallpike maneuver (Head
tilt and lay back maneuver)
What are some tests that you would run if you see a patient with oral ulcers that are
not resolving - ANSWER-Check for HIV, syphilis, imunosuppression
What is the number one virus that causes oral ulcers with fever? - ANSWER-
Herpes Simplex
if a patient comes in with any complaints of mouth problems whats an important
question to ask? - ANSWER-if they are a smoker or not
If a patient comes in with a herpes lesion or shingles on face close to eyes, what is
the number one thing that you would think of and send this patient to the
emergency department? - ANSWER-optic neuritis
,What is the number one thing that you should document on a sinusitis patient? -
ANSWER-Length of symptoms (to know whether to treat viral or bacterial)
How would you diagnose a patient with an allergy? - ANSWER-Clear rhinorrhea
as opposed to purulent, throat irritation, POST NASAL DRIP
What is a common retinal finding in long-standing hypertension? - ANSWER-AV
nicking, flame hemorrhages, and cotton wool spots.
Rationale: These represent vascular narrowing, infarction, and hemorrhage due to
chronic high pressures.
Flashcard 11
Why is early detection of strabismus critical? - ANSWER-To prevent amblyopia.
Rationale: The brain suppresses input from the misaligned eye, potentially leading
to permanent vision loss.
Flashcard 12
What does the cover/uncover test assess? - ANSWER-Latent strabismus (phoria).
Rationale: Misalignment not seen at rest but revealed when dominant eye is
covered.
Flashcard 13
What is the Snellen chart used for? - ANSWER-To assess distance visual acuity.
, Rationale: It evaluates central vision with standardized letter sizes at a fixed
distance.
Flashcard 14
What is leukocoria and why is it dangerous? - ANSWER-White pupil; may suggest
retinoblastoma or cataract.
Rationale: It's a sign of intraocular pathology and requires immediate
ophthalmologic evaluation.
Flashcard 15
What cranial nerves are involved in extraocular movements? - ANSWER-CN III
(oculomotor), IV (trochlear), VI (abducens).
Rationale: Each innervates specific eye muscles; dysfunction causes diplopia or
gaze limitation.
Flashcard 16
What are cotton wool spots? - ANSWER-Retinal microinfarctions.
Rationale: Indicative of ischemia in the retinal nerve fiber layer; seen in diabetes
and hypertension.
Flashcard 17
What causes arcus senilis? - ANSWER-Lipid deposits in the corneal periphery.
Rationale: Normal with aging, but in younger adults may indicate hyperlipidemia.