ADVANCED PHYSICAL ASSESSMENT
EAR, NOSE, THROAT (ENT) EXAM
QUESTIONS AND ANSWERS
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?"
"Have you injured your tongue?"
"Have you been diagnosed with mouth cancer before?"
"When was the last time you brushed your teeth?" - ANSWER-"Have you been
taking antibiotics lately?"
Which of the following situations is an indication for transillumination?
The patient complains of epistaxis.
The patient has crepitus with jaw movement.
The parotid gland is palpable and tender.
The patient complains of pain over the sinuses with palpation. - ANSWER-The
patient complains of pain over the sinuses with palpation
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:
1+.
2+.
3+.
4+. - ANSWER-3+
Mr. Jones presents to your office following a fist fight. Upon examination of the
tympanic membrane, you notice a blue color. This indicates the patient has:
a cerebral spinal fluid leak.
blood in the middle ear.
high wax production.
fluid in the middle ear. - ANSWER-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:
external otitis media
otitis externa
acute otitis media
otitis media with effusion - ANSWER-otitis media with effusion
Which behavior described by a parent indicates that an infant or young child may
have a hearing problem?
"My 4-month-old baby does not seem to respond to loud noises."
"My 5-month-old baby is babbling, but she is not yet saying any words."
, "Sometimes my 3-year-old does not pay attention to me."
"When my 15-month-old baby is talking, I sometimes have a hard time
understanding her." - ANSWER-"My 4-month-old baby does not seem to respond to
loud noises.
A function of cerumen in the ear canal is to provide:
vibration.
lubrication.
sound transmission.
adhesiveness. - ANSWER-lubrication.
Weber test - ANSWER-Weber Test•
Vibrationis heard equally well in both ears no lateralization of sound to either ear•
Conductive Hearing Loss -lateralization of sound to poor ear•
Sensorineural Hearing Loss -lateralization of sound to the good ear
Rinne test - ANSWER-Air conduction sound is normally heard longer than bone
conduction sound (AC > BC) -usually twice as long•
Conductive Loss -bone conduction sound is heard longer than or equally as long as
air conduction sound (BC > AC)•
Sensorineural Loss -air conduction is longer than bone conduction (AC > BC
During an interview, the patient states he has the sensation that "everything around
him is spinning." The nurse recognizes that the portion of the ear responsible for this
sensation is:
1.
the cochlea.
2.
cranial nerve VIII.
3.
the organ of Corti.
4.
the bony labyrinth. - ANSWER-ANS: 4
If the labyrinth ever becomes inflamed, it feeds the wrong information to the brain,
creating a staggering gait and a strong, spinning, whirling sensation called vertigo.
A 31-year-old patient tells the nurse that he has noticed a progressive loss in his
hearing. He says that it does seem to help when people speak louder or if he turns
up the volume. The most likely cause of his hearing loss is:
1.
otosclerosis.
2.
presbycusis.
3.
trauma to the bones.
4.
frequent ear infections. - ANSWER-ANS: 1
Otosclerosis is a common cause of conductive hearing loss in young adults between
the ages of 20 and 40 years.
EAR, NOSE, THROAT (ENT) EXAM
QUESTIONS AND ANSWERS
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?"
"Have you injured your tongue?"
"Have you been diagnosed with mouth cancer before?"
"When was the last time you brushed your teeth?" - ANSWER-"Have you been
taking antibiotics lately?"
Which of the following situations is an indication for transillumination?
The patient complains of epistaxis.
The patient has crepitus with jaw movement.
The parotid gland is palpable and tender.
The patient complains of pain over the sinuses with palpation. - ANSWER-The
patient complains of pain over the sinuses with palpation
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:
1+.
2+.
3+.
4+. - ANSWER-3+
Mr. Jones presents to your office following a fist fight. Upon examination of the
tympanic membrane, you notice a blue color. This indicates the patient has:
a cerebral spinal fluid leak.
blood in the middle ear.
high wax production.
fluid in the middle ear. - ANSWER-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:
external otitis media
otitis externa
acute otitis media
otitis media with effusion - ANSWER-otitis media with effusion
Which behavior described by a parent indicates that an infant or young child may
have a hearing problem?
"My 4-month-old baby does not seem to respond to loud noises."
"My 5-month-old baby is babbling, but she is not yet saying any words."
, "Sometimes my 3-year-old does not pay attention to me."
"When my 15-month-old baby is talking, I sometimes have a hard time
understanding her." - ANSWER-"My 4-month-old baby does not seem to respond to
loud noises.
A function of cerumen in the ear canal is to provide:
vibration.
lubrication.
sound transmission.
adhesiveness. - ANSWER-lubrication.
Weber test - ANSWER-Weber Test•
Vibrationis heard equally well in both ears no lateralization of sound to either ear•
Conductive Hearing Loss -lateralization of sound to poor ear•
Sensorineural Hearing Loss -lateralization of sound to the good ear
Rinne test - ANSWER-Air conduction sound is normally heard longer than bone
conduction sound (AC > BC) -usually twice as long•
Conductive Loss -bone conduction sound is heard longer than or equally as long as
air conduction sound (BC > AC)•
Sensorineural Loss -air conduction is longer than bone conduction (AC > BC
During an interview, the patient states he has the sensation that "everything around
him is spinning." The nurse recognizes that the portion of the ear responsible for this
sensation is:
1.
the cochlea.
2.
cranial nerve VIII.
3.
the organ of Corti.
4.
the bony labyrinth. - ANSWER-ANS: 4
If the labyrinth ever becomes inflamed, it feeds the wrong information to the brain,
creating a staggering gait and a strong, spinning, whirling sensation called vertigo.
A 31-year-old patient tells the nurse that he has noticed a progressive loss in his
hearing. He says that it does seem to help when people speak louder or if he turns
up the volume. The most likely cause of his hearing loss is:
1.
otosclerosis.
2.
presbycusis.
3.
trauma to the bones.
4.
frequent ear infections. - ANSWER-ANS: 1
Otosclerosis is a common cause of conductive hearing loss in young adults between
the ages of 20 and 40 years.
