QUESTIONS AND ANSWERS
Miosis is a term used to describe? - ANSWER-constriction of pupils
The patient complains of seeing floating spots. This is consistent with? - ANSWER-A
detached retina
Examples of sudden, painful, unilateral visual loss include all of the following except?
- ANSWER-Retinal detachment
Examination of the nose and paranasal sinuses reveal local tenderness, pain, fever,
and rhinorrhea. These symptoms are suggestive of? - ANSWER-acute sinusitis of
the frontal and maxillary sinuses
A softening of the skin at the angles of the mouth which may be due to nutritional
deficiency is commonly referred to as? - ANSWER-angular cheilitis
A 60-year-old was concerned about yellowish colored lesion above her right eyelid.
Findings revealed a slightly raised yellowish, well circumscribed plaque along the
nasal area of her right eyelid. This finding is most consistent with: - ANSWER-
xanthelasma
Examination of the nasolacrimal duct reveals a mucopurulent discharge from the
puncta. This finding is suggestive of? - ANSWER-an obstructed nasolacrimal duct
When comparing veins and arteries in the eyes of older adults, the arteries appear? -
ANSWER-less brilliant
Opthalmoscopic examination of the fundus reveals blood anterior to the retina and
obscuring retinal vessels. These findings are consistent with? - ANSWER-preretinal
hemorrhages
Performance of the Weber and Rinne tests to assess for hearing loss is best
performed using tuning fork with a frequency of? - ANSWER-512 Hz
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: -
ANSWER-a tonic pupil
A reduction in vision in one or both eyes causing loss of binocular vision - ANSWER-
amblyopia
When the corneal reflex is stimulated by shining the light in the right eye, the right
eye blinks. The left eye: - ANSWER-blinks
, A patient presents with complaints of burning, itching, tearing, and some pain in the
eye. Findings reveal red, scaly, greasy flakes and thickened, crusted lid margins.
This would be suggestive of? - ANSWER-blepharitis
Redness, bleeding, pain, and swelling of the gums is most likely? - ANSWER-
gingivitis
A toddler with a suspected hearing loss would? - ANSWER-likely communicate
through gestures
When examining the pupils, the left pupil is noted to be fixed and dilated to light and
near accommodation. This condition may be suggestive of? - ANSWER-Oculomotor
nerve (CNIII) paralysis
A 50-year old patient complains of being unable to read the hymnal at church. This
describes? - ANSWER-presbyopia
Which disorder of the eye can be detected with the cover-uncover and the
Hirschberg test? - ANSWER-Strabismus
In order to visualize the opening of Stensen's duct, examine the? - ANSWER-Buccal
mucosa opposite the second molar
A forty-five year old female complains of frequent attacks of dizziness accompanied
by a sense of fullness in the right ear, headache, nausea, reduced hearing in the
right ear, This patient may need further workup for? - ANSWER-Meniere's disease
The maxillary sinuses? - ANSWER-surround the nasal cavity
One cause of nasal septum perforation may be? - ANSWER-intranasal use of
cocaine
A patient complains of a sore tongue. Findings reveal a smooth and erythematous
tongue. This condition is termed? - ANSWER-glossitis
A sixty-year-old complains of a progressive bilateral hearing loss over the past four
months. He has difficulty understanding spoke words and has become sensitive to
loud noises. These symptoms are consistent with? - ANSWER-presbycusis
A person who has been blind since birth presents for a physical exam. Expected
findings of the pupillary reaction when light is shown would be? - ANSWER-it
depends
A 57-year-old man with a history of diabetes complains of difficulty hearing on the
telephone and muffled sounds while watching the television at a low volume. He
should be further evaluated for? - ANSWER-presbycusis
A six-year-old child presents with sore throat, difficulty swallowing, and a
temperature of 102. Findings reveal lymphadenopathy and pharyngeal erythema.
This is probably? - ANSWER-pharyngitis