NU 650 HEENT EXAM QUESTIONS
ANSWERS
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 - Answer 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 - Answer A. Patient denies eye pain or change in vision
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 - Answer 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 - Answer B. sound lateralizes to the affected
(bad) ear when the weber test is used
On exam of the poterior pharynx, you are able to visualize the tonsils bilaterally
extending just past the anterior and posterior pillars. According to the Friedman Scale,
how would you document this finding in your note?
, A. tonsils noted to be normal
B. Tonsils visualized grade 3
C. Tonsils visualized grade 1
D. Tonsils visualized grade 2 - Answer C. Tonsils visualized grade 1
The NP will assess visual acuity using which of the following tests?
A. Snellen test
B. Cover test
C. Accomodation test
D. Confrontation test - Answer A. Snellen test
The NP will recognize which of the following findings when assessing the lymph nodes
in the head and neck as worrisome, warranting further workup?
A. Tender tonsillar and submandibular nodes in the presence of a streptococcal
infection
B. Any lymph node that the NP is able to roll in two directions: up and down, side to side
C. Enlarged supraclavicular nodes
D. Deep cervical chain nodes that are inaccessible to exam - Answer C. Enlarged
supraclavicular nodes
When conducting an ophthalmoscopic exam, the NP will differentiate arteries from veins
by noting:
A. Larger size of arteries
B. Bright light reflection of arteries
C. Dark red color of arteries
D. location of the vessel to the optic disc - Answer B. Bright light reflection of arteries
When examining a 3 y.o presenting to your office with right ear pain, which would be the
appropriate order for the assessment?
A. Right ear, left ear, mouth, nose, neck, lungs, heart
B. Neck, lungs, heart, mouth, nose, left ear, right ear
C. Left ear, right ear, neck, lungs, heart and nose
D. Lungs, heart, mouth, nose, and right ear. - Answer B. Neck, lungs, heart, mouth,
nose, left ear, right ear
Which of the following describes the proper technique for examination of the ear canal
and drum for a 5 year old?
A. Use the smallest ear speculum, position the pt. head so that you see comfortable,
straighten the ear canal by grasping the auricle firmly and pulling it upward and
backward, slightly away from the head.
ANSWERS
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 - Answer 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 - Answer A. Patient denies eye pain or change in vision
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 - Answer 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 - Answer B. sound lateralizes to the affected
(bad) ear when the weber test is used
On exam of the poterior pharynx, you are able to visualize the tonsils bilaterally
extending just past the anterior and posterior pillars. According to the Friedman Scale,
how would you document this finding in your note?
, A. tonsils noted to be normal
B. Tonsils visualized grade 3
C. Tonsils visualized grade 1
D. Tonsils visualized grade 2 - Answer C. Tonsils visualized grade 1
The NP will assess visual acuity using which of the following tests?
A. Snellen test
B. Cover test
C. Accomodation test
D. Confrontation test - Answer A. Snellen test
The NP will recognize which of the following findings when assessing the lymph nodes
in the head and neck as worrisome, warranting further workup?
A. Tender tonsillar and submandibular nodes in the presence of a streptococcal
infection
B. Any lymph node that the NP is able to roll in two directions: up and down, side to side
C. Enlarged supraclavicular nodes
D. Deep cervical chain nodes that are inaccessible to exam - Answer C. Enlarged
supraclavicular nodes
When conducting an ophthalmoscopic exam, the NP will differentiate arteries from veins
by noting:
A. Larger size of arteries
B. Bright light reflection of arteries
C. Dark red color of arteries
D. location of the vessel to the optic disc - Answer B. Bright light reflection of arteries
When examining a 3 y.o presenting to your office with right ear pain, which would be the
appropriate order for the assessment?
A. Right ear, left ear, mouth, nose, neck, lungs, heart
B. Neck, lungs, heart, mouth, nose, left ear, right ear
C. Left ear, right ear, neck, lungs, heart and nose
D. Lungs, heart, mouth, nose, and right ear. - Answer B. Neck, lungs, heart, mouth,
nose, left ear, right ear
Which of the following describes the proper technique for examination of the ear canal
and drum for a 5 year old?
A. Use the smallest ear speculum, position the pt. head so that you see comfortable,
straighten the ear canal by grasping the auricle firmly and pulling it upward and
backward, slightly away from the head.
