PNCB Prep: Ear, Nose and Throat Questions With Correct Answers!!

Which period of gestation does a cleft palate usually occur? - Answer-6 to 12 weeks When taking the prenatal history of a baby with a cleft palate, it would be important to ask about: - Answer-Medications or substance use during pregnancy. Because exposure to toxins may interfere with the developing fetus and be associated with birth defects like cleft palate. What is the average size of the newborn anterior fontanelle? - Answer-2.1 cm What is the average size of the newborn posterior fontanelle? - Answer-0.5 to 0.7 cm Which visual acuity screening test is appropriate to use with a 4yo child? - Answer-HOTV matching chart What is used for hearing assessment in children 4 years and older? - Answer-Audiometry During the cover-uncover test, a normal response, once you uncover the right eye is: - Answer-No movement in the right eye What tests are used to detect strabismus - Answer-- Cover-uncover test - Corneal light reflex The red reflex is done in the newborn period to rule out: - Answer-Congenital cataracts and retinoblastoma The fundoscopic examination allows the NP to : - Answer-Visualize structures at the back of the eye A child presents to the office with left ear drainage. On exam you see that the external canal has an orange-colored runny substance in it but the tympanic membrane appears normal. The ear canal is not inflamed. This is consistent with: - Answer-Excessive cerumen On examination of a child, you visualize a slight crease across his nose where the nasal bone ends. This may be a sign of: - Answer-Allergic rhinitis. The nasal crease (allergic salute) is caused by thechild repeatedly wiping the nose with the palm of the hand in an upward manner as with chronic allergic rhinitis Kathryn 6yo, is in the office complaining of sore throat. On exam her tonsils are touching each other. You record this finding as tonsils: - Answer-+4 Which glands are involved in mumps? - Answer-Parotid glands. In mumps, this causes significant swelling of the parotid glands. Primary dentition erupts between: - Answer-6 and 24 months What is the best position for palpation of the fontanelle? - Answer-In a sitting position At what age is the anterior fontanelle no longer palpable? - Answer-24 to 26 months A flat philtrum and thin upper lip are signs of: - Answer-Fetal alcohol syndrome Primary diagnostic criteria for otitis media with effusion: - Answer-Minimal movement of tympanic membrane with pneumatic otoscopy Treatment of otitis externa is best accomplished by: - Answer-Topical antibiotics are the primary treatment for otitis externa What are the common organisms found to cause otitis externa? - Answer-- Pseudomonas aeruginosa - Staph aureus - Candida albicans Ototoxicity due to medications results in which type of hearing loss? - Answer-Sensorineural hearing loss - due to damage of CN VIII