HEENT Bates questions with correct
answers 2024
if hoarseness is acute what are the most likely causes - ANSWERS voice overuse
acute viral laryngitis
if hoarseness lasts more than 2 weeks suggests - ANSWERS hypothyroidism
reflux
vocal cord nodules
head and neck CA
neuro disorder
enlarged tender lymph nodes go with - ANSWERS pharyngitis
asymmetric protrusion of the tongue suggests a lesion to CN - ANSWERS CN XII
where does tongue cancer usually appear - ANSWERS on the side or the base of the tongue
in CN X paralysis the soft palate fails to - ANSWERS rise and the uvula deviates to the opposite side
tender nodules suggest ________-
while hard or fixed nodules suggest - ANSWERS inflammation
malignancy
generalized lymphedema is seen in pts with - ANSWERS HIV or AIDS
mono
lymphoma
leukemic
sarcoidosis
,3 functional portions of the ear by function - ANSWERS skin
sinus
brain
the ____ part of the ear is an air-filled cavity in the temporal bone - ANSWERS middle
why is the middle ear called a sinus - ANSWERS it is a hole in the bone that drains into the nose
the TM separates what - ANSWERS external ear from the middle ear
what is the pars tensa - ANSWERS inferior aspect of the TM
what is the pars flaccida - ANSWERS superior aspect of the TM
in the right ear the cone of light is at what clock position - ANSWERS 5
in the left ear the cone of light is at what clock position - ANSWERS 7
with young kids what do you do with the auricle on exam - ANSWERS pull it down and back
the eustachian tube is a cartilaginous and bony passageway between - ANSWERS the nasopharynx
and the middle ear
when swallowing, yawing or sneezing what happens with the tube - ANSWERS it opens briefly to
equalize the middle ear pressure with atmospheric pressure
the inner ear consist of - ANSWERS vestibule
semicircular canals
cochlea
what structure contains the organ of corti - ANSWERS cochlea
,what transmits sound impulses to CNVIII - ANSWERS organ of corti
the semicircular canals contain - ANSWERS the end organs for vestibular function
what is the clinical normal decibel range - ANSWERS 40
tuning forks are useful in - ANSWERS differentiating conductive from sensorineural hearing losses
when a patient c/o hearing loss what is the go to tool - ANSWERS tuning fork
what Hz tuning fork is usually used - ANSWERS 512
what size tuning fork do you use for vibratory sensation - ANSWERS 100-400Hz
what tuning fork is used to test auditory function - ANSWERS 512-1024Hz
when doing the weber test where do you place the tuning fork - ANSWERS vertex of the head
when doing the weber test in conductive hearing loss the pt will hear in - ANSWERS the bad ear
in conductive losses the sound is ______ and in sensorineural losses it is ________ - ANSWERS
louder in the poorer healing ear
lateralizes to the better side
in conductive losses, bone conduction exceeds _____ - ANSWERS air conduction
in sensorineural losses air conduction exceeds ______ - ANSWERS bone conduction
what tone test is done for both air and bone conduction - ANSWERS pure tone
, what is the audiometric study for speech reception threshold - ANSWERS spondees
what does speech discrimination measure - ANSWERS clarity of words
what are the two ways lesions responsible for sensorineural loss can be identified - ANSWERS
auditory brainstem-evoked responses
MRI
who should be routinely screened for hearing - ANSWERS past hx of noise exposure
65+
what type of hearing aid should someone with conductive loss or unilateral profound sensorineural
loss have - ANSWERS bone-anchored hearing aid
the bone-anchored hearing aid should be ipsilateral for - ANSWERS conductive loss
bone-anchored hearing air should be contralateral for - ANSWERS unilateral profound sensorineural
loss
what type of hearing device is used for severe to profound sensory loss - ANSWERS cochlear implant
cochlear implants are surgically implanted into the - ANSWERS cochlea
the middle ear is internal to - ANSWERS the TM
the middle ear is external to - ANSWERS the oval window of the cochlea
the ET joins the middle ear with the - ANSWERS nasopharynx
the nasopharynx allows for - ANSWERS pressure to equalize between the middle ear and throat
pts with sensorineural loss have trouble understanding - ANSWERS speech
answers 2024
if hoarseness is acute what are the most likely causes - ANSWERS voice overuse
acute viral laryngitis
if hoarseness lasts more than 2 weeks suggests - ANSWERS hypothyroidism
reflux
vocal cord nodules
head and neck CA
neuro disorder
enlarged tender lymph nodes go with - ANSWERS pharyngitis
asymmetric protrusion of the tongue suggests a lesion to CN - ANSWERS CN XII
where does tongue cancer usually appear - ANSWERS on the side or the base of the tongue
in CN X paralysis the soft palate fails to - ANSWERS rise and the uvula deviates to the opposite side
tender nodules suggest ________-
while hard or fixed nodules suggest - ANSWERS inflammation
malignancy
generalized lymphedema is seen in pts with - ANSWERS HIV or AIDS
mono
lymphoma
leukemic
sarcoidosis
,3 functional portions of the ear by function - ANSWERS skin
sinus
brain
the ____ part of the ear is an air-filled cavity in the temporal bone - ANSWERS middle
why is the middle ear called a sinus - ANSWERS it is a hole in the bone that drains into the nose
the TM separates what - ANSWERS external ear from the middle ear
what is the pars tensa - ANSWERS inferior aspect of the TM
what is the pars flaccida - ANSWERS superior aspect of the TM
in the right ear the cone of light is at what clock position - ANSWERS 5
in the left ear the cone of light is at what clock position - ANSWERS 7
with young kids what do you do with the auricle on exam - ANSWERS pull it down and back
the eustachian tube is a cartilaginous and bony passageway between - ANSWERS the nasopharynx
and the middle ear
when swallowing, yawing or sneezing what happens with the tube - ANSWERS it opens briefly to
equalize the middle ear pressure with atmospheric pressure
the inner ear consist of - ANSWERS vestibule
semicircular canals
cochlea
what structure contains the organ of corti - ANSWERS cochlea
,what transmits sound impulses to CNVIII - ANSWERS organ of corti
the semicircular canals contain - ANSWERS the end organs for vestibular function
what is the clinical normal decibel range - ANSWERS 40
tuning forks are useful in - ANSWERS differentiating conductive from sensorineural hearing losses
when a patient c/o hearing loss what is the go to tool - ANSWERS tuning fork
what Hz tuning fork is usually used - ANSWERS 512
what size tuning fork do you use for vibratory sensation - ANSWERS 100-400Hz
what tuning fork is used to test auditory function - ANSWERS 512-1024Hz
when doing the weber test where do you place the tuning fork - ANSWERS vertex of the head
when doing the weber test in conductive hearing loss the pt will hear in - ANSWERS the bad ear
in conductive losses the sound is ______ and in sensorineural losses it is ________ - ANSWERS
louder in the poorer healing ear
lateralizes to the better side
in conductive losses, bone conduction exceeds _____ - ANSWERS air conduction
in sensorineural losses air conduction exceeds ______ - ANSWERS bone conduction
what tone test is done for both air and bone conduction - ANSWERS pure tone
, what is the audiometric study for speech reception threshold - ANSWERS spondees
what does speech discrimination measure - ANSWERS clarity of words
what are the two ways lesions responsible for sensorineural loss can be identified - ANSWERS
auditory brainstem-evoked responses
MRI
who should be routinely screened for hearing - ANSWERS past hx of noise exposure
65+
what type of hearing aid should someone with conductive loss or unilateral profound sensorineural
loss have - ANSWERS bone-anchored hearing aid
the bone-anchored hearing aid should be ipsilateral for - ANSWERS conductive loss
bone-anchored hearing air should be contralateral for - ANSWERS unilateral profound sensorineural
loss
what type of hearing device is used for severe to profound sensory loss - ANSWERS cochlear implant
cochlear implants are surgically implanted into the - ANSWERS cochlea
the middle ear is internal to - ANSWERS the TM
the middle ear is external to - ANSWERS the oval window of the cochlea
the ET joins the middle ear with the - ANSWERS nasopharynx
the nasopharynx allows for - ANSWERS pressure to equalize between the middle ear and throat
pts with sensorineural loss have trouble understanding - ANSWERS speech
