NURP-530 Exam 2 Latest Questions With
Complete Verified Solutions.
Normal Tympanic Membrane - Answer
Perforated Tympanic Membrane - Answer - Perforation results from rupture caused by increased
pressure, usually from untreated infection or trauma
Tympanosclerosis - Answer - The formation of dense connective tissue in the middle ear, often
resulting in hearing loss when the ossicles are involved
Serous Effusion or Otitis Media with Effusion - Answer - No pain experienced with a "tug test"
- A collection of non-infected fluid in the middle ear space.
Acute Otitis Media - Answer - Pain behind the ear during a "tug test"
- Infection of the middle ear with our without an effusion
Bullous Myringitis - Answer - Infection involving the eardrum
Tympanic Membrane with Tympanostomy Tubes - Answer
Rinne Test - Answer - Compares air conduction vs. bone conduction
- Place slightly vibrating fork on mastoid; when patient can no longer hear, move right next to ear canal
and ask if they can hear
- Normally heard longer through air than bone (AC>BC)= positive test
,- In conductive hearing loss BC= AC, or BC> AC (heard through bone longer than air)
- In sensorineural hearing loss AC> BC (heard through air longer than bone)
Weber Test - Answer - The sound lateralizes to the affected side
- Unilateral conductive hearing loss, sound is heard in the lateral or impaired ear
- Unilateral sensorineural hearing loss, sounds is heard in the good ear
- Tests for lateralization, light vibration
- Place firmly on top of patient's head; normally heard equally in both ears, unilateral conductive loss-
sound heard in impaired ear, if sensorineural-heard in the good ear
Cover-Uncover Test - Answer - Helps diagnosis esotropia or exotropia
Static Finger Wiggle Test - Answer - Used to detect visual field defects
- Stand arms length apart, patient covers one eye and stares at your opposite eye (across from them);
extend arms and wiggle 2 fingers around the clock or in 4 quadrants and have patient tell you when they
see your fingers. If they don't see your fingers until you cross the line of gaze, homonymous hemianopsia
Red Reflex - Answer - Positioning yourself 15 inches from the patient, the examiner looks for the red
reflex.
- Absence of the red reflex suggests a cataract or retinoblastoma in children.
Posterior Structures of the Eye - Answer - Posterior structures include the cup, disc, retinal nerve, etc.
,- Set the diopters to the negative setting to see the posterior structures of the eye.
The Near Reaction Test - Answer - The pupils should constrict when looking at the object up close
- Should show convergence and accommodation
Bitemporal Hemianopsia (optic chiasm) - Answer - Visual field defect
- Leads to impaired peripheral vision in the outer temporal halves of the visual field of each eye.
Cotton-Wool Spots - Answer - White patches seen in individuals with HTN, DM, HIV, etc.
Chalazion - Answer - A subacute nontender, usually painless nodule caused by a blocked meibomian
gland
Stye (hordeolum) - Answer - Painful, tender, red infection at the inner or outer margin of the eyelid,
usually from Staphylococcus aureus
Xanthelasma - Answer - Seen in patient with hyperlipidemia
- Slightly raised, yellowish, well-circumscribed cholesterol-filled plaques that appear along the nasal
portions of one or both eyelids
Cataract - Answer - Opacity of the lenses visible through the pupil
- Risk factors include older age, smoking, diabetes, and corticosteroid use
Exotropia - Answer - Outward turning of the eye
, Papilledema - Answer - The result of increased intracranial pressure
Angular Cheilitis - Answer - The result of a nutritional deficiency or overclosure of the mouth seen in
people with no teeth or ill fitting dentures
Leukoplakia - Answer - A thickened white patch they may lead to cancer
Geographic Tongue - Answer - Benign condition
- The dorsum shows scattered smooth red areas denuded of papillae, along with normal, rough, and
coated areas that give a map-like appearance
Smooth Tongue (Atrophic Glossitis) - Answer - Suggests a deficiency in riboflavin, niacin, folic acid, and
vitamin B12
Mononucleosis/EBV Infection - Answer - Accompanied by fever, fatigue, and diffuse lymphadenopathy
Serous Otitis Media or Otitis Media with Effusion - Answer - A collection of fluid in the middle ear
without signs or symptoms of ear infection
Rheumatoid Nodules - Answer - Firm lumps that appear under the skin in patients with RA
Fetal Alcohol Syndrome - Answer - Facial characteristics of this disorder include short palpebral
fissures, and wide and flattened philtrum, and thin lips.
Peritonsillar Abcess - Answer - An eleven year old presents with asymmetric protrusion of one tonsil,
pain, difficulty opening the mouth (trismus), and lateral displacement of the uvula
Submucosal Cleft Palate - Answer - A child presents with chronic hypernasal speech
Complete Verified Solutions.
Normal Tympanic Membrane - Answer
Perforated Tympanic Membrane - Answer - Perforation results from rupture caused by increased
pressure, usually from untreated infection or trauma
Tympanosclerosis - Answer - The formation of dense connective tissue in the middle ear, often
resulting in hearing loss when the ossicles are involved
Serous Effusion or Otitis Media with Effusion - Answer - No pain experienced with a "tug test"
- A collection of non-infected fluid in the middle ear space.
Acute Otitis Media - Answer - Pain behind the ear during a "tug test"
- Infection of the middle ear with our without an effusion
Bullous Myringitis - Answer - Infection involving the eardrum
Tympanic Membrane with Tympanostomy Tubes - Answer
Rinne Test - Answer - Compares air conduction vs. bone conduction
- Place slightly vibrating fork on mastoid; when patient can no longer hear, move right next to ear canal
and ask if they can hear
- Normally heard longer through air than bone (AC>BC)= positive test
,- In conductive hearing loss BC= AC, or BC> AC (heard through bone longer than air)
- In sensorineural hearing loss AC> BC (heard through air longer than bone)
Weber Test - Answer - The sound lateralizes to the affected side
- Unilateral conductive hearing loss, sound is heard in the lateral or impaired ear
- Unilateral sensorineural hearing loss, sounds is heard in the good ear
- Tests for lateralization, light vibration
- Place firmly on top of patient's head; normally heard equally in both ears, unilateral conductive loss-
sound heard in impaired ear, if sensorineural-heard in the good ear
Cover-Uncover Test - Answer - Helps diagnosis esotropia or exotropia
Static Finger Wiggle Test - Answer - Used to detect visual field defects
- Stand arms length apart, patient covers one eye and stares at your opposite eye (across from them);
extend arms and wiggle 2 fingers around the clock or in 4 quadrants and have patient tell you when they
see your fingers. If they don't see your fingers until you cross the line of gaze, homonymous hemianopsia
Red Reflex - Answer - Positioning yourself 15 inches from the patient, the examiner looks for the red
reflex.
- Absence of the red reflex suggests a cataract or retinoblastoma in children.
Posterior Structures of the Eye - Answer - Posterior structures include the cup, disc, retinal nerve, etc.
,- Set the diopters to the negative setting to see the posterior structures of the eye.
The Near Reaction Test - Answer - The pupils should constrict when looking at the object up close
- Should show convergence and accommodation
Bitemporal Hemianopsia (optic chiasm) - Answer - Visual field defect
- Leads to impaired peripheral vision in the outer temporal halves of the visual field of each eye.
Cotton-Wool Spots - Answer - White patches seen in individuals with HTN, DM, HIV, etc.
Chalazion - Answer - A subacute nontender, usually painless nodule caused by a blocked meibomian
gland
Stye (hordeolum) - Answer - Painful, tender, red infection at the inner or outer margin of the eyelid,
usually from Staphylococcus aureus
Xanthelasma - Answer - Seen in patient with hyperlipidemia
- Slightly raised, yellowish, well-circumscribed cholesterol-filled plaques that appear along the nasal
portions of one or both eyelids
Cataract - Answer - Opacity of the lenses visible through the pupil
- Risk factors include older age, smoking, diabetes, and corticosteroid use
Exotropia - Answer - Outward turning of the eye
, Papilledema - Answer - The result of increased intracranial pressure
Angular Cheilitis - Answer - The result of a nutritional deficiency or overclosure of the mouth seen in
people with no teeth or ill fitting dentures
Leukoplakia - Answer - A thickened white patch they may lead to cancer
Geographic Tongue - Answer - Benign condition
- The dorsum shows scattered smooth red areas denuded of papillae, along with normal, rough, and
coated areas that give a map-like appearance
Smooth Tongue (Atrophic Glossitis) - Answer - Suggests a deficiency in riboflavin, niacin, folic acid, and
vitamin B12
Mononucleosis/EBV Infection - Answer - Accompanied by fever, fatigue, and diffuse lymphadenopathy
Serous Otitis Media or Otitis Media with Effusion - Answer - A collection of fluid in the middle ear
without signs or symptoms of ear infection
Rheumatoid Nodules - Answer - Firm lumps that appear under the skin in patients with RA
Fetal Alcohol Syndrome - Answer - Facial characteristics of this disorder include short palpebral
fissures, and wide and flattened philtrum, and thin lips.
Peritonsillar Abcess - Answer - An eleven year old presents with asymmetric protrusion of one tonsil,
pain, difficulty opening the mouth (trismus), and lateral displacement of the uvula
Submucosal Cleft Palate - Answer - A child presents with chronic hypernasal speech
