Exam 1 - HEENT Exam Verified Study
Questions And Answers!!
Otitis media CORRECT ANSWERS Middle ear infection
Sensorineural hearing loss
Causes? CORRECT ANSWERS Problem in the inner ear (cochlear nerve, neuronal
transmission into brain)
Causes
- Loud noise exposure (>85 dB)
- Inner ear infections
- Trauma
- Tumors
- Congenital
- Aging
Conductive hearing loss
Causes? CORRECT ANSWERS External or middle ear disorder impairs sounds
conduction into brain
- You can still hear through the bone b/c it transmits directly to the cochlea (avoids the
outer/middle ear)
Causes
- Foreign body
- Otitis media
- Perforated eardrum
- Otosclerosis of ossicles
Vermillion border CORRECT ANSWERS Line between lips and face skin
Isthmus CORRECT ANSWERS The middle of the thyroid's lobes
Normal HEAD exam example (charting) CORRECT ANSWERS - NC/AT
(normocephalic/atraumatic)
- Non-tender to palpation at lymph nodes.
Normal EYE exam example (charting) CORRECT ANSWERS - Visual acuity 20/20 B/L
- Field of vision good
- EOMI
- Sclera white, Conjunctiva Pink
- PERRLA
- Disc margins sharp
- No hemorrhages or exudates
, Normal EAR exam example
(charting) CORRECT ANSWERS - Acuity good to finger rubbing
- Weber midline
- AC>BC
- TM's with good cone of light
Normal NOSE exam example (charting) CORRECT ANSWERS - Nasal mucosa pink
- Septum midline
- No sinus tenderness
Normal THROAT exam example (charting) CORRECT ANSWERS - Trachea midline
- Thyroid symmetric, not enlarged, no palpable nodules
- Neck supple
Patulous CORRECT ANSWERS Eustachian tube dysfunction
- Tube won't close
Opposite of dilatory
Dilatory CORRECT ANSWERS Eustachian tube dysfunction
- Tube won't DILATE
- Can't equalize pressure in head
What can you see on otoscopic exam? CORRECT ANSWERS - Tympanic membrane
- Cone of light
- Incus
- Malleus
- Umbo (foot of malleus)
What is the most common sense lost due to nerve damage? CORRECT ANSWERS
Hearing!
Weber test CORRECT ANSWERS 256 Hz tuning fork
- Testing for relative hearing between L/R ears
- Vibrate and put on top of pt's skull, midline
- + result = hear equally loud in both ears
- - resuls = lateralizes to one ear
Rinne test CORRECT ANSWERS 256 Hz tuning fork
- Testing to see if AC>BC
- Vibrate fork, place on pt's skull behind ear
- When they can NO LONGER hear the fork, flip it in front of their ear
- + result = AC>BC
- - result = BC>AC (can't hear after the flip)
Questions And Answers!!
Otitis media CORRECT ANSWERS Middle ear infection
Sensorineural hearing loss
Causes? CORRECT ANSWERS Problem in the inner ear (cochlear nerve, neuronal
transmission into brain)
Causes
- Loud noise exposure (>85 dB)
- Inner ear infections
- Trauma
- Tumors
- Congenital
- Aging
Conductive hearing loss
Causes? CORRECT ANSWERS External or middle ear disorder impairs sounds
conduction into brain
- You can still hear through the bone b/c it transmits directly to the cochlea (avoids the
outer/middle ear)
Causes
- Foreign body
- Otitis media
- Perforated eardrum
- Otosclerosis of ossicles
Vermillion border CORRECT ANSWERS Line between lips and face skin
Isthmus CORRECT ANSWERS The middle of the thyroid's lobes
Normal HEAD exam example (charting) CORRECT ANSWERS - NC/AT
(normocephalic/atraumatic)
- Non-tender to palpation at lymph nodes.
Normal EYE exam example (charting) CORRECT ANSWERS - Visual acuity 20/20 B/L
- Field of vision good
- EOMI
- Sclera white, Conjunctiva Pink
- PERRLA
- Disc margins sharp
- No hemorrhages or exudates
, Normal EAR exam example
(charting) CORRECT ANSWERS - Acuity good to finger rubbing
- Weber midline
- AC>BC
- TM's with good cone of light
Normal NOSE exam example (charting) CORRECT ANSWERS - Nasal mucosa pink
- Septum midline
- No sinus tenderness
Normal THROAT exam example (charting) CORRECT ANSWERS - Trachea midline
- Thyroid symmetric, not enlarged, no palpable nodules
- Neck supple
Patulous CORRECT ANSWERS Eustachian tube dysfunction
- Tube won't close
Opposite of dilatory
Dilatory CORRECT ANSWERS Eustachian tube dysfunction
- Tube won't DILATE
- Can't equalize pressure in head
What can you see on otoscopic exam? CORRECT ANSWERS - Tympanic membrane
- Cone of light
- Incus
- Malleus
- Umbo (foot of malleus)
What is the most common sense lost due to nerve damage? CORRECT ANSWERS
Hearing!
Weber test CORRECT ANSWERS 256 Hz tuning fork
- Testing for relative hearing between L/R ears
- Vibrate and put on top of pt's skull, midline
- + result = hear equally loud in both ears
- - resuls = lateralizes to one ear
Rinne test CORRECT ANSWERS 256 Hz tuning fork
- Testing to see if AC>BC
- Vibrate fork, place on pt's skull behind ear
- When they can NO LONGER hear the fork, flip it in front of their ear
- + result = AC>BC
- - result = BC>AC (can't hear after the flip)
