Lymph, Skin, Hair, Nails QUESTIONS AND
SOLUTIONS
What does the tympanic membrane seprate? - answersexternal ear and middle ear, oval and translucent
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
(pearly-grey)
ix
What is the function of the middle ear? - answersconduct sound vibrations from outer ear to central hearing
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
apparatus in the inner ear
ix ix ix ix ix
What do the eustachian tubes connect? - answersmiddle ear to nasopharynx; equalizes air pressure of
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
tympanic membrane (normally closed, opens with yawning or swallowing)
ix ix ix ix ix ix ix ix ix
What is decubiti? - answerspressure sore; look for it if on supplemental oxygen from oxygen tubing
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
What is the tragus? - answersprojects immediately in front of ear canal
ix ix ix ix ix ix ix ix ix ix ix
What is the pinna? - answersouter ear
ix ix ix ix ix ix
Where is the mastoid bone? - answersbehind the ear
ix ix ix ix ix ix ix ix
What should you do during the otoscopic exam? - answerschoose largest speculum that fits in ear canal
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
comfortably; note redness, swelling, lesions, foreign bodies, discharge
ix ix ix ix ix ix ix ix
What is otitis media? - answersdiscoloration of drum (yellow or amber) suggesting non-clear fluid behind
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
TM or it is red
ix ix ix ix ix
What is not normal for ear wax? - answersimpacted cerumen
ix ix ix ix ix ix ix ix ix
What is a pressure equalizing tube? - answersdecrease ear infections: allows for draining
ix ix ix ix ix ix ix ix ix ix ix ix
What does the tuning fork measure? - answersair conduction (more sensitive) and bone conduction; sound
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
vibrates through cranial bones to inner ear
ix ix ix ix ix ix ix
What is the weber test? - answersPlace the base of a struck tuning fork on the bridge of the forehead, nose,
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
or teeth. In a normal test, there is no lateralization of sound. With unilateral conductive loss, sound
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
lateralizes toward affected ear. With unilateral sensorineural loss, sound lateralizes to the normal or better-
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
hearing side. ix
What is the rinne test? - answerstap tuning fork and place it near base of mastoid bone, then ask the patient
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
to say when they can no longer hear the sound, then move the tuning fork near the ear canal, then ask the
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
patient to say when they no longer hear the sound (normal--air conduction 2x as bone conduction)
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
What are expected findings in geriatrics? - answershigh tone hearing loss, eardrums whiter, corse wiry hairs
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
What is epistaxis? - answersnose bleed
ix ix ix ix ix
What is anosmia? - answersloss of smell
ix ix ix ix ix ix
, What are turbinates? - answerslayers of bone within the nasal cavity; normal--vascular/tender when
ix ix ix ix ix ix ix ix ix ix ix ix
touched, red, no polyps, not normal--swollen
ix ix ix ix ix ix
What is a normal finding during sinus palpation? - answerspressure (not pain)
ix ix ix ix ix ix ix ix ix ix ix
What does HSV1 do to the mouth? - answersviral infection that manifests as a sore on lip
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
What is cheilitis? - answerscracking at corners of lips; yeast infections w/ depressed immune systems
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
What do you see with CO poisoning? - answerscyanotic, cherry red
ix ix ix ix ix ix ix ix ix ix
What do you see with lead poisoning? - answersdark lines gums
ix ix ix ix ix ix ix ix ix ix
When can gum hypertrophy happen? - answerspregnancy, puberty
ix ix ix ix ix ix ix
Where are oral malignancies more likely to develop? - answersunder tongue (white patches, nodules,
ix ix ix ix ix ix ix ix ix ix ix ix ix
ulcerations)
ix
What are some abnormal mouth and throat findings? - answersbeefy red, glossy, dry mouth, black hairy
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
tongue (meds), tremors (hyperthroidism)
ix ix ix ix
What are kissing tonsils? - answers4+ swelling of tonsils
ix ix ix ix ix ix ix ix
What is leukoplakia? - answersthickened, white patches form on gums, cheeks or tongue; tobacco or
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
irritation can cause this
ix ix ix ix
What is black hairy tongue? - answerselongation of filiform papillae and painless overgrowth of mycelial
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
threads of fungus infection on the tongue
ix ix ix ix ix ix ix
What is angioedema? - answersskin of face around mouth, mucosa of mouth, throat, tongue swell up;
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
allergens, meds (ACE inhibitors); airway obstruction and suffocation risk
ix ix ix ix ix ix ix ix ix
What is thrush? - answersyeast infection (opportunistic infections) of the mouth; white, cheesy patch on
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
tongue
ix
What is meth mouth? - answersvasoconstriction, reduced saliva production, stimulant illicit drugs
ix ix ix ix ix ix ix ix ix ix ix
What kind of breathers are children? - answersnose breathers
ix ix ix ix ix ix ix ix
What is cleft palate and cleft lip? - answersdeformity caused by abnormal facial dev during gestation; fissure
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
or opening, non-fusion
ix ix ix
What is a consideration for cleft palate and cleft lip? - answersnutrition problems (aspiration)
ix ix ix ix ix ix ix ix ix ix ix ix ix
What are sutures? - answersimmovable joints of the skull
ix ix ix ix ix ix ix ix
Where is the thyroid? - answersstraddles trachea in the middle of the neck
ix ix ix ix ix ix ix ix ix ix ix ix
What is a goiter? - answersenlargement of the thyroid gland
ix ix ix ix ix ix ix ix ix
Where are lymph nodes accessible? - answershead and neck, arms, axillae, inguinal region
ix ix ix ix ix ix ix ix ix ix ix ix
Where is the preauricular lymph node? - answersin front of the ear, 1
ix ix ix ix ix ix ix ix ix ix ix ix
Where is the posterior auricular lymph node? - answersbehind the ear, 2
ix ix ix ix ix ix ix ix ix ix ix