NU 650 HEENT UPDATED ACTUAL
Questions and CORRECT Answers
A 40 year old male patient presents with sinus pain, pressure and yellow nasal discharge. Your
exam would include palpation of:
A. Ethmoid and frontal sinuses
B. Maxillary and sphenoid sinuses
C. Frontal and maxillary sinuses
D. Sphenoid and ethmoid sinuses - CORRECT ANSWER - C. Frontal and maxillary
sinuses
A 60 y.o presents with a 3 day history of left eye irritation. Which of the following findings
should be recorded in the ROS?
A. Patient denies eye pain or change in vision
B. Vision is 20/20 by Snellen Chary
C. Yellow crust is visible at the inner canthus of the left eye
D. all of the above - CORRECT ANSWER - A. Patient denies eye pain or change in vision
During a P.E of the throat, which of the following structures of the mouth/throat should rise
when the patient says "aah"?
A. Hard palate
B. Soft palate
C. Lingual frenulum
D. Buccal mucosa - CORRECT ANSWER - B. Soft palate
In conductive type hearing loss, you would expect:
, A. sound lateralizes to the good ear when the weber test is used
B. sound lateralizes to the affected (bad) ear when the weber test is used
C. The weber test remains unaltered with conductive type hearing loss and sound will be heard
equally in both ears
D. The weber test can cause discomfort in a patient with conductive type hearing loss and should
not be used in this situation - CORRECT ANSWER - B. sound lateralizes to the affected
(bad) ear when the weber test is used
On exam of the poterior pharynx, you are able to visualize the tonsils bilaterally extending just
past the anterior and posterior pillars. According to the Friedman Scale, how would you
document this finding in your note?
A. tonsils noted to be normal
B. Tonsils visualized grade 3
C. Tonsils visualized grade 1
D. Tonsils visualized grade 2 - CORRECT ANSWER - C. Tonsils visualized grade 1
The NP will assess visual acuity using which of the following tests?
A. Snellen test
B. Cover test
C. Accomodation test
D. Confrontation test - CORRECT ANSWER - A. Snellen test
The NP will recognize which of the following findings when assessing the lymph nodes in the
head and neck as worrisome, warranting further workup?
A. Tender tonsillar and submandibular nodes in the presence of a streptococcal infection
B. Any lymph node that the NP is able to roll in two directions: up and down, side to side
Questions and CORRECT Answers
A 40 year old male patient presents with sinus pain, pressure and yellow nasal discharge. Your
exam would include palpation of:
A. Ethmoid and frontal sinuses
B. Maxillary and sphenoid sinuses
C. Frontal and maxillary sinuses
D. Sphenoid and ethmoid sinuses - CORRECT ANSWER - C. Frontal and maxillary
sinuses
A 60 y.o presents with a 3 day history of left eye irritation. Which of the following findings
should be recorded in the ROS?
A. Patient denies eye pain or change in vision
B. Vision is 20/20 by Snellen Chary
C. Yellow crust is visible at the inner canthus of the left eye
D. all of the above - CORRECT ANSWER - A. Patient denies eye pain or change in vision
During a P.E of the throat, which of the following structures of the mouth/throat should rise
when the patient says "aah"?
A. Hard palate
B. Soft palate
C. Lingual frenulum
D. Buccal mucosa - CORRECT ANSWER - B. Soft palate
In conductive type hearing loss, you would expect:
, A. sound lateralizes to the good ear when the weber test is used
B. sound lateralizes to the affected (bad) ear when the weber test is used
C. The weber test remains unaltered with conductive type hearing loss and sound will be heard
equally in both ears
D. The weber test can cause discomfort in a patient with conductive type hearing loss and should
not be used in this situation - CORRECT ANSWER - B. sound lateralizes to the affected
(bad) ear when the weber test is used
On exam of the poterior pharynx, you are able to visualize the tonsils bilaterally extending just
past the anterior and posterior pillars. According to the Friedman Scale, how would you
document this finding in your note?
A. tonsils noted to be normal
B. Tonsils visualized grade 3
C. Tonsils visualized grade 1
D. Tonsils visualized grade 2 - CORRECT ANSWER - C. Tonsils visualized grade 1
The NP will assess visual acuity using which of the following tests?
A. Snellen test
B. Cover test
C. Accomodation test
D. Confrontation test - CORRECT ANSWER - A. Snellen test
The NP will recognize which of the following findings when assessing the lymph nodes in the
head and neck as worrisome, warranting further workup?
A. Tender tonsillar and submandibular nodes in the presence of a streptococcal infection
B. Any lymph node that the NP is able to roll in two directions: up and down, side to side
