HEENT

50問 • 2年前

問題一覧

_____ and ______ deserves an E.R. visit? (looking for subdural hematoma)

Head injury, loss of consciousness

Subjective history, age related changes?

dizziness, neck pain

What condition does the girl in the picture have? It affects the anterior pituitary gland, starts after puberty causes cartilage to overgrow.

acromegaly

_____ not only affects physical appearance, but also causes enlargement of the heart. Causing heart failure and hypertension.

Acromegaly

Pre-puberty growth hormone excess.

gigantism

What autoimmune disorder does she have? (very common)

Hypothiroid due to hoshimotos thyroiditis.

What does she have?

Hyperthyroidism (and she has thyroid eye disease)

____ fracture cause bruising around eyes and ears as well as clear drainage from nose or ear, when drainage collected it causes a halo.

Basilar skull fracture (BSF) leads to leakage of CSF

Excessive hair growth, moon face, hunch back. (excessive cortisol)

Cushings

Hypothyroidism

Myxedema

What test is testing the extraocular muscles for extra ocular movements?

6 cardinal fields of gaze

Pupils dilate when you look at something far away and constrict when looking at something close

accommodation

Age related changes to eyes

Cataracts (opacity of clear lens), glaucoma (pressure increases), macular degeneration, Seeing “floaters” in vision

20 feet away vision test

Snellen eye chart

Handheld/near vision chart

Rosenbaum

What test in the picture showing? (Related to extraocular muscular function)

Corneal light reflex (hirschberg test, tests for strabismus)

Shinning light in one eye and the other eye constricts as well.

consensual reaction

What eye disease is pictured?

Thyroid eye disease (exopthalmos

Dilated pupils

Mydriasis

Pinpoint pupils

Miosis

Hearing loss caused by foreign body or earwax.

Conductive

Hearing loss from nerve damage.

Sensiorineural (perceptive)

Ear ringing associated with age and cognitive decline, nothing we can do about it.

Tinnitus

Direction you pull for ear exam, up for ___1__, and down for __2___.(select first then second)

Adults, Children

What color is the norm for the tympanic membrane?

Pearly gray

Tunning fork is placed on the forehead,nose,or teeth

Weber test

No lateralization of sound.

Normal Weber test finding

With unilateral conductive hearing loss (during Weber test) the sound does what?

Lateralizes toward the affected ear

What does the sound do with unilateral sensionueral loss with the Weber test?

sound lateralizes to the normal or better hearing side

In a normal Rinne test the patient can…?

Hear the fork at ear

When transilluminating the sinuses light will pass through when will it not pass through?

When blocked with secretions

Sores in mouth from antibiotics

Thrush (candida)

Age related changes mouth?

Dry mouth, tooth loss, Tate/smell

What is the tonsil grade of line a?

What is the tonsil grade of line b?

What is the tonsil grade of line c?

What is the tonsil grade of line d?

How is an abscess treated?

Drain it (I&D)

Adverse drug reaction ACE inhibitors

Angioedema (treated with arbs)

People at greater risk for oral cancer:

men, smoking/alcohol

What is Mydriasis?

dilated pupil

What is miosis?

constricted pupil

Select all pertaining to oral cancer:

Lesions start subtle and painless,(White or red patches as well), Progress to painless non healing ulcers, Late stage: enlarged hard non tender cervical chain or submental lymph nodes, noticeable mass, bleeding, loss of teeth, difficulty wearing dentures/ difficulty swallowing

A patient with conductive hearing loss will hear____ longer than ______ conduction.

Bone, air

Patients with sensorineural loss will hear _____ conduction longer than _____ conduction.

Air, bone

Which sinus is being trans illuminated here?

Frontal sinuse

What sinus is being trans illuminated here?

maxillary sinus

When transilluminating the sinuses what is the abnormal finding an the two causes?

absence of glow, blocked by drainage or never fully developed

The patient in the photo complains of right ear hearing loss, you performed the Weber test and he heard the sound better in the right ear than the left (line 2) does he have conductive or sensorineural hearing loss?

conductive

The patient in the photo complains of right ear hearing loss, you performed the Weber test and he heard the sound better in his left ear (line 1), does he have conductive or sensorineural hearing loss?

sensorineural

Health assessment questions

ユーザ名非公開 · 15問 · 2年前

Health assessment questions