H & P Lecture #2

36 Questions | Total Attempts: 299

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Lecture Quizzes & Trivia

HEENT Lecture #2 material, covers examination of the ear, nose, and sinuses! :)


Questions and Answers
  • 1. 
    Patients with Chondrodermatitis nodularis helices chronicus, typically complain of what?
    • A. 

      Pain when wearing a hat

    • B. 

      Pain when laying on that ear

    • C. 

      Pain when using a Q-tip

    • D. 

      Pain when putting in earrings

    • E. 

      Pain with laying on the opposite ear

  • 2. 
    When you examine a person's ears and see some weird looking brown spots, dry patches, or little cysts and keloids, what should be your first step?
    • A. 

      Do the specific treatment for the condition you suspect

    • B. 

      Refer to a dermatologist

    • C. 

      Do a biopsy to figure out what types of cells are present

    • D. 

      Remove the abnormal cells in your office with local anesthetic

    • E. 

      Tell the person to keep an eye on the growth and come back if it changes or gets any bigger

  • 3. 
    Which of the following is NOT an indication for doing a tug test on your patient? (**Hint, you are suspecting otitis externa)
    • A. 

      Ear pain

    • B. 

      Hearing problems

    • C. 

      Ear drainage

    • D. 

      Inflammation

  • 4. 
    Which of the following structure is the most medial?
    • A. 

      Helix

    • B. 

      Lobule

    • C. 

      Antihelix

    • D. 

      Tragus

    • E. 

      Antitragus

  • 5. 
    The tug test is used to differentiate between otitis externa, and otitis media. Which type of infection would cause a positive "tug test?"
    • A. 

      Otitis externa

    • B. 

      Otitis media

    • C. 

      Otitis internus

  • 6. 
    Which structures of the ear do you "tug" when doing the "tug test?"
    • A. 

      Auricle and pinna

    • B. 

      Auricle only

    • C. 

      Auricle and tragus

    • D. 

      Auricle and helix

    • E. 

      Pinna only

  • 7. 
    Inflammation of the ear canal and outer ear is called ____________  _____________, and inflammation of the inner ear is called _______________  ________________.
    • A. 

      Otitis media, otitis externa

    • B. 

      Otitis externa, Otitis media

  • 8. 
    Tenderness may be present in palpation of the mastoid in which of the following conditions?
    • A. 

      Otitis externa, temporal arteritis

    • B. 

      Otitis media, temporal arteritis

    • C. 

      Otitis externa, mastoiditis

    • D. 

      Otitis media, mastoiditis

  • 9. 
    Which of the following is the correct way to perform the proper speculum insertion during the otoscopic exam?
    • A. 

      Straighten the ear canal by grasping the helix and antihelix firmly but gently and pull it upward, backward, and slightly away from the head. Insert the speculum into the canal, directing it somewhat up and forward.

    • B. 

      Straighten the ear canal by grasping the lobule firmly but gently and pull it down and slightly away from the head. Insert the speculum into the canal, directing it somewhat upward.

    • C. 

      Straighten the ear canal by grasping the auricle firmly but gently and pull it downward, forward, and slightly away from the head. Insert the speculum into the canal, directing it somewhat down and forward.

    • D. 

      Straighten the ear canal by grasping the auricle firmly but gently and pull it upward, backward, and slightly away from the head. Insert the speculum into the canal, directing it somewhat down and forward.

  • 10. 
    TRUE OR FALSE?? You use your left hand to perform the otoscopic exam on the left ear.
    • A. 

      True

    • B. 

      False

  • 11. 
    Which of the following otoscopic abnormalities is described as a swollen canal that is narrow, moist, and tender, and can be pale or erythematous. It is also known as "swimmer's ear," usually a bacterial infection, but can be fungal.
    • A. 

      Acute otitis externa

    • B. 

      Chronic otitis externa

    • C. 

      Acute purulent otitis media

    • D. 

      Serous otitis media (serous effusion)

  • 12. 
    Which of the following otoscopic abnormalities is described as a thickened, red, and itchy ear canal?
    • A. 

      Acute otitis externa

    • B. 

      Chronic otitis externa

    • C. 

      Acute purulent otitis media

    • D. 

      Serous otitis media (serous effusion)

  • 13. 
    Which of the following correctly describes the findings when examining a patient with Acute Purulent Otitis Media?
    • A. 

      Canal is swollen, narrow, moist, tender, and can be pale or erythematous

    • B. 

      Skin of canal is thickened, red, itchy

    • C. 

      Bulging tympanic membrane (TM); landmarks are lost

    • D. 

      Amber TM; bubbles and a fluid line may be seen

    • E. 

      Prominent malleus seen (commonly due to eustachian tube dysfunction)

  • 14. 
    Which of the following correctly describes the findings when examining a patient with Serous Otitis Media (serous effusion)?
    • A. 

      Canal is swollen, narrow, moist, tender, and can be pale or erythematous

    • B. 

      Skin of canal is thickened, red, itchy

    • C. 

      Bulging tympanic membrane (TM); landmarks are lost

    • D. 

      Amber TM; bubbles and a fluid line may be seen

    • E. 

      Prominent malleus seen (commonly due to eustachian tube dysfunction)

  • 15. 
    Which of the following correctly describes the findings when examining a patient with a Retracted Tympanic Membrane?
    • A. 

      Canal is swollen, narrow, moist, tender, and can be pale or erythematous

    • B. 

      Skin of canal is thickened, red, itchy

    • C. 

      Bulging tympanic membrane (TM); landmarks are lost

    • D. 

      Amber TM; bubbles and a fluid line may be seen

    • E. 

      Prominent malleus seen (commonly due to eustachian tube dysfunction)

  • 16. 
    TRUE OR FALSE?? Acute otitis externa is usually caused by a bacterial infection, but can also be fungal.
    • A. 

      True

    • B. 

      False

  • 17. 
    When testing hearing, the whisper test screens for __________________, the Weber test screens for ____________________, and the Rinne test screens for ____________________.
    • A. 

      Lateralization of sound, hearing loss, air/bone conduction

    • B. 

      Hearing loss, lateralization of sound, air/bone conduction

    • C. 

      Lateralization of sound, air/bone conduction, hearing loss

    • D. 

      Hearing loss, air/bone conduction, lateralization of sound

  • 18. 
    TRUE OR FALSE?? Sensorineural hearing loss involves the path from the external ear thorugh the middle ear.
    • A. 

      True

    • B. 

      False

  • 19. 
    _______________ hearing loss involves the cochlea and cochlear nerve; and _______________ hearing loss involves the path from external ear through middle ear.
    • A. 

      Conductive, sensorineural

    • B. 

      Sensorineural, conductive

  • 20. 
    TRUE OR FALSE?? In practice, you will do the whisper test to check general hearing, and if it is normal, you are done checking hearing.
    • A. 

      True

    • B. 

      False

  • 21. 
    In the Weber test, the sound lateralizes to the affected ear in a ______________ hearing loss, and the sound lateralizes to the good ear in a _______________ hearing loss.
    • A. 

      Sensorineural, conductive

    • B. 

      Conductive, sensorineural

  • 22. 
    TRUE OR FALSE?? During the Weber test you are supposed to use the 512 Hz tuning fork, keep the "U" facing forward, hold the fork at the base, and not touch the tines.
    • A. 

      True

    • B. 

      False

  • 23. 
    How does the Weber test work? Why would a patient with conductive hearing loss hear the sound loudest in the affected ear?
    • A. 

      The vibrations of the tuning fork irritate the cochlear nerve in the affected ear, creating a louder sound

    • B. 

      Lower frequency sounds get transferred through the bone and escape out the canal. If an occlusion is present, the sound can't escape and seems louder.

    • C. 

      An occlusion in the affected ear vibrates more than the normal ear, so the sound seems louder.

  • 24. 
    During the Rinne test, if bone conduction is equal or greater than air condition, you should suspect a _____________ hearing loss. If air conduction is more than twice as long as bone conduction, then you should suspect a _____________ hearing loss.
    • A. 

      Sensorineural, conductive

    • B. 

      Conductive, sensorineural

  • 25. 
    When doing the Rinne test, what is the normal AC:BC ratio?  (**Hint, this is also the result you will find in a sensorineural hearing loss)
    • A. 

      BC=AC

    • B. 

      BC>AC

    • C. 

      AC>BC

    • D. 

      AC=BC

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