Abnormalities of HEENT in Bates

Question 1

This type of h/a includes: neuronal dysfunction, involves low serotonin level, w/and w/out auras, unilateral in about 70%, throbbing/aching, fairly rapid peaking in 1-2 hrs and lasts for 4-72 hrs and have assoc factors of n/v and photophobia.

Answer 1

Migraine

Question 2

This type of h/a includes: heightened CNS pain, bilateral, localized to the back of the head and upper neck, steady, pressing, or tightening, nonthrobbing, gradual onset, lasting 30 mins - 7 days, episodic and have assoc factors of photophobia (no nausea)

Answer 2

Tension

Question 3

This type of h/a includes: trigemino-autonomic activation, unilateral usually behind or around the eye/temple, abrupt and peaks w/in mins, lasts up to 3 hrs, episodic w/several each day for 4-8 wks and then relief for 6-12 months and have assoc factors of rhinorrhea, miosis, ptosis, eyelid edema, conjunctival inf

Answer 3

Cluster

Question 4

This type of h/a occurs from withdrawal of medication.

Answer 4

Analgesic rebound

Question 5

Sudden increase in IOP occurs from ___ ___

Answer 5

acute glaucoma

Question 6

A h/a from ___ will cause mucosal inflam of the paranasal sinuses

Answer 6

sinuses

Question 7

Infection of the meninges surround the brain and spinal cord is seen in ___

Answer 7

meningitis

Question 8

Bleeding, most often from a ruptured intracranial aneurysm is seen in ___ ___

Answer 8

subarachnoid hemorrhage

Question 9

Displacement of or traction on pain-sensitive arteries and veins is caused by a ___ ___.

Answer 9

brain tumor

Question 10

A ___ h/a follow acceleration/deceleration traumatic brain injury.

Answer 10

postconcussion

Question 11

In trigeminal neuralgia, there is compression of CN ___.

Answer 11

V

Question 12

\_\_\_ = a spinning sensation accompanied by nystagmus or lightheadedness
\_\_\_ = a near faint from "feeling faint or lightheaded"
\_\_\_ = unsteadiness or imbalance when walking

Answer 12

vertigo
presyncope
disequilibrium

Question 13

The increased adrenal ___ production of ___ syndrome produces a round or “___” face.

Answer 13

cortisol, Cushing’s, “moon”

Question 14

Severe hypothyroidism, aka ___, presents w/a dull, puffy facies. Eyes pronounced w/edema and eyebrows are coarse and dry

Answer 14

myxedema

Question 15

Increased growth hormone of ___ produces enlgment of both bone and soft tissues.

Answer 15

acromegaly

Question 16

Decreased facial mobility blunts expression in ___ disease. Will see a masklike face w/decreased ___ and a characteristic ___.

Answer 16

Parkinson’s, blinking, stare

Question 17

A painful tender, red infection in a gland at the margin of the eyelid is known as a ___

Answer 17

stye

Question 18

A subacute nontender, usually painless nodule involving a blocked meibomian gland is known as a ___

Answer 18

chalazion

Question 19

Inflam of the ___ sac causes swelling btwn the lower eyelid and nose that is painful, red, and tender.

Answer 19

lacrimal

Question 20

Opacities of the lenses is seen in ___. Risk factors are ___ age, ___, ___, and ___ use.

Answer 20

cataracts, older, smoking, diabetes, corticosteroid

Question 21

In ___ syndrome, the affected pupil reacts briskly to light and near effort.

Answer 21

Horner’s

Question 22

___ is engorgement and swelling of the optic disc.

Answer 22

Papilledema

Question 23

In pt’s w/HTN, the arteries of the eyes may show areas of focal or generalized ___.

Answer 23

narrowing

Question 24

Marked AV nicking is seen in ___ ___.

Answer 24

hypertensive retinopathy

Question 25

___ ___ are usually caused by viral URI’s. Sympt include fullness and popping sensations in the ear, mild conduction hearing loss, and sometimes pain.

Answer 25

Serous effusion

Question 26

AOM w/purulent effusion is commonly caused by bacterial inf from ___ and ___. Sympt include earache, fever, and hearing loss. The eardrum ___, loses its ___, and ___ outward toward the examiner’s eye.

Answer 26

S. pneumoniae, H. influenzae, reddens, landmarks, bulges

Question 27

Causes of conductive hearing loss include ___ ___, ___ ___, ___ eardrum, and ___ of the ossicles.

Answer 27

foreign body, otitis media, perforated, otosclerosis

Question 28

Causes of sensorineural hearing loss include ___ ___ exposure, ___ ear infections, ___, ___ disorders, and ___.

Answer 28

loud noise, inner, trauma, congenital, aging

Question 29

In ___ ___, (cold sores/fever blisters) there are eruptions of the lips and surrounding skin. As they break, yellow-brown crusts form. Healing takes 10-14 days.

Answer 29

herpes simplex

Question 30

In ___ of primary ___, there are ulcerated papules w/an indurated edge usually appears after 3-6 wks of incubating inf from the spirochete ___ ___. These lesions resemble a carcinoma or crusted cold sore.

Answer 30

chancre, syphilis, Treponema pallidum

Question 31

There is redness of the uvula and pt’s c/o sore/scratchy throat w/___

Answer 31

pharyngitis

Question 32

A red throat w/white exudates on the tonsils presents w/___.

Answer 32

tonsillitis

Question 33

Thick, white plaques adherent to the mucosa and palate is seen in ___ (thrush). Predisposing factors include prolonged tx w/___ or ___.

Answer 33

candidiasis, antibiotics, corticosteroids

Question 34

___ spots are an early sign of measles (rubeola).

Answer 34

Koplik’s

Question 35

Erosion of teeth results from recurrent ___ of stomach contents, as in ___.

Answer 35

regurgitation, bulimia

Question 36

Nervousness, wt loss w/increased appetite, excessive sweating, heat intolerance, palpitations, freq bm’s, tremors are all seen in ___

Answer 36

hyperthyroidism

Question 37

Fatigue, lethargy, modest wt gain w/anorexia, dry/coarse skin, cold intolerance, swelling of face/hands/legs, constipation, weakness, muscle cramps, arthralgias, and paresthesias are all seen in ___

Answer 37

hypothyroidism