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Block 5 POM > Block 5; Week 1 ENT Quiz > Flashcards

Block 5; Week 1 ENT Quiz Flashcards

1
Q

What are some things that a pt might present to a clinic for…in the ENT range?

A

Vertigo
Ear Pain
Hearing Loss
Nasal discharge

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2
Q

What do you want to ask in terms of description of sensation w/ vertigo?

A

boat motion or rotating motion

any position that it feels better in

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3
Q

Which associated symptoms do you want to ask about w/ a pt that is experiencing vertigo?

A 
nausea
vomiting
---------
tinnitus-->ringing in ears
hearing changes
----------
headaches
double vision
-------
ear fullness
-----
unsteadiness
loss of balance
falling
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4
Q

Which meds do you want to ask a person if they are taking when they present complaining of vertigo?

A

ototoxic meds

salt-retaining meds (like corticosteroids)

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5
Q

Which meds are considered ototoxic?

A 
ASA
aminoglycosides
gentamicin
streptomycin
furosemide
quinine
cisplatin
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6
Q

What do you want to ask a person who presents w/ ear pain? Ma’am, do you also have……

A 
an upper resp infection
frequent swimming
trauma to head
pain in head & neck
TMJ
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7
Q

Ear pain associated symptoms?

A 
fever
reduced hearing
tinnitus
vertigo
discharge from ear
itchiness of ear
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8
Q

What might cause ear pain or hearing loss?

A

impaction of cerurum, depending on method of ear canal cleaning

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9
Q

Which meds do you want to ask a person if they have taken when they have ear pain?

A

antibiotics

ear drops

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10
Q

Instant hearing loss may indicate what? Gradual hearing loss?

A

Instant–vascular disruption, autoimmune process

Gradual-viral infection

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11
Q

What are some things you want to ask a person who is experiencing hearing loss?

A

how do you hear best
observe their speech
ototoxic meds
tinnitus, ear pain, foreign body, cerumen impaction

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12
Q

If you see a TM bulging w/ no mobility think what?

A

middle ear effusion due to pus or fluid

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13
Q

If you see a TM retracted w/o mobility think what?

A

obstruction of tube maybe w/ middle ear effusion

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14
Q

If you see TM w/ mobility only w/ negative pressure think what?

A

obstruction of tube maybe w/ middle ear effusion

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15
Q

If you see a TM w/ excess mobility in small areas think what?

A

healed perforation

atrophic TM

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16
Q

If you see an amber or yellow TM think?

A

serous fluid in middle ear

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17
Q

If you see a blue or deep red TM think?

A

blood in middle ear

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18
Q

If you see chalky white TM think?

A

infection in middle ear

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19
Q

If you see redness in TM think?

A

infection in middle ear

prolonged crying

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20
Q

If you see a dull TM think?

A

fibrosis

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21
Q

If you see white flecks & dense white plaques in TM think?

A

healed inflammation

22
Q

If you see air bubbles in TM think?

A

serous fluid in middle ear

23
Q

Describe the Weber test.

A

tuning fork on midline of head
which ear is it louder?
occlude one ear–which ear is it louder?
**test unilateral hearing loss

24
Q

If you have normal ears, what results would you expect from the Weber test?

A

sounds the same in both ears initially

sounds louder in the occluded ear

25
Q

If you have conductive hearing loss what results would you expect from the Weber test?

A

it would sound louder (lateralize) to the bad ear.

26
Q

If you have sensorineural hearing loss what results would you expect from the Weber test?

A

it would sound louder (lateralize) to the good ear.

27
Q

What does the Rinne test check for? Describe it.

A

tests for whether hearing is better by air or bone conduction.
tuning fork at mastoid bone & then in the air.
should hear air conduction 2 times longer than bone conduction

28
Q

If you have conductive hearing loss what results would you expect from the Rinne test?

A

Bone conduction hear longer than air in affected ear. Rinne negative test.
Normal is Rinne +.

29
Q

If you have sensorineural hearing loss what results would you expect from the Rinne test?

A

air conduction longer but less than 2:1 ratio.

30
Q

Is it normal to see perforations, bleeding, crusting of nasal cavity?

A

No.

31
Q

What would be a normal nasal mucosa?

A

deep pink & glistening. some discharge on nasal septum. hairs, firm turbinates that are deep pink too. Anterior septum thicker than posterior.

32
Q

Crusting over the anterior portion of the nasal septum may indicate what?

A

if it is in the location of the Kiesselbach plexus, may be nosebleed (epistaxis)

33
Q

What might this be: rounded elongated mass projecting into nasal cavity w/ a swollen boggy turbinate?

A

polyp

34
Q

What might this be: bluish gray or pale pink turbinates w/ swollen boggy consistency?

A

allergies

35
Q

Increased redness of nasal mucosa?

A

infection

36
Q

Localized redness & swelling of vestibule of nose?

A

furuncle

37
Q

Purulent discharge in nasal cavity?

A

upper respiratory infection
or sinusitis
or foreign body

38
Q

What should you describe about a discharge of the nose?

A

character (watery, mucoid, purulent, crusty, blood)
amount
color
unilateral/bilateral

39
Q

What might indicate CSF fluid leakage?

A

unilateral watery discharge after head trauma

40
Q

What might indicate a foreign body in the nose?

A 
unilateral
purulent
thick
greenish
malodorous discharge
41
Q

Is a geographic tongue normal?

A

Yes

42
Q

A smooth red tongue w/ a slick appearance may indicate what?

A

Vit B12 déficiencey

43
Q

What might your tongue look like after antibiotic therapy?

A

hairy
yellow-brown–>black
elongated papillae

44
Q

If the tongue deviates to one side what might that indicate?

A

tongue atrophy

hypoglossal nerve impairment

45
Q

How does a normal tongue appear?

A 
dull red
moist 
glistening
anterior: rough
posterior: rugae & thinner mucosa
46
Q

What should the normal ventral tongue look like?

A

pink, smooth, large veins b/w frenulum & fimbriated folds

wharton ducts

47
Q

If the duct of sublingual gland is obstructed what might you see?

A

ranula (mucocele) on the floor of the mouth

48
Q

What does a normal palate look like?

A

whitish hard palate that is dome-shaped w/ transverse rugae

pinker soft palate contiguous w/ hard palate

49
Q

Is it normal to have a bony protuberance–torus palatinus on the palate?

A

Yes.

50
Q

Is it normal to have a nodule that isn’t on the midline of the palate?

A

No.

51
Q

When is a bifid uvula normal? When is it abnormal?

A

Normal: Native Americans
Abnormal: submucous cleft palate

52
Q

When might you see deviation of the uvula to one side or the other?

A

vagus nerve paralysis or peritonsilar abscess

uvula will swing to normal side.

Block 5 POM (4 decks)

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