Ear, nose throat and neck Flashcards

1
Q

When can you get pain on an otoscopic exam?

A

If pressure is applied in the inner portion of the ear canal

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2
Q

What are normal results for AC and BC?

A

AC>BC

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3
Q

What should you look for if there is malignancy or inflammation is present?

A

regional lymph node involvement

If a node is enlarged/tender, look for a source

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4
Q

What is the Sampter triad?

A

Polyps + Asthma + aspirin/NSAID sensitivity

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5
Q

Nausea and vomiting are common w/ migraine, but what else should you be concerned about?

A

tumor/hemorrhage

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6
Q

What is Meniere’s disease associated with?

A

hearing loss/vertigo

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7
Q

What are characterists of strep throat?

A

anterior lymphadenopathy, no cough and sore throat

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8
Q

What can cause enlargement of the skull?

A

Hydrocephalus, Paget’s disease of bone

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9
Q

If the tug test causes pain, what should you be thinking?

A

Otitis externa

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10
Q

If there is tenderness behind the ear, what should you be thinking?

A

Otitis media

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11
Q

What can cause conductive HL?

A
  • otitis externa
  • obstruction of the ear canal
  • bacterial OM
  • serous OM
  • otoscleroris
  • perforated TM
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12
Q

What can cause sensorineural HL?

A
  • sustained exposure to loud noise
  • drugs/chemotherapy
  • infections of the inner ear
  • trauma
  • tumors
  • congenital and hereditary disorders
  • presbyacusis
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13
Q

What does the Weber test check for?

A

lateralization of HL

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14
Q

What should you suspect if sound lateralizes to the impaired ear in the Weber test?

A

conductive hearing loss

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15
Q

When should you be concerned about sensorineural HL on the contralateral side in the Weber test?

A

If there is lateralization of the sound to the impaired ear with no visible reason for conductive hearing loss

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16
Q

What is angular cheliits?

A

maceration of the skin at the corners of the mouth due to overclosure of the mouth

17
Q

What can cause rhinorrhea?

A

AR, rebound congestion, medications, sinusitis, deviated septum, FB, tumor

18
Q

what can cause epistaxis?

A

trauma, inflammation, drying, tumor, FB, bleeding disorders

19
Q

What is a goiter?

A

enlarged thyroid gland

20
Q

Which turbinates can you visualize on exam and what abnormalities could you see?

A
  • middle and inferior

- boggy/pale mucosa, hypertrophy, rhinorrhea, masses, prominent vessels

21
Q

What are characteristics of Nephrotic syndrome?

A
  • facial edema
  • pale
  • puffy
    (could be due to obesity, Diabetes, neoplasm, mumps)
22
Q

What are characteristics of myxedema?

A
  • puffly, dull facies, non pitting periorbital edema; dry, sparse hair
    (extreme hypothyroidism)
23
Q

Characteristics of parotid gland enlargement?

A

swelling obscures ear lobe

obesity, diabetes, neoplasm, mumps