Ears, Nose, Mouth, Throat

Question 1

0-2 months

Answer 1

Startle reflex, calm down to mother’s voice or soft music

Question 2

2-3 months

Answer 2

Change in body movement in response to sounds, change facial expression to familiar sounds

Question 3

3-4 months

Answer 3

Turning eyes and head towards sound

Question 4

6-7 months

Answer 4

Turning to listen to voices and conversations

Question 5

Vertigo

Answer 5

Dizziness or spinning

Question 6

Tinnitus

Answer 6

Ringing or roaring in ear

Question 7

Equipment

Answer 7

EAR
Tunning fork

NOSE
Penlight

MOUTH
Gloves
Penlight
Tongue depressor

Question 8

Inspection of ear

Answer 8

Ear is equal in size, bean like in shape and aligned with outer canthus of the eye

The auricle, tragus and lobules are free of lumps and skin lesions

Color consistent with the face

Question 9

Palpation of the ear

Answer 9

Palpate auricle, tragus and lobule

Apply gentle but firm pressure to the tragus

Question 10

Cerumen

Answer 10

Ear wax

• Dark brown-yellow
• Sticky
• Flaky

Question 11

Auditory Acuity

Answer 11

Wisper test

Weber’s test

Rhine test

Question 12

Wisper Test

Answer 12

Stand approximately 2 feet away

Client has eyes closed and you whisper one or two syllables in ear and client has to repeat

Question 13

Weber’s Test

Answer 13

Using tunning fork to evaluate sound waves through bone

Placed on the patient’s forehead and ask the patient which side they hear the most

Question 14

Rhine Test

Answer 14

Compares air conduction to bone conduction

Placed on mastoid bone and the patient will hear the tunning sound. After it fades, place the tunning fork by client’s ear.

Question 15

Normal findings: weber’s test

Answer 15

Sound waves are transmitted to both ears

Question 16

Abnormal findings: Weber’s test

Answer 16

Unilateral conductive hearing loss: client hears lateralization (sound is louder) to defective ear

Unilateral sensorineural loss: lateralizatiin to normal or better-hearing side

Question 17

Normal findings: Rhine test

Answer 17

Air conduction is normally heard longer to bone conduction

Question 18

Abnormal findings: Rhine Test

Answer 18

Sensorineural hearing loss: bone conduction and air conduction are equal

Conductive hearing loss: bone conduction is greater than air

Question 19

Ear infections

Answer 19

Otitis media

Otitis Externa

Question 20

Inspection of nose

Answer 20

Nose is aligned, central and symmetrical with two nares. Cilia present.

Skin consistent with the rest of the body

No lesions, lacerations or lesions noted

Pink mucous membranes

No drainage/discharge

Question 21

Inspection of mouth

Answer 21

Mouth is central and pink in color. No ulcers, scaliness, cracking or ulcers noted. Mucous membranes of are pink, healthy and moist. Uvula is midline in the back of the mouth.

Client has all 32 teeth without cavities.

Question 22

Palpation of mouth

Answer 22

With gloves, tongue is moist and warm with papillae.

Question 23

Inspection of Neck

Answer 23

Neck is central and normal complexion in comparison to the rest of the body. No lesions, masses laceration or lumps noted. Trachea appears midline.

Question 24

Palpation of neck

Answer 24

Thyroid felt to be midline. Lymph nodes unpalpable without any nodules. Carotid artery 3+ with regular rate and rhythm.

Question 25

Bruits

Answer 25

The sound of blood flowing through a narrowed portion of an artery