ENT Lab Flashcards

1
Q

Order of ENT exam

A
inspect external ears
examine internal ears w/ otoscope
test for hearing (whisper test)
inspect external nose
inspect inside of nose
palpate/percuss sinuses
palpate lymph nodes (w/ pads of figner)
inspect external mouth
inspect internal mouth (using light)
palpate gums & tongue (w/ gloves)
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2
Q

Structures of external ear to visualize

A
auricle
helix
antihelix
concha
tragus & antitragus
triangular fossa
lobule
external auditory canal
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3
Q

Structures of inner ear to visualize

A
cone of light
umbo
malleus
manubrium
pars tensa
pars flaccida
chorda tympani nerve
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4
Q

How to examine inner ear of adult?

A

pull up, out & posterior

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5
Q

How to examine inner ear of child?

A

pull down, out & posterior

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6
Q

How does a normal tympanic membrane appear?

A

translucent & pearly

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7
Q

What is the umbo?

A

where eardrum meets tip of malleus (from where cone of light fans downward & anteriorly)

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8
Q

What is the pars tensa?

A

portion of drum that is inferior to pars flaccida

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9
Q

Where is the pars flaccida?

A

superior to malleus

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10
Q

Where is the chorda tymapni N located?

A

runs in superior part of inner ear near pars flaccida

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11
Q

Conductive hearing loss

A

external or middle ear problem

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12
Q

Sensorineural hearing loss

A

inner ear, cochlear N, or central brain connections problem

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13
Q

When do you perform the Weber & Rinne test?

A

if pt fails the whisper test

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14
Q

Normal whisper test

A

stand behind pt, have pt occlude 1 ear, dr exhales fully & whispers combo of #s & letters

normal: pt correctly repeats sequence or after 2 sequences, can identify 3 of 6

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15
Q

What is normal finding for Weber test?

A

sound lateralizes to both ears equally

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16
Q

What does abnormal finding for Weber test indicate?

A

if sound lateralizes to 1 ear, it is either conduction loss in that ear or sensorineural loss in opposite ear

17
Q

What does a normal Rinne test indicate?

A

Normal AC>BC (heard sound in front of ear for longer)
abnormal Weber test

sensorineural hearing loss in opposite ear

18
Q

What does an abnormal Rinne test indicate?

A

Abnormal BC>AC or AC=BC
abnormal Weber test

conductive loss to that ear

19
Q

Structures to visualize on external nose

A

ala nasi
columella
vestibule
bridges

note lesions, masses, nasal obstruction, tenderness

20
Q

Structures to visualize on internal nose

A

septum
vestibule
turbinates

21
Q

How does viral rhinitis present?

A

internal nasal mucosa is red or swollen (edema)

22
Q

What is septal perforation associated with?

A

cocaine, meth, trauma, surgery

23
Q

What is the function of turbinates?

A

covered by highly vascular mucous membranes & protrude into nasal cavity

cleanse, humidify & temperature controllers of inspired air

24
Q

Order to palpate lymph nodes

A

preauricular
posterior auricular (superficial to mastoid process)
occipital (base of skull posteriorly)
tonsillar (@ angle of mandible)
submandibular
submental
superficial cervical (superficial to SCM)
posterior cervical (anterior edge of trapezius)
deep cervical chain (deep to SCM)
supraclavicular

25
Q

Normal lymph nodes

A
pea-sized
round/regular shape
spongy consistency
non-tender
mobile
overlying skin is normal
26
Q

Abnormal lymph nodes

A
large
irregular shape
hard consistency
tender
fixed (not mobile)
overlying skin is red, warm & edematous
27
Q

How to palpate frontal & maxillary sinuses

A

frontal: press up under bony brows
maxillary: press up on location of maxillary sinuses

28
Q

Structures to visualize on external mouth

A

lips
philtrum (distance btwn nose & mouth)
vermillion border

29
Q

What is cheilitis associated with?

A

red cracks & corners of mouth

B12 or iron deficiency

30
Q

What are aphthous ulcers?

A

canker sores

31
Q

What is gingivitis?

A

swelling or ulcerations on gums

32
Q

What is torus palatinua?

A

benign lump on hard palate

33
Q

Finding for paralyzed hard/soft palate

A

uvula deviates to opposite side & soft palate does not rise w/ saying “Ah”