ENT- nasal examination

Question 1

2 parts to the exam

Answer 1

Inspection

Palpation

Question 2

Inspection- 2 parts

Answer 2

External

Internal

Question 3

What do you use for internal inspection?

Answer 3

Otoscope with a larger speculum

Question 4

External inspection

Answer 4

Skin changes

Deformity- ensure to look at the nose from the front and the sides

Question 5

Internal inspection

Answer 5

Nasal mucosa including septum and nasal cavities, noting the alignment

Question 6

Using an otoscope what should you inspect?

Answer 6

Nasal vestibule
Nasal septum
Nasal turbinates

Question 7

What changes might be present on internal inspection?

Answer 7

Inflammation
Polyps
Asymmetry

Question 8

What do you palpate?

Answer 8

Nasal bones and nasal cartilage

Question 9

Classic signs of orbital blowout fracture to be aware of in trauma are..

Answer 9

infraorbital tenderness
epistaxis
restricted eye movement

Question 10

How can you assess nasal outflow?

Answer 10

Place a metal object or mirror under the nasal cavities and observe misting as the patient breathes out

Question 11

Suggestion for further examination?

Answer 11

Assess sense of smell
Regional lymph nodes
Flexible nasoendoscopy

Question 12

When using an otoscope at the patient to…

Answer 12

hold their breath (so it doesn’t steam up the lens)

Question 13

To assess nasal inflow you..

Answer 13

cover one nostril at a time and ask the patient to sniff in

Question 14

What can also be used to examine the internal nose?

Answer 14

Thudicum’s speculum with a head lamp (but they won’t get you to use this)