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Phys DI > Ex5 > Flashcards

Ex5 Flashcards

1
Q

How long is the external auditory canal?

A

2 1/5 cm ( 1 in)

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2
Q

What gland produces cerumen?

A

Apocrine

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3
Q

What kind of environment does cerumen provide?

A

Acidic pH that inhibits the growth of microorganisms

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4
Q

What transmits sounds from the tympanic membrane to the oval window in the inner ear?

A

Ossicles

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5
Q

What separates the external, ear from the middle ear?

A

Tympanic membrane

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6
Q

What pulls the tympanum in at the center (umbo)

A

Malleus

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7
Q

What part of the tympanic membrane is more flaccid?

A

The superior portion

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8
Q

The Eustachian tube drains into what?

A

Posterior aspect of the inferior turbinate

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9
Q

The cochlea transmits sound impulses to where?

A

CN viii

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10
Q

Where are equilibrium receptors in the middle ear found?

A

Semicircular canals and vestibule

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11
Q

What are know an tastebuds?

A

Fungifrom

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12
Q

What are parroted gland outlets that open on the buccaneers mucosa opposite the second molar on each side of the upper jaw?

A

Stensens ducts

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13
Q

What are outlets of the submandibular glands that open on each side of the frenulum ?

A

Wharton ducts

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14
Q

Development of the inner ear occurs when?

A

First trimester

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15
Q

What is different about a child’s Eustachian tube?

A

Shorter, wider, and more horizontal

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16
Q

Sphenoid sinuses are present when?

A

5 years

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17
Q

Front sinus develop when?

A

7 to 8 years

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18
Q

During pregnancy what may cause increased vascularity off the upper respiratory tract. Capillaries of the nose, pharynx and Eustachian tube become engorged.

A

Estrogen

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19
Q

What percent of adults older that 65 have hearing loss?

A

A third

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20
Q

Age related hearing is associated with what?

A

Degeneration of hair cells in the organ of courti, loss of cortical neurons, and degeneration of chochlear conductive membrane

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21
Q

Sensorineural hearing loss first occurs with what kind of sounds?

A

High frequency

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22
Q

Conductive hearing loss may be a result of what?

A

Excess bone deposition, causing the fixation of the stapes to the oval window, cerumen impact ion, sclerotic tympanic membrane

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23
Q

Loss of olfaction begins around age?

A

60

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24
Q

Loss of taste beings deteriorating around age?

A

50

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25
Q

what cells in the organ of courti detect sound vibrations and send the info to CN VIII?

A

hair cells

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26
Q

What bones form the nasal bridge ?

A

frontal and maxillary

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27
Q

what forms the nasal floor?

A

hard and soft palate

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28
Q

what forms the nasal roof?

A

frontal and sphenoid bones

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29
Q

the inferior meatus drains the?

A

nasolacrimal duct

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30
Q

the middle meatus brains the ?

A

paranasal sinus

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31
Q

the superior meatus drains the?

A

posterior ethmoid sinus

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32
Q

what results from blunt trauma and necrosis of the underlying tissue?

A

cauliflower ear

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33
Q

A lateral posterior angle of more than____of the auricle ?

A

10%

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34
Q

a low set auricle may indicate?

A

chromosomal aberrations or renal disorders

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35
Q

a purulent, foul smelling discharge is assoiacted with what?

A

otitis externa, perforated acute otitis media, foreign body.

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36
Q

a bloody or serous discharge is suggestive of what?

A

skull fracture

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37
Q

what way do you pull the auricle when doing and otoscopic exam ?

A

up and back

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38
Q

wet cerumen is a genetic trait and is found in who?

A

whites and blacks

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39
Q

dry cerumen is found as a grayish flake and is seen in who?

A

asians and native americans

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40
Q

when should you not perform water irrigation?

A

otitis externa

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41
Q

no movement with positive and negative pressure may be a sign of?

A

acute otits media or otitis media with effusion

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42
Q

when doing a whisper test the patient should be able to repeat back to you what percent of the sounds you made

A

50%

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43
Q

the weber test helps assess what?

A

unilateral hearing loss

44
Q

air conducted sound would be heard ______as long as bone conducted?

A

twice

45
Q

what is meniere disease?

A

loss of hearing, tinnitus, vertigo

46
Q

nasal flaring is associated with what?

A

respiratory distress

47
Q

a foreign body in the nose is associated with what?

A

unilateral thick, green, malodorous discharge

48
Q

blood discharge from the nose may be caused by what two things?

A

epistaxis, trauma

49
Q

what are signs of cocaine use?

A

rhinorrhea, hyperemia, and edema of the nasal mucosa

50
Q

localized redness in the vestibule is associated with what?

A

furuncle

51
Q

turbinates that appear bluish gray is assorted with ?

A

allergies

52
Q

crusting over the anterior portion of the nasal septum may occur at the site of?

A

epistaxis

53
Q

deep fissures at the corners of the moth may indicated a what deficiency in what? (chelosis)

A

riboflavin def

54
Q

circumoral pallor is associated with what?

A

scarlet fever

55
Q

round, oval or irregular bluish gray macule on the lips and buccal mucosa is associated with what?

A

Peutz-jeghers syndrome

56
Q

clenching the teeth tests what?

A

CN VII

57
Q

what class is when the molars have a customary relationship but the one of occlusion is incorrect because of rotated or malpositioned teeth?

A

I

58
Q

what class is when lower molars are distally positioned ?

A

II

59
Q

what class is when the lower moles are medially positioned ?

A

III

60
Q

leucoedema is seem in almost all of this race?

A

blacks

61
Q

what is a diffuse filmy grayish surface with white streaks, wrinkles, or milky alteration?

A

leuoedema

62
Q

a red spot on the buccal mucosa at the opening of the stensens duct is associated with what?

A

parotitis (mumps)

63
Q

what is a localized gingival enlargement?

A

Epulis

64
Q

gingival enlargement is common in what things?

A

pregnantcy, puberty, vitamin C def, lukemia.

65
Q

protrudence of the tongue tests what CN?

A

XII

66
Q

a smooth red tongue with a slick appearance may indicate what?

A

vitamin b12 def

67
Q

a hairy tongue with yellow brown to black elongated papillae on the dorm sometimes follows what?

A

antibiotic therapy

68
Q

what nerves are being tested when checking the uvula?

A

IX X

69
Q

deviation of the uvula to one side may indicate one of two things?

A

vagus nerve paralysis or peritonsillar abscess (unaffected side for both)

70
Q

a bony protuberance is that occurs bilateral on the lingual surface of the mandible?

A

torus

71
Q

how do you reduce the gag reflex?

A

moisten the blade with warm water

72
Q

what are the symptoms of strep pharyngitis

A

no cough, exudate on tonsils, tender and enlarged anterior node, enlargement of the tonsils

73
Q

what is macroglossia associated with?

A

hypothyroidism

74
Q

what is the most common inflammatory skin disorder?

A

eczematous dermatitis

75
Q

what is associated with thick lichen field pruurtic plaques

A

chronic eczematous dermatitis

76
Q

what is associated with pruitis wheeping vesicles. erythmetaous ?

A

cut eczematous dermatitis

77
Q

what is a deep infection of the pilosebaceous unit

A

furuncle

78
Q

what causes a furnacel?

A

staph

79
Q

what is no well demarcated borders, with lymphageitic steaks and regional lymphadenopathy

A

cellulitis

80
Q

tinea involves what?

A

stratum cornium

81
Q

what is associated with a chrisms tree like pattern?

A

pityriasis rosea

82
Q

what is characterized by well circumscribed, dry, silvery scaling

A

psoriasis

83
Q

what is a chronic and recurrent disease of keratin synthesis ?

A

psoriasis

84
Q

what is associated with, rhinopehyma, telangiectasia, papule in the center of the face area

A

rosacea

85
Q

brown thickening of the skin with a velvety texture

A

acanthosis nigricans

86
Q

mc form of skin cancer

A

basal cell carcinoma

87
Q

what is associated with a shiny nodule that is pearly?

A

basal cell carcinoma

88
Q

what is an elevated growth with a central depression, warlike, irregular borders?

A

squamous cell carcinoma

89
Q

lethal form of skin cancer ?

A

melanoma

90
Q

what does ABCDE stand for for melanoma ?

A

asymmetry, boarders, color, diameter, evolution

91
Q

bluish purple lesion assorted with aids

A

kaposis sarcoma

92
Q

what is sudden rapid, patch loss of hair, ?

A

alopecia areata

93
Q

what is the loss of hair from tight hair styles?

A

traction alopecia

94
Q

what is growth of hair in woman in male distribution

A

hirsutism

95
Q

what is an infection between the nail fold and the nail plate? rippling of nails

A

paronychia

96
Q

yellow nail with no pitting, hyperkeratioic debris

A

onychomycosis

97
Q

what is a central depression of the nail with lateral elevations, associated with iron def, syphillis, dermatoses?

A

koilonchia (spoon nails)

98
Q

what is a transverse depression in the nail bed?

A

beau lines

99
Q

white banding is associated with what?

A

cirrhosis, CCHF, dibetes

100
Q

what is pitting onycholysis, discoloration and sublingual thickening/

A

psoriasis

101
Q

honey colored crush

A

impetigo

102
Q

ice pick scarring

A

acne vulgaris

103
Q

kopek spots

A

measles (rubeola)

104
Q

pinkish red maculopaular lesions =

A

german measles (rubella)

105
Q

loss of scalp hair due to physical manibukation

A

trichotillomania

Phys DI (9 decks)

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