Exam 2 study group: (Ears, Mouth, Throat, Nose)

Question 1

What is the color of the Tympanic Membrane?

Answer 1

Pearly Gray

Question 2

Difference between Conductive and Sensorineural Hearing Loss?

Answer 2

Conductive: Mechanical Dysfunction; Sensorineural: Inner Ear and CN VIII Dysfunction

Question 3

What does Presbycusis mean?

Answer 3

Occurs in 50s, slowly progresses, high frequency tone loss, gradual sensorineural loss

Question 4

What does the word Tinnitus mean?

Answer 4

Ringing, Crackling or Buzzing of the Ear

Question 5

When using an otoscope, which way should you pull the pinna for an adult client?

Answer 5

Up and Back

Question 6

What position should the Tympanic Membrane sit?

Answer 6

Flat, pulled in at the center

Question 7

Cone of light in right ear vs left ear?

Answer 7

Right ear: 5 o’clock ; Left ear: 7 o’clock

Question 8

When there is conductive hearing loss, lateralization would be to the bad ear or the good ear?

Answer 8

Bad Ear

Question 9

When there is sensorineural hearing loss, lateralization would be to the good ear or the bad ear?

Answer 9

Good Ear

Question 10

Describe the Rinne Vs the Weber Test.

Answer 10

Rinne: Ratio of air conduction to bone conduction; AC (2)>BC (1)equal bilaterally

Weber: On midline frontal bone/forehead; No lateralization is normal

Question 11

Describe a Negative Romberg Test.

Answer 11

Maintain Safety, 20 seconds, eyes closed, Maintaining balance with mild swaying is normal, investigates balance

Question 12

What is this picture? And what causes it to develop?

Answer 12

Tophi: Small, whitish, nontender modules, uric acid crystals, gout

Question 13

What Cranial Nerve is in charge of smell?

Answer 13

Cranial Nerve I

Question 14

These two pair of sinuses can be examined:

Answer 14

Frontal and Maxillary

Question 15

What are some changes that occur in the nose of a pregnant client?

Answer 15

Rhinitis, Epistaxis (Nose Bleeds), Heightened Sense of Smell

Question 16

What Two cranial Nerves are in charge of Taste?

Answer 16

Cranial Nerve VII, Cranial Nerve IX

Question 17

What are some changes that occur in the mouth of a pregnant female?

Answer 17

Gingivitis, Edema of the vocal cords

Question 18

What are some changes that occur in the mouth of a geriatric client?

Answer 18

Decreased sense of taste and smell, Decreased Production of saliva, Dry mouth (xerostomia), Receding gums, tooth loss

Question 19

Describe the difference between rhinitis and sinusitis.

Answer 19

Rhinitis: clear, watery discharge, dark red and swollen

Sinusitis: Facial pain, purulent drainage, red, swollen mucosa

Question 20

What is Candidiasis?

Answer 20

White, cheesy, curdlike-”thrush” in newborns, antibodies, corticosteroids, immunosuppressed

Question 21

The Uvula as well as the what, should rise upon phonation?

Answer 21

Soft Palate

Question 22

Describe these Tonsils.

1+

2+

3+

4+

Answer 22

1+: Visible

2+: Halfway between pillars and uvula (normal)

3+: Touching Uvula

4+: Touching each other

Question 23

This structure should protrude midline:

Answer 23

Tongue