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Special Senses > Final Practice > Flashcards

Final Practice Flashcards

1
Q

The Tympanic reflex, a protective reaction to loud noise, involves which muscle and nerve combination?

A

Tensor Tympani controlled by trigeminal, and stapedius muscles controlled by the facial

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2
Q

Which of the following structures is primarily responsible for maintaining the integrity of the function of the middle ear?

A

Eustachian Tube

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3
Q

In the normal right ear, where do you expect to see the cone of light?

A

5

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4
Q

When the cone of light is seen at 3 o’clock and the manubrium appears to be horizontally oriented, the tympani membrane is most likely….

A

Retracted

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5
Q

A patient presents with an itching external auditory canal and states that when they scratch it they experience a burning pain. You suspect:

A

Otomycosis externa

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6
Q

Swimmer’s ear is most commonly associated with_____

A

Pseudomonas Infection

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7
Q

Which of the following presentation can cause a conductive hearing loss?

A

Tympanosclerosis

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8
Q

A patient presents with bilateral ear pain. They have had an upper respiratory infection for the past 6 days. They just returned from a vacation in the Bahamas. You examine the ears and note bluish-grey tympanic membranes. Given their complaint and the appearance of the membranes you suspect:

A

Acute otitis media

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9
Q

This condition is caused by a reaction of the periosteum resulting from stimulation of the auditory canal by repeated exposure to cold water:

A

Exostosis

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10
Q

What is the correct sequence of events in the development of otitis media?

A

Eustachian tube blockage -> Tympanic Membrane Retraction -> Serous Otitis Media-> Purulent Otiitis Media-> Tympanic Membrane Rupture

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11
Q

Which of the following conditions can be a result of chronic and repeated middle ear infection?

A

Cholesteatoma

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12
Q

An abnormal sensation of movement, usually rotary, associated with difficulty maintaining balance is called:

A

Vertigo

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13
Q

This condition is described to involve recurrences of sudden attacks of whirling vertigo, tinnitus and hearing loss, with nausea and vomiting at the peak. When the attack subsides there is a residual low level tinnitus and a resulting hearing loss. It is called:

A

Menierre’s Syndrome

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14
Q

This condition presents with hyperemic vessels across the tympanic membrane which is usually bulging, landmarks are obscured, with significant pain and the drum may perforate:

A

Acute Purulent Otitis Media

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15
Q

Complication of endolymphatic hydrops include which of the following:

A

Neural Hearing Loss

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16
Q

Complications of repeated purpulent otitis media include:

A

Facial Nerve Paralysis

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17
Q

The perception of sound in the absence of an acoustic stimulus describes:

A

Tinnitus

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18
Q

This condition is often the result of recurrent inner ear infections:

A

Bullous Myringitis

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19
Q

This cyst like mass is filled with cellular debris, has a cottage cheese appearance, and is most common in the middle ear that can spread to the skull and even into the cranium causing CNS dysfunction:

A

Cholesteatoma

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20
Q

The most common cause of conductive hearing loss is:

A

Cerumen

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21
Q

Which of the following conditions is least likely to be associated with tympanic membrane perforation?

A

Cholesteatoma

22
Q

Clear otorrhea seen after head trauma is highly suspicious of:

A

CSF

23
Q

When performing the otoscopic exam, you must take care to not exert pressure on the very sensitive _______ wall of the external canal.

A

Anterior

24
Q

This painful ear condition is associated with vesicles on the tympanic membrane:

A

Bullous Myringitis

25
Q

This condition is a result of repeated blunt trauma to the pinna:

A

Cauliflower Ear

26
Q

These nodules are a result of deposits of uric acid crystals in the pinna:

A

Tophus

27
Q

This condition presents as a small elevation in the rim of the pinna that is a harmless congenital variant:

A

Darwin’s tubercle

28
Q

The fustenberg diet is usually recommended for people who are experiencing complaints related to which of the follw disorder.

A

Labytinthine Hydrops

29
Q

The frequency range that the human ear is most sensitive to is:

A

200 to 2000

30
Q

It is recommended by OSHA that hearing protection be used in which of the following noise exposure situation.

A

> 90 db for >4 hours

31
Q

Hearing loss associated with chronic and prolonged exposure to loud sounds:

A

Starts around 4000hz and spreads with time to the remainder of the frequencies

32
Q

The hearing loss associated with Meniere’s disease.

A

Starts around 200 hz and spreads with time to the remainder of the frequencies.

33
Q

Low Sodium diet for what?

A

Meniere’s Disease

34
Q

The discharge associated with acute rhinitis is:

A

Watery and clear but may turn purulent

35
Q

In allergic rhinitis, the nasal mucosa appears:

A

Pale, swollen and edematous

36
Q

Ozena is associated with:

A

Atrophic Rhinitis

37
Q

Nosebleed is often a simple complaint, however, it can be serious or even life threatening if associated with :

A

Hypertension

38
Q

The primary concern when evaluating spontaneous epistaxis is:

A

To take the patients blood pressure

39
Q

The primary lesion of syphilis is the _______ and is usually located on the ________

A

Chancre, Upper

40
Q

The appearance of the pharynx that is strongly suggestive of strep throat is:

A

bright red mucosa, studded with white or yellow follicles

41
Q

Trench mouth is associated with:

A

fusobacterium ploutivincenti

42
Q

Vincent’s stomatitis is associated with:

A

gum infection and very bad breath

43
Q

Ammonia smelling breath is associated with:

A

Uremia

44
Q

Musky smelling breath is associated with:

A

Liver Disease

45
Q

Black hairy tongue is associated with:

A

Aspergillus Niger

46
Q

White hair tongue is associated with:

A

Candida Albicans

47
Q

Magenta cobblestone tongue is associated with:

A

Riboflavin deficiency

48
Q

Scrotal tongue is associated with:

A

Transverse furrows

49
Q

Geographic tongue is associated with:

A

Transient, denuded patches

50
Q

Strawberry tongue is associated with:

A

red enlarged fungiform papillae

51
Q

Vocal cords subjected to extended vocal abuse can develop____

A

vocal nodules

52
Q

Recommendations given to a patient with laryngitis should include _____

A

Complete vocal rest

Special Senses (1 decks)

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