Final Questions Flashcards

1
Q

Where is the normal cone of light in the normal RIGHT ear?

A

5pm

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2
Q

Where is the normal cone of light in the normal LEFT ear?

A

7pm

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3
Q

What happens to ear when the ear drum is retracted?

A

Manubrium gets horizontally oriented

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4
Q

When the cone of light is at 3 o’clock in a right ear with the manubrium shortened and horizontal what is going on with the tympanic membrane?

A

Tempanic membrane is bulging

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5
Q

Swimmers ear is caused by what microbial agent?

A

Pseudomonas (Gram -)

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6
Q

What is the sequence of events for otitis media?

A
Eustachian tube blockage
Fluid Stasis 
Fluid Infection 
Membrane retraction 
Membrane bulging 
Membrane bursting
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7
Q

What happens to the tympanic membrane when you get chronic, repeated middle ear infections?

A

Scarring (sclerosis)

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8
Q

Define vertigo

A

A feeling of motion when one is stationary

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9
Q

What is the triad of symptoms for Meneire’s disease?

A

Hearing Loss
Vertigo
Tinnitus - ringing in the ears

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10
Q

What is an aka for Meneire’s disease?

A

Endolymphatic Highdrops

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11
Q

A cyst like mass filled with cellular debris with cottage cheese appearance is most common in the middle ear and affects CNS

A

Cholesteatoma

  • medial side of ear drum
  • more tissue on squamous mastoid cells
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12
Q

Most common cause of conductive hearing loss?

A

Wax

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13
Q

What occurs with tympanic membrane perforation?

A

Fluid leaks out and the membrane scars over

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14
Q

What is most likely to be associated with tympanic membrane perforation?

A

Acute Otis Media

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15
Q

Clear drainage from nose after traumatic brain injury would be indicative of what?

A

CSF leak - test with glucose paper test

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16
Q

Repeated blunt force trauma to pinna would cause?

A

Cauliflower ear

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17
Q

Nodules on the pinna from uric acid crystal deposit symbolizes a problem with?

A

Purine metabolism

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18
Q

Name the tiny elevation of the rim of the ear?

A

Darwin’s Tubercle

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19
Q

What does nasal mucosa look like in allergic rhinitis?

A

Clear

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20
Q

Nose bleeds are usually a minor complaint, but can be very serious when it is associated with what disease?

A

Hypertension

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21
Q

What is the primary lesion of syphilis?

A

Chancre

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22
Q

What is the causative agent of syphilis?

A

Trepenema pallidum

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23
Q

What is a nevis?

A

Mole

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24
Q

3 Qs on TNM staging

A
T = tumor size (increase in # (ie T4) = worse)
N = nodal involvement (#increase = worse)
M = Metastasis (#increase = worse)
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25
Q

What is actinic keratosis?

A

Precursor to basal cell carcinomas (skin cancer)

Can scrape off

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26
Q

Macule

A

flat lesion

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27
Q

Papule

A

raised lesion

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28
Q

Pustule

A

lesion containing pus

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29
Q

Vesicle

A

blister-like eruptions

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30
Q

Bullae

A

large, fluid containing lesion

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31
Q

Nodule (aka tumor)

A

hard to the touch

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32
Q

Erythematous

A

skin reddened by congested blood vessels resulting from injury or inflammation

33
Q

Pruritus

A

itching

34
Q

What is it called when you get inflammation of the hair follicle?

A

Folliculitis

35
Q

Cellulitis should be followed by drawing a line of

A

Demarcation

36
Q

What is a blister like eruption called?

A

Vesicle

37
Q

T/F Herpes type 1 is oral in nature

A

True

38
Q

Patient presents with painful red rash that doesnt cross the midline. What other info would aid you in making your diagnosis?

A

History of varicella virus

39
Q

Fungus of the scalp

A

Tinea capitis

40
Q

Fungus of the inguinal region

A

Tinea cruris

41
Q

Fungus of the beard

A

Tinea barbae

42
Q

Fungus of the fingernails

A

Tinea unguium

43
Q

Fungus of the trunk of the body

A

Tinea corpus

44
Q

Thrush is usually associated with

A

Candida albicans and a suppressed immune system

45
Q

Scabies is know as the 7 year itch because

A

the life cycle repeats and the eggs burrow in the skin

46
Q

The appearance on the pharynx that strongly suggests strep throat is

A

bright red mucosa and yellow/white spots

47
Q

What is the grey psudo membrane?

A

Diptheria

48
Q

Difference between basal and squamous lesions

A

Basal is slow growing aka rodent lesion

Squamous is fast growing

49
Q

Penicillin is the most likely cause of what skin irritation syndrome?

A

Steven Johnsons Syndrom

50
Q

What is the most common cause of a decubitous ulcer?

A

Bed sore; demobilization

51
Q

This disorder is characterized by red, cracked, and bleeding scales, mouse-ear deformities, and sausage digits

A

Psoriatic Arthritis

52
Q

The purpose of this structure is to collect and direct sound to the tympanic membrane

A

Auricle

53
Q

The structure that is responsible for maintaining the integrity of the middle ear cavity is the:

A

Eustachian tube

54
Q

Muscle that attaches tympanic membrane and plays a part in the stapedic reflex

A

Tensor tympani muscle

55
Q

Which nerve of the following is not associated with ear pain:

A

CN 11 - Spinal Accessory

56
Q

The symptom associated with systemic lupus and discoid lupus is:

A

Butterfly Lesion / rash

57
Q

This condition can be described as an abnormal perception of sound when no external sound is present:

A

Tinnitus

58
Q

MCC of hearing loss

A

Medication

59
Q

In which of the following conditions is a decrease of sodium in the patient’s diet recommended:

A

Meniere’s Disease

60
Q

WOTF will cause a lateralization to the good ear:

A

Sensorineural hearing loss

61
Q

Denaturation of proteins

A

Cataracts

62
Q

WOTF conditions is often resulting of swimmer’s ear:

A

External Otitis

63
Q

CN responsible for stapedial reflex:

A

Facial

64
Q

Otosclerosis will result in

A

conductive deafness (foot plate of stapes)

65
Q

WOFT presents with vertigo that climaxed in 24-48 hours, nausea and vomiting at the height of the problem, and finds that being in the horizontal position to limit the problem while raising the head induces the problem:

A

acute toxic labyrinthitis

66
Q

Desquamation in the attic of the tympanic cavity producing a mass of cells, keratin, and debris, which can eventually erode bone. Describes as a white casseous mass when observed with an otoscope:

A

Cholesteatoma

67
Q

While testing vibration sense, WOTF vibration tuning fork is applicable:

A

128

68
Q

Pathway for vibration sense:

A

contralateral cortex, ascends same side, crosses in midbrain

69
Q

WOTF is not a cranial nerve lesion:

A

Horner’s Syndrome

70
Q

WOTF CN is involved with extraoccular motion of the right eye toward right lateral gaze:

A

Abducens

71
Q

Muscle involved with extraocular motion of the right eye towards left superior gaze:

A

Inferior Oblique

72
Q

WOTF fundoscopic exam nerve may indicate an increased intracranial pressure:

A

papilledema (most reliable medical finding along with Babinski sign).

Intra-cranial and intra-ocular pressure (20mmhg)

73
Q

Pathway of corneal reflex:

A

afferent 5 efferent 7. Pupillary: 2, 3bilateral

74
Q

Benign change in a nevus (mole):

A

NOTA

75
Q

Lab findings will confirm lupus:

A

ANA

76
Q

Area of fundus visual acuity:

A

Macula

77
Q

Left homonomous hemianopia represents a lesion in the:

A

Right optic tract

78
Q

When performing an otoscopic exam what do you stay off of?

A

Do not put pressure on the ??? wall with the speculum, as it will cause the patient pain