Head and Neck Findings

Question 1

AC/BC are both decreased in one ear

Answer 1

Nerve conduction deafness

Question 2

BC>AC with Rinne test

Answer 2

Serous Otitis Media

Question 3

Bilateral dilated pupils

Answer 3

Cocaine, barbiturate or amphetamine abuse

Question 4

Bilateral pinpoint pupils

Answer 4

Heroin use

Question 5

Bilateral swollen optic discs(papilledema)

Answer 5

Raised intracranial pressure; brain tumor

Question 6

Blue sclera in infant with many fractures

Answer 6

Osteogenesis imperfecta

Question 7

Blurred margins of the macula or pigmentation

Answer 7

Macular degeneration

Question 8

Copper or silver wiring of retinal arterioles

Answer 8

Hypertensive retinopathy

Question 9

Cupped optic disc

Answer 9

Chronic glaucoma

Question 10

Enlarged tongue (macroglossia)

Answer 10

Hypothyroidism in infants

Question 11

Exophthalmos

Answer 11

Hyperthyroidism or orbital tumor

Question 12

Flame hemorrhages and dots (microaneurysms)

Answer 12

Diabetic retinopathy

Question 13

Foul purulent unilateral nasal discharge

Answer 13

Sinusitis or foreign body in nose

Question 14

Goiter with brittle dry coarse hair

Answer 14

Myxedema (hypothyroidism)

Question 15

Goiter with exophthalmos or tachycardia

Answer 15

Graves disease

Question 16

Gray ring around cornea (arcus senilis)

Answer 16

Hyperlipidema

Question 17

Hears better in one ear with Weber test

Answer 17

Problem with one of the ears

Question 18

Large head in child with open fontanelles

Answer 18

Hydrocephalus

Question 19

Lid lag

Answer 19

Hyperthyroidism

Question 20

Loss of red pupil light reflex

Answer 20

Cataract or Neuroblastoma

Question 21

Loss of outer third of eyebrow

Answer 21

Hypothyroidism or leprosy

Question 22

Midline neck mass moves with tongue

Answer 22

Thyroglossal cyst

Question 23

Midline bony mass in the hard palate

Answer 23

Torus palatinus

Question 24

Mucopurulent discharge from ear

Answer 24

Otitis media

Question 25

Nasal septum perforation

Answer 25

Cocaine abuse

Question 26

Pale conjuctiva

Answer 26

Anemia

Question 27

Periorbital edema

Answer 27

Cellulitis, cavernous sinus thrombosis

Question 28

Painful boil on the margin of the eyelid

Answer 28

External stye(hordeolum)

Question 29

Painful red eye with purulent discharge

Answer 29

Conjuctivitis

Question 30

Painful eye with circumcorneal redness

Answer 30

Iritis

Question 31

Painful red eye with tense eyeball

Answer 31

Acute glaucoma

Question 32

Painless boil on the inside of an eyeball

Answer 32

Internal stye(chalazion)

Question 33

Pain on pulling the ear back and upwards

Answer 33

Otitis external

Question 34

Pale swollen bluish nasal mucosae

Answer 34

Chronic allergies

Question 35

Ptosis: bilateral

Answer 35

Myasthenia gravies, Lambert Eaton syndrome

Question 36

Ptosis: unilateral

Answer 36

Horner's syndrome

Question 37

Puffy eyelids especially in the mornings

Answer 37

Renal dysfunction

Question 38

Pupil accommodates but does not react to light

Answer 38

Argyll Robertson pupil (tertiary syphilis)

Question 39

Pupil is dilated and reacts poorly to light

Answer 39

Addie's pupil

Question 40

Pupil is small and constricted (miosis)

Answer 40

Horner's syndrome

Question 41

Red bulging tympanic membrane

Answer 41

Otitis media

Question 42

Retracted tympanic membrane

Answer 42

Eustachian tube blockage

Question 43

Scales on eyebrows

Answer 43

Seborrheic dermatitis

Question 44

Swollen itching eyelids

Answer 44

Blepharitis

Question 45

Tophus on helix of the ear

Answer 45

Chronic gout

Question 46

Tongue-beef red color

Answer 46

Vitamin b12 deficiency

Question 47

Tongue-magenta color

Answer 47

Riboflavin deficiency

Question 48

Tongue-pale

Answer 48

Iron deficiency

Question 49

Triangular fleshy growth in medial side of sclera

Answer 49

Pterygium

Question 50

Turned in or out lower eye lids

Answer 50

Entropion or ectropion

Question 51

Unilateral swollen tonsil with severe sore throat

Answer 51

Peritonsillar abscess

Question 52

Yellow thickening of the bulbar conjuctiva

Answer 52

Pinguecula

Question 53

Vertigo with hearing loss and tinnitus

Answer 53

Ménière's disease

Question 54

Xerophthalmia

Answer 54

Vitamin A deficiency

Question 55

Yellow sclera

Answer 55

Jaundice (icterus) or carotenemia

Question 56

Yellow plaque in upper medial eyelid

Answer 56

Xanthelasma (Hyperlipidemia)

Question 57

AC twice as long as BC

Answer 57

Normal