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Special Senses > Heady > Flashcards

Heady Flashcards

1
Q

The Tympanic reflex a protective reactions to loud noise involves which muscle and nerve combination

A

Tensor timpani controlled by the trigeminal nerve and stapedius muscle control by the facial nerve

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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 o’clock

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4
Q

In a right ear when the cone of light is seen at 3 o’clock and the manubrium appears to be shortened and horizontally oriented the tympanic membrane is most likely “ blank”

A

Retracted

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5
Q

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

Swimmers ear is most commonly associated with

A

Pseudomonas infection

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7
Q

Which of the following presentations can cause a conductive hearing loss

A

Tympanosclerosis

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8
Q

A 28-year-old male patient presents with bilateral ear pain he has had an upper respiratory infection for the past six days he just returned from a vacation in the Bahamas yesterday you examine his ears and note bluish gray tympanic membranes. Given his 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 aka surfers ear

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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 otitis 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 infections

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

Tinnitus

A

Perception of sound in the absence of an acoustic stimulus

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14
Q

Tympanosclerosis

A

A.k.a. myRingosclerosis a.k.a. intratympanic tympanosclerosis calcification of tissues in the middle ear sometimes resulting in a detrimental effect to hearing

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15
Q

Otalgia

A

Pain inside the ear as well as referred pain to the ear potentially making it difficult to hear

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16
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 residual low-level tinnitus and the resulting hearing loss it is called

A

Menieres syndrome

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17
Q

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

A

Acute purulent otitis media

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18
Q

Complications of endolymphatic hydrops include which of the following

A

Neural hearing loss

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19
Q

Complication of repeated Purulent otitis media

A

Otosclerosis

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20
Q

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

A

Tinnitus

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21
Q

This condition is often the result of recurrent middle ear infections

A

Tympanosclerosis

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22
Q

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

A

Cholesteatoma

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23
Q

The most common cause of conductive hearing loss

A

Excessive cerulean accumulation

24
Q

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

A

Serous otitis media

25
Q

Clear otorrhea seen after head trauma is highly suspicious of

A

Cerebrospinal fluid

26
Q

When performing the otoscopic examination you must take care to not exert pressure on the very sensitive blank wall of the external canal

A

Anterior

27
Q

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

A

Bulbous myringitis

28
Q

The condition is a result of repeated blunt trauma to the pinna

A

Cauliflower ear

29
Q

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

A

Gouty tophi

30
Q

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

A

Darwins tubercle

31
Q

The furstenberg diet is usually recommended for people who are experiencing complaints related to which of the following disorders

A

Labyrinthine hydrops

32
Q

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

A

400 Hz to 4000 Hz

33
Q

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

A

> 90db for >4 hours

34
Q

Hearing loss associated with chronic and prolonged exposure to loud sounds

A

Starts around 4000 Hz and spreads what time to the remainder of the frequencies

35
Q

The discharge associated with acute rhinitis of the common cold is

A

Watery and clear but may turn mucopurulent

36
Q

In allergic rhinitis the nasal mucosa appears

A

Panel swollen and edematous

37
Q

Ozena is associated with

A

Atrophic rhinitis

38
Q

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

A

Hypertension

39
Q

The primary concern when evaluating spontaneous epistaxis is:

A

To determine the location source of the blood

40
Q

The primary lesion of syphilis is the blank and is usually located on the blank lip

A

Chancre, upper!

41
Q

The appearance of the fair next that is strongly suggestive of strep throat is

A

Bright red mucosa started with white or yellow follicles

42
Q

Vincent’s stomatitis (trench mouth) is associated with

A

Gum infection and very bad breath caused by fusobacterium

43
Q

Black hairy tongue is associated with

A

Aspergillus niger

44
Q

White hairy tongue is associated with

A

Candida albicans

45
Q

Magenta cobblestone tongue is associated with

A

Riboflavin deficiency vitamin B9

46
Q

Scrotal tongue is associated with

A

Transverse furrows

47
Q

Geographic tongue is associated with

A

Transient denuded patches

48
Q

Strawberry tongue is associated with

A

Red, enlarged fungiform papillae

49
Q

Vocal chords subjected to extended vocal Abuse can develop

A

Vocal nodules

50
Q

Recommendations given to a patient with laryngitis should include

A

Complete vocal rest

51
Q

A lesion at point 2 on the diagram on the following page will cause which visual defects

A

Left homonymous hemianopsia

52
Q

A lesion at point 6 on the diagram of cars which visual defect

A

Left homonymous hemianopsia

53
Q

Hearing loss associated with Ménière’s disease (syndrome)

A

Starts around 200 Hz and spreads what time to the remainder of the frequencies

54
Q

Ammonia smelling breath is associated with

A

Uremia

55
Q

Musky smelling breath is associated with

A

Liver disease

Special Senses (2 decks)

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