HEENT

Question 1

Cover-uncover test

Answer 1

when eye is covered, it may deviate in (esophoria) or out (exophoria) and return to midline when uncovered

Silbert-Flagg, JoAnne; Sloand, Elizabeth D.. Pediatric Nurse Practitioner Certification Review Guide (p. 31). Jones & Bartlett Learning. Kindle Edition.

Question 2

Corneal light reflex (Hirschberg’s test)

Answer 2

with light held 12–14 inches from eyes, reflection of light should be the same on both corneas; if unequal, it is suggestive of phoria or tropia

Question 3

Child with abnormal red reflex should?

Answer 3

immediately referred to an ophthalmologist for a more complete examination

Silbert-Flagg, JoAnne; Sloand, Elizabeth D.. Pediatric Nurse Practitioner Certification Review Guide (p. 31). Jones & Bartlett Learning. Kindle Edition.

Question 4

Teeht mottling indicate?

Answer 4

excessive fluoride intake

Question 5

Enlarged tonsil normal variation? age?

Answer 5

During childhood, tonsillar hypertrophy is a normal immunological response; largest in size between 8 and 9 years of age and decreases in size after puberty

Asymmetrically enlarged tonsil without infection may suggest tonsillar lymphoma

Silbert-Flagg, JoAnne; Sloand, Elizabeth D.. Pediatric Nurse Practitioner Certification Review Guide (p. 33). Jones & Bartlett Learning. Kindle Edition.

Question 6

Peritonsillar abscess

Answer 6

Inability to open jaw (trismus) associated with fever and sore throat is suggestive of peritonsillar abscess

Silbert-Flagg, JoAnne; Sloand, Elizabeth D.. Pediatric Nurse Practitioner Certification Review Guide (p. 33). Jones & Bartlett Learning. Kindle Edition.

Question 7

What is ankyloflossia?

Answer 7

Tongue tie

Impaired mobility and/or reported difficulty breast or bottle feeding may suggest ankyloglossia (tongue-tie)

Silbert-Flagg, JoAnne; Sloand, Elizabeth D.. Pediatric Nurse Practitioner Certification Review Guide (p. 33). Jones & Bartlett Learning. Kindle Edition.