HEENT

Question 1

Headache that is severe and sudden onset, consider

Answer 1

subarachnoid hemorrhage or meningitis

Question 2

New and persisting, progressively severe headaches raise concerns of

Answer 2

tumor, abcess, or mass lesion

Question 3

Flashing lights or new vitreous floaters of the eye suggest:

Answer 3

detachment of vitreous from retina

Question 4

People with this hearing loss have trouble understanding speech, often complaining that others mumble, and noisy environments make hearing worse.

Answer 4

sensorineural

Question 5

This hearing loss may be helped by a noisy environment

Answer 5

conductive

Question 6

Pain that occurs in the external canal of the ear main indicate:

Answer 6

otitis externa

Question 7

Pain that occurs in the inner ear and is usually accompanied by respiratory infection:

Answer 7

Otitis media

Question 8

Unusually soft wax, debris from inflammation or rash in the ear canal, or discharge through a perforated eardrum is present in:

Answer 8

acute or chronic otitis media

Question 9

tinnitus in associating with hearing loss and vertigo is indicative of:

Answer 9

Meniere’s disease

Question 10

sensation of true rotational movement of the patient or surroundings is:

Answer 10

vertigo

Question 11

feeling light headed, weak in the legs, or about to faint is:

Answer 11

presyncope

Question 12

Presyncope is associated with:

Answer 12

arrhythmia, ortho hypo, vasovagal stimulation

Question 13

URI symptoms that last greater than 7 days, purulent drainage, and facial pain

Answer 13

Acute Bacterial Sinusitis

Question 14

Nasal stuffiness could be caused by

Answer 14

oral contraceptives, reserpine, alcohol, cocaine

Question 15

Hoarseness lasts more than 2 weeks, you should

Answer 15

refer to ENT

Question 16

This commonly occompanies pharyngitis

Answer 16

enlarged tender lymph nodes

Question 17

intolerance to cold, preference for warm clothing and many blankets, and decreased sweating suggests

Answer 17

hypothyroid

Question 18

intolerance to heat, palpitations, and involuntary weight loss suggests

Answer 18

hyperthyroid

Question 19

Cranial nerve III

Answer 19

oculomotor

Question 20

impaired far vision

Answer 20

myopia

Question 21

vision that is 20/200 means

Answer 21

the patient at 20 feet can read print that a normal person can read at 200 feet

Question 22

impaired near vision

Answer 22

presbyopia

Question 23

In the US, a person is considered legally blind when vision in the better eye, corrected by glasses, is

Answer 23

20/200 or less

Question 24

red inflamed lid margins, often with crusting:

Answer 24

blepharitis

Question 25

contraindications for mydriatic drops include:

Answer 25

suspicion of narrow angle glaucoma and head injury in coma

Question 26

hearing disorders of the external and middle ear cause:

Answer 26

conductive loss

Question 27

disorders of the inner ear cause

Answer 27

sesorineural loss

Question 28

movement of the auricle and tragus is painful, and presents with a canal that is swollen, narrowed, pale, and tender. That also may be reddened.

Answer 28

acute otitis externa

Question 29

tenderness behind the ear may be present, with a red buldging drum

Answer 29

otitis media

Question 30

similar to acute otitits media, but skin of the canal is thickened, red, and itchy

Answer 30

chronic otitis media

Question 31

using a tuning fork, sound is heard in (lateralized to) the impaired ear

Answer 31

conductive loss

Question 32

using a tunning fork, sound is heard in the good ear

Answer 32

unilateral sensorineural hearing loss

Question 33

local tenderness, together with pain, fever, and nasal discharge found when palpating frontal sinuses/maxillary sinuses suggests

Answer 33

Acute sinusitis

Question 34

a benign midline lump of the roof of the mouth

Answer 34

torus palatinus

Question 35

any persistent nodule or ulcer, red or white, found on the tongue is suspect and could represent

Answer 35

tongue CA

Question 36

enlargement of a supraclavicular node, especially on the left, suggests

Answer 36

metastasis from a thoracic or abd malignancy

Question 37

tender nodes suggest?

hard/fixed nodes suggest?

Answer 37

inflammation

malignancy

Question 38

a clinician should describe enlarged nodes how

Answer 38

in two dimensions, length and width