HENT Exam

Question 1

Conductive hearing loss

Answer 1

problem in external or middle ear, disruption of sound waves

Question 2

Sensorinueral hearing loss

Answer 2

problem in inner ear, cochlear nerve, or connection in brain

Question 3

Tinnitus, vertigo, rhinorrhea, epistaxis, goiter, hirsutism

Answer 3

ringing, spinning, drainage from nose, bleeding from nose, enlarged thyroid, excessive facial hair

Question 4

Parts of external ear

Answer 4

Auricle, ear canal, helix, antihelix, lobule, tragus

Question 5

Ear chondritis

Answer 5

Inflammation, very tender

Question 6

Otitis externa

Answer 6

inflammation of outer ear and ear canal, drainage

Question 7

Parts of middle ear

Answer 7

Pars flaccida, light reflex, manubrium, umbo (part holding on to eardurm), pars tensa, malleus may be visible

Question 8

Parts of internal ear

Answer 8

Cochlea, eustachian tube, semicircular canal, stapes, incus, malleus, tympanic membrane

Question 9

Pathways of hearing

Answer 9

sound vibration, ear drum, ossicles of middle ear, cochlea, cochlear nerve, brain

Question 10

Conductive phase

Answer 10

When the sound travels from the external ear through the middle ear

Question 11

Sensorineural phase

Answer 11

When sound travels from cochlea via cochlear nerve to the brain

Question 12

Acute otitis media

Answer 12

inflammed, infected, bulging, no light reflex

Question 13

Serous middle ear effusion

Answer 13

Bubble present, light reflex present, associated with allergies

Question 14

Turbinates

Answer 14

Shelf-like projections from the lateral wall of the nose and are curved bony structures covered by mucous membranes, inferior, middle, superior

Question 15

Sinuses

Answer 15

air-filled and paired extensions of nasal cavities withing the bones of the skull, maxillary, ethmoid, frontal

Question 16

Wharton’s ducts

Answer 16

from submandibular glands open on each side of the tongue’s frenulum

Question 17

Stensen’s ducts

Answer 17

from parotid glands open onto buccal mucosa across from second molar of the upper jaw

Question 18

Ducts of Rivinus

Answer 18

Sublingual gland drain through these smaller ducts

Question 19

Oropharynx

Answer 19

separated from the mouth by the anterior tonsillar pillars

Question 20

Abnormal findings in mouth exam

Answer 20

fissures and corner of mouth, swelling, cold sores, lesions, pale, cyantosis, erythosis (CO poisoning)

Question 21

Cobble-stone

Answer 21

swelling of lymphoid tissue, secondary to allergies

Question 22

Deviation of uvula

Answer 22

Due to dysfunctionof CN IX as result of a stroke

Question 23

Isthmus

Answer 23

Located below thyroid gland, joins lobular glands

Question 24

Lymph nodes

Answer 24

Preauricular, postauricular, occipital, tonsillar, submandibular, submenatl, superficial cervical, supraclavicular

Question 25

Anterior cervical

Answer 25

on top of and beneath sternocleidomastoid; drain: internal structures of throat and posterior pharynx, tonsils, thyroid gland

Question 26

Posterior cervical

Answer 26

along SCMs, but in front of trapezius; drain: skin on the back of the head, enlarged during URI

Question 27

Tonsillar

Answer 27

Just below angle of mandible; drain: tonsillar and posterior pharyngeal region

Question 28

Sub-mandibular

Answer 28

along underside of jaw; drain: the structures in the floor of the mouth

Question 29

Sub-mental

Answer 29

just below the chin; drain: the teeth and intraoral cavity

Question 30

Supra-clavicular

Answer 30

Hollow of clavicle, lateral to where it joins the sternum; Drain: part of thoracic cavity, abdomen