Lab Final Flashcards

1
Q

hypertrophy of skin and sebaceous glands of the nose is called

A

Rhinophyma

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2
Q

Rhinophyma is associated with

A

acne rosacea

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3
Q

Rhinophyma is aggravated by

A

chronic alcohol abuse

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4
Q

Congenital syphilis causes

A

saddle nose
furunculosis
septal abscesses

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5
Q

Leprosy can cause atrophy of

A

nasal structure

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6
Q

A slowly growing ulcerated nodular area can be

A

basal cell carcinoma of the eye
or
lupus vulgaris of TB.

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7
Q

Abnormal respiratory motion is seen in

A

respiratory distress syndrome of the newborn. T

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8
Q

The characteristic ground glass appearance on an X-ray chest films indicates

A

hyaline membrane disease

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9
Q

Flaring of ala nasi can indicate

A

pneumonia

respiratory distress syndrome

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10
Q

Nasal discharge is evaluated for

A

appearance
quantity
character

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11
Q

Nasal discharge usually indicates

A

common cold or allergy

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12
Q

after head trauma causing skull fracture at the cribriform plate there will be

A

CSF in nasal passage

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13
Q

Clear nasal discharge and CSF are differentiated by testing the discharge with

A

glucose oxidase paper

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14
Q

Glucose is present in

A

CSF

shows color change

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15
Q

Purulent discharge can be associated with

A

foreign body in nasal cavity

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16
Q

Allergy induced purulent discharge x-ray have what type of white cells are present

A

eosinophils

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17
Q

purulent discharge is also present with

A

common cold

prodromal sign of infection

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18
Q

Sinusitis appearance of sinuses on x-rays

A

an be illuminated with a light from your otoscope

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19
Q

Nosebleed: a common cause is

A
  • direct trauma to the most anterior portions of nose (Kiesselbachs plexus)
  • excoriation of cartilaginous septum (picking)
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20
Q

less common causes for nosebleed

A

neoplasm in the nose, nasopharynx or sinus

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21
Q

. Spontaneous nosebleeds are seen in patients with

A

hypertension

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22
Q

Nosebleeds may be

cause by

A
  • acute rheumatic fever
  • hemorrhagic diathesis with
    wide spread echymosis or petechial hemorrhage
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23
Q

Usually patients who are not bleeding from a site in addition to the nose are not suffering from

A

epistaxis secondary to a systemic bleeding disorder.

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24
Q

Spontaneous epistaxis is often a prodromal

sign of

A

typhoid fever

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25
Q

The characteristic of typhoid fever is

A

nocturnal at its peak

bradycardia

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26
Q

Epistaxis is often the presenting sign of patients with

A

Ostler-Weber-Rondeau disease

hereditary hemorrhagic telangectasia

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27
Q

bilateral obstruction can indicate to

A

more serious infection or allergy

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28
Q

Patient can cause own nasal obstruction by chronic use of

A
intranasal epinephrine 
(rhinitis medicomentosa)
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29
Q

Unilateral obstruction can be caused by

A

deviated septum
nasal polyps
foreign body
malignant disease

30
Q

choanae atretic can cause

A

choking at birth

31
Q

Inspect nasal cavity well by using a

A

speculum with a bright ligh

32
Q

Inspecting nasal cavity includes the following regions

A

vestibules
mucosa
inferior and middle turbinate bones
middle meatus and septum

33
Q

As seen on the film, a patient whose nasal pyramid is completely destroyed by tertiary syphilis
allows the view of

A

inferior and middle turbinates
ethmoidal spine
remnant of the vomer

34
Q

nasal mucosa appearance

A

bright red, much redder than mucosa of the mouth,

35
Q

nasal mucosa is often misdiagnosed as being

A

hyperemic

36
Q

bright red appearance is

A

normal physical finding

37
Q

Swollen erectile turbinates are seen in

A

common cold
hyperemic mucosa
characteristic discharge

38
Q

Swollen and pale turbinates indicate

A

allergic rhinitis

39
Q

condition: the turbinates are often atrophic

A

Atrophic rhinitis

40
Q

in Atrophic rhinitis, mucosa is covered with

A

crust and pus

41
Q

Atrophic rhinitis: patient often complains of an offensive odor called

A

ozena

42
Q

the greatest symptom of Atrophic rhinitis

A

ozena

43
Q

Patients with 2 week history of nasal discharge that is not allergy related can indicate

A

ethmoidal and sphenoid maxillary

or frontal sinusitis

44
Q

Gross distortion of nasal anatomy is usually a result of

A

trauma

45
Q

Nasal septum with a perforation can be caused by

A

TB or systemic lupus

46
Q

Commonly Gross distortion is from

A

chronic picking
submucus resection operation
chronic cocaine abuse

47
Q

Cystic fibrosis presents with

A

several edematous boggy saccular masses in nasal passage

48
Q

edematous boggy saccular masses in nasal passage called

A

polyps

49
Q

polyps are seen more commonly in patients with

A

allergic rhinitis

50
Q

Most nasal polyps Occur in

A

middle meatus

51
Q

polyps are often confused with

A

turbinates,

52
Q

polyps characteristic

A

pale
non-tender to touch
move freely on their stalk

53
Q

turbinates characteristic

A

pink
tender to touch
immobile

54
Q

Label the tympanic membrane

A

1

55
Q

A complete examination of ear includes inspection of

A

auricles
auditory canals
tympanic membranes
an estimate of the patient’s hearing

56
Q

Most ear pathologies found on auricle are found upon

A

simple inspection

57
Q

Total aplasia of auricle may or may not be associated with

A

atretic external auditory canal

58
Q

T/F: The shape of the auricle is important

A

True

59
Q

Cutis laxa causes

A

lop ears

60
Q

Visible lumps in pinna are usually gouty tophy from

A

sodium urate crystals.

61
Q

is auricle immune to neoplasia

A

no, but it’s rare

62
Q

A benign cystic mass of EAM can be

A

basal cell carcinoma

63
Q

Wrestlers and boxers with chronic trauma to auricles suffer from

A

bleeding between cartilage and perichondrium

64
Q

Scar tissue collects causing deformity of auricle called

A

cauliflower ear

65
Q

the cause of tinnitus and partial deafness in one ear is

A

impacted cerumen

66
Q

Cerumen is commonly a source of

A

fever as are foreign bodies

67
Q

he external auditory canal may collapse and hearing can be improve by

A

pulling the ear out to open the canal

68
Q

In performing the otoscopic examination pull the ear ________ for adults

A

up and back

69
Q

In performing the otoscopic examination pull the ear ________ for infants

A

down and back

70
Q

most sensitive wall of the ear canal is

A

anterior wall