Lab Refresher: Upper Respiratory Exam

Question 1

Which portion of the external ear is hairy and contains glands to produce cerumen?

Answer 1

Outer portion

Question 2

Identify A and B

Answer 2

A = Triangular Fossa

B = Concha

Question 3

What is the Umbo?

Answer 3

Where eardrum meets tip of malleus; from here cone of ligh fans downward and anteriorly

Question 4

Chorda tympani nerve runs where in the internal ear?

Answer 4

Superior part near pars flaccida

Question 5

To examine the ear which direction do you pull to straighten out the canal in adults vs. kids?

Answer 5

• Adults = pull up, out and posterior
• Kids = pull down, out and posterior

Question 6

Conductive hearling loss is due to a problem where in ear?

Answer 6

External or middle ear problem

Question 7

After doing the Weber test if sound lateralizes to one ear, what are the options for type of hearing loss?

Answer 7

• Either conduction loss in ear sound lateralized to

or

• Sensorineural loss in the opposite ear

Question 8

If Weber was abnormal and Rinne was normal (AC>BC), suspect what?

Answer 8

Sensorineural hearing loss in opposite ear

Question 9

Gentle pressure on tip of nose producing tenderness may indicate what?

Answer 9

Local infection; furuncle

Question 10

What is rhinophyma of the nose?

Answer 10

Acne rosacea

Question 11

Red and edematous vs. pale, bluish or red nasal mucosa is indicative of what?

Answer 11

• Red and edematous = viral rhinitis
• Pale, bluish or red = allergic

Question 12

What is the most anterior part of the nasal cavity called?

Answer 12

Vestibule

Question 13

Which sinus does not open until after 7 years old?

Answer 13

Frontal

Question 14

What’s the sublingual caruncle?

Answer 14

Opening to the sublingual ducts (on either side of lingual frenulum)

Question 15

Cheilitis (red cracks at corners of mouth) indicates what?

Answer 15

B12 or iron deficiency

Question 16

What is Torus palatinus?

Answer 16

Benign lump on hard palate