Lecture 3: ENT

Question 1

conductive loss

Answer 1

hearing seems to improve in a noisy environment. Pts own voice tends to be soft. Onset usually in childhood/young adulthood.

Question 2

sensorineural los

Answer 2

hearing seems to worsen in a noisy environment. Pt’s own voice tends to be loud. Onset usually in middle/late years. Abnormailty not visual

Question 3

what way do you pull an adults ear/peds ear in an otoscopic exam?

Answer 3

adult: upward and backward
ped: downward and backward

Question 4

weber

Answer 4

lateralization of sound to impaired ear, suspect unilateral conductive hearing loss

Question 5

Rinne

Answer 5

compare time of air vs bone conduction. If bone conduction is equal or greater than air conduction, then suspect conductive loss.

Question 6

Which sinuses can you palpate?

Answer 6

front and maxillary

Question 7

lymph nodes

Answer 7

preauricular, posterior auricular, occipital, tonsillar, submandibular, submental, superficial cervical, posterior cervical, deep cervical chain, supraclavicular

Question 8

What does a tender node mean? hard/non-tender? firm and rubbery?

Answer 8

infx, inflammation
malignancy
lymphoma

Question 9

thyroid exam the neck should be…

Answer 9

flexed slightly forward, index just below cricoid cartilage, ask pt to swallow