Pages: 5-6 (Ear, Nose, Mouth & Throat, Head & Neck) - 6%

Question 1

Benign tumor of CN VIII (called Schwannoma). Hearing loss, tinnitus, vertigo, and presence of tumor on CT or MRI…?

Answer 1

Acoustic Neuroma

Question 2

Bacterial infection in the mastoid process. Present clinically with the same signs and symptoms of acute otitis media, with the addition of inflammation and palpatory tenderness over the mastoid. Hearing loss in commonly associated…?

a. ) Acute Otitis Externa
b. ) Acute Mastoiditis
c. ) Purulent Otitis Media
d. ) Meniere’s Disease

Answer 2

b.) Acute Mastoiditis

Question 3

An infection of the outer ear. Because this condition is often associated with swimming, especially if the water is contaminated, it is frequently referred to as “Swimmer’s Ear”. The individual will experience inflammation and pain of the outer ear. Tugging on the pinna will be painful…?

a. ) Acute Otitis Externa
b. ) Acute Mastoiditis
c. ) Purulent Otitis Media
d. ) Meniere’s Disease

Answer 3

a.) Acute Otitis Externa

Question 4

A brief episode of vertigo brought on by a change of head position…?

a. ) Vertigo
b. ) Presbycussis
c. ) Tinnitus
d. ) Benign Paroxysmal Positional Vertigo

Answer 4

d.) Benign Paroxysmal Positional Vertigo (aka: Otoconia/Canalith’s)

Question 5

What test is used to diagnose a patient with Benign Paroxysmal Positional Vertigo?

Answer 5

Dix-Hallpike Maneuver

• The patient rapidly moves from sitting to supine with the head turned 45 degrees to the left and wait 30 seconds. Repeat on right side if nystagmus is seen. If positive (+): nystagmus, nausea, or vertigo present.

Question 6

What is the procedure is used as treatment for Benign Paroxysmal Positional Vertigo?

Answer 6

Epley’s Maneuver or Canalith Positioning

Question 7

Retraction of the tympanic membrane…?

Answer 7

Eustachian Tube Block

Question 8

A disorder characterized by Recurrent prostrating vertigo, Sensory hearing loss, Tinnitus, and a Feeling of fullness in the ear…?

a. ) Acute Otitis Externa
b. ) Acute Mastoiditis
c. ) Purulent Otitis Media
d. ) Meniere’s Disease

Answer 8

d.) Meniere’s Disease

Question 9

Sensorineural hearing loss that occurs in people as they age and they may be affected by genetic or acquired factors…?

a. ) Vertigo
b. ) Presbycussis
c. ) Tinnitus
d. ) Benign Paroxysmal Positional Vertigo

Answer 9

b.) Presbycussis

THINK: Pres- = “Old Ears”

Question 10

A bacterial or viral infection in the middle ear. The Tympanic Membrane present with a Red appearance, Dilated blood vessels and Bulging…?

a. ) Acute Otitis Externa
b. ) Serous Otitis Media
c. ) Purulent Otitis Media
d. ) Meniere’s Disease

Answer 10

c.) Purulent Otitis Media (aka: Bacterial Otitis Media)

Question 11

An effusion in the middle ear resulting from incomplete resolution of acute otitis media or obstruction of the Eustachian tube. This condition is usually chronic and the fluid is Amber with bubbles…?

a. ) Acute Otitis Externa
b. ) Serous Otitis Media
c. ) Purulent Otitis Media
d. ) Bacterial Otitis Media

Answer 11

b.) Serous Otitis Media

Question 12

The presence of ringing of the ears…?

a. ) Vertigo
b. ) Presbycussis
c. ) Tinnitus
d. ) Benign Paroxysmal Positional Vertigo

Answer 12

c.) Tinnitus

Question 13

An abnormal sensation of rotary movement associated with difficulty in balance, gait, and navigation of the environment…?

a. ) Vertigo
b. ) Presbycussis
c. ) Tinnitus
d. ) Benign Paroxysmal Positional Vertigo

Answer 13

a.) Vertigo

Question 14

NEUROLOGICAL EVALUATION

Weber and Rinne Test
A.) Normal Hearing: _____ and _____?
B.) Conduction Hearing Loss: _____ and _____?
C.) Sensorineural Hearing Loss: _____ and _____?

Answer 14

A.) Equal sound hear bilaterally, AC > BC (Rinne +)
B.) Lateralizes to INVOLVED ear, AC < BC or AC = BC (Rinne -)
C.) Lateralizes to UNINVOLVED ear, AC > BC with less time in bad ear.

Question 15

Red sores at the corner of the mouth that are referred to as Angular Cheilitis. Can be caused by a Vitamin B2 (Riboflavin) deficiency…?

a. ) Atrophic Glossitis
b. ) Angular Stomatitis
c. ) Candidiasis
d. ) Tinea Versicolor

Answer 15

b.) Angular Stomatitis (aka: Cheilosis)

Question 16

A deficiency of Vitamin B9 (Folic Acid) or Iron that causes the tongue to appear Smooth…?

a. ) Atrophic Glossitis
b. ) Angular Stomatitis
c. ) Candidiasis
d. ) Tinea Versicolor

Answer 16

a.) Atrophic Glossitis

Question 17

Thick White Fungal patches that are easily scraped off the tongue…?

a. ) Atrophic Glossitis
b. ) Angular Stomatitis
c. ) Candidiasis
d. ) Tinea Versicolor

Answer 17

c.) Candidiasis (aka: Thrush)

Question 18

Deep furrows on the surface of the tongue that is considered a normal variant…?

a. ) Leukoplakia
b. ) Fissured tongue
c. ) Thrush
d. ) Cheilosis

Answer 18

b.) Fissured tongue (aka: Scrotal Tongue)

Question 19

Pre-cancerous lesions of white patches on the tongue or mouth that are adherent to the surface and not easily removed…?

a. ) Leukoplakia
b. ) Fissured tongue
c. ) Thrush
d. ) Cheilosis

Answer 19

a.) Leukoplakia

Question 20

A condition associated with excessive production of growth hormone beginning in middle age. Results in abnormal growth in the Hands, Feet, and Facial bones…?

a. ) Gigantism
b. ) Acromegaly
c. ) Hyperthyroidism
d. ) Hypothyroidism

Answer 20

b. ) Acromegaly

- Caused by a tumor of the pituitary gland.

Question 21

A condition associated with excessive production of growth hormone prior to skeletal maturation…?

a. ) Gigantism
b. ) Acromegaly
c. ) Hyperthyroidism
d. ) Hypothyroidism

Answer 21

a.) Gigantism

Question 22

Decreased production of thyroid stimulating hormone (TSH) and excess production of thyroid hormones (triiodothyronine/T3 and thyroxine/T4)…?

a. ) Gigantism
b. ) Acromegaly
c. ) Hyperthyroidism
d. ) Hypothyroidism

Answer 22

c.) Hyperthyroidism

Question 23

Hyperthyroidism is the most commonly caused by _____?

a. ) Hashimoto’s thyroiditis
b. ) Cretinism
c. ) Grave’s disease
d. ) Meniere’s Disease

Answer 23

c.) Grave’s disease (autoimmune)

Question 24

A condition in which the thyroid gland doesn’t produce enough thyroid hormone…?

a. ) Gigantism
b. ) Acromegaly
c. ) Hyperthyroidism
d. ) Hypothyroidism

Answer 24

d.) Hypothyroidism (aka: Myxedema)

Question 25

What is the most common cause of Hypothyroidism in the United States…?

a. ) Hashimoto’s thyroiditis
b. ) Cretinism
c. ) Grave’s disease
d. ) Meniere’s Disease

Answer 25

a.) Hashimoto’s thyroiditis

Question 26

This is a condition associated with Congenital hypothyroidism, which causes a diminished physical and mental capacity…?

a. ) Hashimoto’s thyroiditis
b. ) Cretinism
c. ) Grave’s disease
d. ) Meniere’s Disease

Answer 26

b.) Cretinism

Question 27

What are the signs and symptoms of HYPERthyroidism…?

Answer 27

• Weight LOSS with INCREASED appetite
• Irritable and Nervous
• Intolerance to HEAT
• Moist skin and Fine hair
• Exophthalmos
• Possible neck swelling due to GOITER
• Increased T3, T4
• Decreased TSH

Question 28

What are the signs and symptoms of HYPOthyroidism…?

Answer 28

• Weight GAIN with DECREASED appetite
• Depression, Weakness and Fatigue
• Intolerance to COLD
• Coarse/Dry hair and skin
• Periorbital Edema
• Macroglossia and loss of lateral 1/3 eyebrows
• Decreased T3, T4
• Increased TSH

Question 29

Which of the following conditions is also known as Myxedema?

a. ) Gigantism
b. ) Acromegaly
c. ) Hyperthyroidism
d. ) Hypothyroidism

Answer 29

d.) Hypothyroidism