PE- ear, mouth, head and neck

Question 1

MC type of vertigo. Horizontal nystamus, nausea, or vertigo

Answer 1

Benign Paroxysmal positional vertigo

pop: 50 yo women

Question 2

___: accumulation of endolymph that causes distention of membrane. Recurrent peripheral vertigo (horizontal nystagmus)

Answer 2

meniere’s dz

pop: 40-50 yo

Question 3

(3) causes of peripheral vertigo

Answer 3

= horizontal nystamgus

1. meniere’s dz
2. labyrinthitis
3. cervicogenic

Question 4

(4) causes of central vertigo

Answer 4

= vertical nystamgus

1. brainstem
2. vertical nystagmus
3. pontine tumor
4. acoustic neuroma

Question 5

central vs. peripheral nystagmus

Answer 5

central: gradual onset
- no hearing loss
- severe ataxia
(brainstem, tumor)

peripheral: sudden/ severe
- hearing loss
- gait: fall toward side of lesion

Question 6

___: absence of cone of light

Answer 6

intracranial pressure

Question 7

__: bony exostoses

Answer 7

swimmer’s ear

Question 8

__: red sores at the corner of the mouth. Caused by riboflavin deficiency

Answer 8

angular stomatitis aka cheilosis

Question 9

CN that controls anterior / posterior taste

Answer 9

anterior: Facial N
posterior: glossopharyngeal

Question 10

Motor to the tongue

Answer 10

hypoglossal

Question 11

__: deficiency of B vit (B12) or iron that causes the tongue to appear smooth and glossy

Answer 11

atrophic glossitis

secondary to alcohol

Question 12

___: pre-cancerous white patches in the mouth

Answer 12

leukoplakia

MC location: posteriorlateral

Question 13

___: incr T3/4 and incr antithyroid AB

Answer 13

Graves DZ (hyperthyroidism )

Question 14

___: incr T3/4 decr TSH

Answer 14

Hyperthyroidism

Question 15

__: Decr T3/4 and incr anti-microsomal AB

Answer 15

hashimoto hypothyroidism

Question 16

___ thyroiditis: nodular painful goiter post. viral infection (HLA-Bw35)

Answer 16

DeQuervains thyroiditis

Question 17

___ thyroiditis: post partum thyroid

Answer 17

Silent thyroiditis

Question 18

___ thyroid: normal fxn, but enlarged relacement wth fibrotic tiss

Answer 18

Riedels thyroid