Unit 2 high yield IPA Flashcards

1
Q

Normal weber test results vs abnormal

A

Normal: Sound in both ears equally.
Conductive: Sound lateralizes to affected ear
Sensorineural loss: Sound lateralizes to normal ear (decreased nerve function in affected ear)

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2
Q

Normal Rinne test

A

AC> BC (This is positive, which is normal )
BC>AC =negative Rinne test (always abnormal)

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3
Q

Common causes of conductive hearing loss

A

Wax impaction (cerumen)
Otitis Media (fluid in middle ear space)
Ostosclerosis
TM perforation

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4
Q

What does otitis media usually come with

A

Often comes with URI

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5
Q

Signs of acute otitis media

A
  • Bulging TM (most specific)
  • Loss of Light Reflex
  • Ear Pain, Fever, Hearing loss
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6
Q

If you have Cholestorol deposits in eyelids that are bilateral and in yellow-white plaques, what is this?

A

Xanthelasma

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7
Q

What is Chronic inflammation of the eyelid margins with scaling and crusting?

A

Blepharitis

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8
Q

What is the most common eyelid malignancy?

A

Basal Cell carcinoma (pearly, rolled borders)

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9
Q

Risk factors of Oral Cancer

A

Tobacco, Alcohol consumption, HPV infection

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10
Q

What are white or red patches on the tongue that can’t be scraped off known as?

A

Leukoplakia or erythroplakia

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11
Q

What is an eye concern accompanied by severe pain, decreased vision, mid-dialated pupil, and nausa/vommeting?

A

Acute angle-closure glaucoma

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12
Q

Which eye concern is accompanied by the feeling of something in your eye, light sensitivity, and people who wear contact lenses are at a greater risk of it?

A

Keratitis

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13
Q

What eye concern is accompanied by photophobia, deep eye pain, and a small pupil?

A

Uveitis- often autoimmune releated

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14
Q

High-risk features for foreign body in eye?

A

High-velosity, chemicals, occupation

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15
Q

On fundoscopic exam, if you see blurred disc margins, vessel obscuration, hemmorhages around the disc, and Increased ICP, what is this called?

A

Papilledema-
Characterized by swelling of the optic disc, increased ICP.

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16
Q

You see fluid buildup in the ear. What is this called if there is vs isnt an infection accompanying it?

A

Otitis media if it is infection
Middle ear Effusion without infection

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17
Q

Your patient has chronic granulomatous inflammation of meibomian gland, with a firm nontender nodule. What do they have?

A

Chalazion

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18
Q

What is an acute infection of the eyelid gland with painful, red swelling?

A

Hordeolum (stye)

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19
Q

Describe a geographic tongue and its condition

A

Benign condition, irregular red patches, sensitive to spicy foods

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20
Q

Describe a black hairy tongue

A

Elongated papillae, dark discoloration, often from oral hygiene, can be caused by antibiotics

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21
Q

Which type of tongue disorder can be caused by antibiotics

A

black hairy tongue

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22
Q

Difference between thrush and leukoplakia on the tongue

A

Thrush can be scraped off, leukoplakia can’t be scraped off

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23
Q

You have a patient who wears contact lenses and is complaining about eye pain. Which disorder are you most concerned about

A

Keratitis (inflammation of cornea, most common cause of corneal blindness)

24
Q

If you have a corneal abrasion, what type of test do you have a positive result for?

A

The positive flourescein test.

25
If you have pain in your tragus, is this otitis externa or otitis media
Otitis externa has pain in tragus
26
Most common bacteria to cause otitis externa
psudomoneas argerunosa
27
Allergic vs infectious rhinitis
Allergic: Clear nose, sneezing fits, eye and nose itching, response to antihistamines Infectious: Colored discharge, acute onset, systemic systems
28
If you have a patient who has flashing lights and floaters, accompanied by curtain-like vision loss, with no pain, what do they most likely have?
Retinal detachment- treat as emergency
29
If your patient has a sudden, painless loss of vision that comes on randomy, and has a cherry-red spot on fundoscopic examination, what is likely occuring?
Central Retinal Artery Occlusion
30
What is near vision that decreases progressively over time as we age called?
Presbyopia
31
Common causes of tinnitus?
Noise-induced (go to a very loud concert, etc)., Age-related hearing loss, medication-induced (asprin, antibiotics), Wax impaction
32
How many centemeters above the right atrium is the angle of louis
5cm (that's what we add for JVP)
33
Common causes of thyroid gland enlargement
Grave's disease- enlarged thyroid (hyperthyroid) - Hashimotis diesase (hypothyroid)
34
If you have firm, non-tender and fixed lymph nodes, what is this indicative of?
Malignancy and granulomatous infection
35
If you have rubbery-feeling lymph nodes, what is this indicative of?
lymphoma
36
Which CN tests visual acuity
CN 2 (optic)
37
Which nerves innervate the extra ocular muscles
CN 3, 4, and 6
38
Where do you see a light in the corneal light reflex?
Should see reflection slightly nasal to center of pupils - Tests for esotropia vs exotropia
39
Which eye muscle and nerve move the eye laterally?
Lateral rectus moves it laterally, innervated by CN 6 (abducens)
40
Which eye muscle and nerve move the eye down/rotate internally?
Superior oblique moves eye down when adducted, and rotates internally. Innervated by CN 4 (trochlear)
41
Which eye muscle/nerve move the eye upwards and inwards
CN 3 (occulomotor) Inferior oblique moves up, medial rectus moves in.
42
Hypertropia vs hypotropia
A deviation upward vs a deviation downward
43
Describe how Amblyopia develops
Strabismus ( one eye turned abnormally in a direction) leads to diplopia (double images), which leads to confusion, so the brain suppresses the image which leads to a lazy eye (amblyopia). The brain shuts off that area so they eye is no longer receiving input.
44
What is double vision called and what disorder is it related to in children?
Diplopia is double images, and related to amblyopia (lazy eye) development
45
What part of the eye is implicated in a cataract?
Lens has no more clarity, clouding that causes vision loss
46
What kind of temporary blindness can occur after an eye exam?
Amaurosis Fugax- lack of blood flow to retina b/c of eye exam
47
What is the leading cause of visual impairment and blindness in the USA?
Open-angle glaucoma- gradual loss of vision in peripheral fieds, retinal exam shows increasing size of optic cup
48
What are the 5 different types of red eyes, and which is the most severe?
Conjunctivitis- little pain, treatable. Subconjnctival hemorrhage- looks very scary, not very significant. Corneal infection- Moderate to servere pain, decreased vision, but treateble Acute iritis- Decreased vision, deep aching pain. Refer to urgent care. Acute Angle closure Glaucoma- Immediate emergent refferal, decreased vision and severe, deep pain.
49
Which nerve is impacted in sensorineural hearing loss
CN 8 ( Vestibulochochlear)
50
If you have a patient complaining of hearing loss and they are speaking REALLY loud, is this likely conductive or sensorineural?
Sensorineural hearing loss- hear less by AC and BC, and speak louder.
51
If you have a patient complaining of hearing loss and they are speaking REALLY quiet, is this likely conductive or sensorineural?
Conductive- they hear their own voices well, and think their voice is loud, so they talk quieter,.
52
Which nerve is impaired if your patient comes to you noticing she can't smell anything?
CN 1- olfactory
53
Halitosis vs Xerostomia?
Bad breath vs dry mouth
54
Where do the vocal cords attach in terms of cartilage?
Arytenoid cartilage
55
Which cranial nerve is dysfuncitoning if the patients' tongue is not bilateral, but to one side?
CN 12.
56