Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nurp 500: Health Assessment > Week 6- ENT > Flashcards

Week 6- ENT Flashcards

1
Q

Ear development occurs at the same time as ___ development- malformation or dysfunction in one system should alert the healthcare provider to problems in the other.

A

Kidney

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The external ear comprises:

A

Auricle and ear canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In the air filled middle ear these structures transform sound vibrations into mechanical waves for the inner ear:

A

Ossicles- the malleus, the incus, and the stapes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The proximal end of ___ connects the middle ear to the nasopharynx.

A

The Eustachian tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The inner ear includes:

A

The cochlea, the semicircular canals, and the distal end of the auditory nerve (vestibulocochlear nerve or CN VIII)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Movements of the ___ vibrate the perilymph in the labyrinth of the semicircular canals and the hair cells and endolymph in the ducts of the cochlea, producing electrical nerve impulses transmitted by the auditory nerve to the brain.

A

Stapes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The first part of the hearing pathway, from the external ear through the middle ear, is known as:

A

The conductive phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The second part of the hearing pathway, involving the cochlea and the cochlear nerve is:

A

The sensorineural phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

____ describes the normal first phase in the head pathway.

A

Air conduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A vibrating tubing fork, placed on the head, sets the bone of the skull into vibration and stimulates the cochlea directly.

A

Bone conduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

In normal hearing what is more sensitive: bone or air conduction?

A

AC is more sensitive than BC

AC > BC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Nontender modular swellings covered by normal skin deep in the ear canals that are non malignant overgrowths which may obscure the drum:

A

Exotosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Movement of the auricle and tragus (tug test) is painful in:

A

Acute otitis externa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tenderness behind the ear occurs in:

A

Otitis media

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

In an adult, to see the internal structures by straightening the ear canal:

A

Pull the auricle upward, backward, and slightly away from the head.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cone of light in right ear:

A

At 5 o’clock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Cone of light in the left ear:

A

7 o’clock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Most specific and sensitive hearing test?

A

Whispered voice test - sensitivity 90-100% and specificity 70-87%. Defects significant hearing loss of greater than 30 decibels.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

These tests may be done for patients failing the whispered voice test to help determine if hearing loss is conductive or sensorineural:

A

Weber and Rinne

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Weber test is used for:

A

Unilateral hearing loss only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

In unilateral conductive hearing loss sound is heard in what ear with the Weber test?

A

Impaired ear: explanations include otosclerosis, otitis media, perforation of the eardrum, and cerumen.

22
Q

In unilateral sensorineural hearing loss with the Weber test, sound is heard in:

A

The good ear.

23
Q

What tests compares air conduction and bone conduction?

A

Rinne

24
Q

What is normal finding for the Rinne?

A

AC > BC

25
Q

In conductive hearing loss with the Rinne test, sound is:

A

Heard through bone as long or longer than it is through air ( BC = AC or BC >AC)

26
Q

In sensorineural hearing loss with the Rinne test, sound is heard:

A

Longer through air (AC > BC)

27
Q

A pneumatic scope with peds patient allows puff of air to go into air canal and TM should flutter with air; if TM fails to move:

A

Likely middle ear effusion

28
Q

Eustachian tube in peds is:

A

Shorter, wider, and more horizontal than an adults allowing for pathogens from the nasopharynx to migrate through to the middle ear.

29
Q

This part of the ear transmits sound by vibrations of the TM causing the ossicles and oval window to set the inner ear fluids in motion:

A

Inner ear

30
Q

Hair cells in the inner ear transmit impulses to what cranial nerve that then transmits to the brain:

A

CN VII

31
Q

What part of the ear aids in balance?

A

Inner ear

32
Q

Inflammation of the external auditory canal that may be infectious, allergic, or dermatological disease:

A

Otitis externa

33
Q

Acute bacterial infection of the middle ear fluid:

A

Acute otitis media

34
Q

These 3 components must be present to diagnose AOM:

A

Recent, abrupt onset of s/s
Middle ear effusion
Middle ear inflammation i.e. distinct erythema of the TM or distinct otalgia interfering with normal sleep/activity

35
Q

Rhinorrhea occurs with:

A

Colds, allergies, sinus infection, or trauma

36
Q

Unilateral congestion is indicative of:

A

Deviated septum, foreign body, or carcinoma

37
Q

Epistaxis occurs with:

A

Trauma, vigorous nose blowing, foreign body

38
Q

Involves inflammation and secondary infection of the paranasal sinuses and the adjacent nasal mucosa:

A

Rhinosinusitis ( sinus infections)

39
Q

If clinical findings suggest rhinosinusitis radiographs are not needed; however is symptoms are of ___ radiographic imagind should be done.

A

Orbital, intracranial, or soft-tissue abscess

40
Q

In viral exhibits the nasal mucosa is:

A

Reddened and swollen

41
Q

In allergic rhinitis the nasal mucosa is:

A

Pale, bluish, or red

42
Q

Pale, saclike growths of inflamed tissue that can obstruct the air passage or sinuses, seen in allergic rhinitis, aspirin sensitivity, asthma, chronic sinus infections, and CF.

A

Nasal polyps

43
Q

Local tenderness, together with symptoms such as facial pain, pressure or fullness, purulent nasal discharge, nasal obstructions, and smell disorder, especially when present more than 7 days suggest:

A

Acute bacterial rhinosinusitis involving the frontal and maxillary sinuses

44
Q

Men aged greater than 50 years, smokers, and heavy users of chewing tobacco and alcohol are at highest risk for:

A

Cancers of the tongue and oral cavity, usually squamous cell carcinomas on the side or base of the tongue

45
Q

Any persistent nodule or ulcer, red or white (on the tongue) , is suspect, especially if indurated. These discolored lesions represent:

A

Erythroplakia and leukoplakia and should be biopsied

46
Q

Infection of the upper airway relatively brief illness that fairs in severity from sub clinical to severe toxicity caused by group A beta-hemolytic strep.

A

Acute streptococcal pharyngitis

47
Q

Acute streptococcal pharyngitis clinical manifestations:

A

Abrupt onset
Pharyngitis, HA, fever, abdominal pain
Tender anterior cervical lymphadenopathy
Tonsillitis and pharyngeal inflammation and exudate

48
Q

Oral petechia may be due to:

A

Infection or decreased platelets, and trauma

49
Q

A thickened white patch that may occur anywhere in the oral mucosa. This benign reactive process of the squamous epithelium may lead to cancer and should be violated. Another risk factor is HPV.

A

Leukoplakia

50
Q

Acute inflammation and edema formation in the subglottic space.

A

Croup

51
Q

Enlarged supraclavicular nodes is:

A

Always bad (cancer)

Nurp 500: Health Assessment (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions