Week 7 HEENT

Question 1

signs of a traumatic brain injury?

Answer 1

weakness, numbness, or changes in coordination
N/V
slurred speech
severe confusion/agitation
seizure/loss of consciousness

Question 2

what are symptoms of conjunctivitis?

Answer 2

burning, crusting, itchy, but normal vision

Question 3

what are signs of uveitis?

Answer 3

currently fighting an infection and decreased vision

Question 4

what are symptoms of glaucoma?

Answer 4

severe ache, N/V and decreased vision

Question 5

what are symptoms of corneal trauma?

Answer 5

blurred vision and scratchiness

Question 6

what is presbycusis?
symptoms?

Answer 6

hearing loss caused by old age or exposure to loud sound
higher frequency loss, difficulty hearing, tinnitis

Question 7

what is Meniere’s disease?
symptoms?

Answer 7

disease causing fluid in ear
low frequency loss, episodic hearing impairment, tinnitus, vertigo

Question 8

Acute otisis externa:
causes?
symptoms?
treatment?

Answer 8

inflammation from swimming or trauma
pain, itching, discharge
topical antibiotics

Question 9

acute otisis media:
causes?
symptoms?
treatment?

Answer 9

inflammation in middle ear
ear pain, fever, poor sleep and eating, N/V
systemic antibiotics or TM tubes

Question 10

otisis media with effusion:
causes?
symptoms?
treatment?

Answer 10

severe build up in ear
pain, poor sleep and balance issues
usually no treatment, TM tubes if over 6 months

Question 11

T/F sx of a strep throat typically do not include cough, runny nose, hoarseness, or conjunctivitis

Answer 11

true

Question 12

the Centor Score for Strep Pharyngitis estimates the probability it is caused by strep. what is the test and how do you interpret the score?

Answer 12

Age:
3-14 +1
15-44 0
over 45 -1
Swelling on tonsils:
Yes +1
No 0
Tender/swollen lymph nodes:
Yes +1
No 0
Temp over 38 C (100.4 F):
Yes +1
No 0
Cough:
Present 0
Absent +1

0-1 no testing
Over 3 perform testing/culture

Question 13

what does PERRLA stand for?

Answer 13

Pupils are Equally Round, Reactive to Light & Acommodation

Question 14

what do we use to test visual acuity?

Answer 14

Snellen Chart

Question 15

what is the Weber test?

Answer 15

place tuning fork on top of head to see if pt hears sound best on one side or both sides

Question 16

what is the Rinne test?
what do the results indicate?

Answer 16

vibrate fork on mastoid bone, when they can no longer hear it, transfer to the ear. Ask if they hear the vibrations.
normally, air conduction is longer than the bone conduction
if they hear longer when fork is touching bone, they have conductive hearing loss
if they hear longer when fork is in air, they have sensorineural loss

Question 17

what is the Romberg test?

Answer 17

tests balance, pt should close eyes and stay upright for 30 seconds

Question 18

what do you palpate to feel neck/lymph nodes?
Lymph nodes: double post, pre, OT, double sub, super, deep, supra (10 total)

Answer 18

Thyroid and lymph nodes: posterior auricular, preauricular, occipital, tonsillar. submandibular, submental, posterior cervical, superficial cervical, deep cervical chain and supraclavicular nodes

Question 19

what two sinuses due we palpate?

Answer 19

frontal and maxillary sinus

Question 20

for extraocular movements (EOMs), what muscles are we testing? (easy way to remember?)

Answer 20

do a 360 clockwise -> IMS to ILS… so top right (looking at nose): inferior oblique -> medial rectus -> superior oblique… bottom left (away from nose): inferior rectus -> lateral rectus -> superior rectus