TEST 1 – EENT (OTALGIA AND NASAL SINUSES)
FINAL EXAM MATERIAL FOR EENT – CUMMULATIVE OVER TEST 1 AND 2
TEST 1 – EENT (OTALGIA AND NASAL SINUSES)
DR. DeGEER
1. Ototoxic agents
□ Can harm the function of the balance organ and hearing organ
2. The pneumatic attachment on the otoscope is used for
□ Evaluating mobility of eardrum
3. Delayed language development, limited vocabulary and short attention span may indicate
□ Hearing loss in a child
4. Nose bleed (epistaxis) is commonly caused by
□ Seeping bleeding from injured capillaries along mucosa of inferior nasal septum
5. Most common cause of acquired conductive hearing loss in children is
□ Otitis media w/ effusion
6. Positive Rinne test bilaterally signifies
□ Sensorineural hearing loss
7. Abnormal finding when performing Weber test is
□ Lateralizing to blocked ear (+) Weber
8. Pathophysiology mechanism for otitis media w/ effusion is
□ Blocked passage of air from middle ear to pharynx
9. Typical otoscopic appearance of an ear w/ OME is
□ Retracted, thin, immobile tympanic membrane w/ visible fluid
10. Two most common causes of hearing loss in adults are
□ Wax impaction and presbycusis
11. Terminal branches of arteries that provide vascular supply to nose are
□ Internal and external carotid arteries
12. Which sinuses that don’t exist in children
□ Frontal sinus
13. Protective roles of the nose are all of the following except
□ Conducting sound waves to the cochlea
14. Which of the following is not a function of the paranasal sinuses
□ Conveying chemicals to olfactory nerves
15. Which sinuses drain through the middle meatus
□ Maxillary, anterior ethmoid, and frontal sinuses
16. Orbital abscesses, seen in children, are most commonly caused by extension of sinusitis of
□ Maxillary sinuses
17. Cartilage of outer ear and nasal septum
□ Are prone to injury/deformity after hemorrhage
18. Ossicles of the ear are located in
□ Middle ear
19. Ossicle that contacts the eardrum is
□ Malleus
20. What cranial nerve traverses the middle ear
□ Facial nerve
21. Referred pain from cervical spine may cause earache by
□ Posterior roots of 2nd and 3rd cervical nerves
22. Common symptom/cause of nasal pathology is
□ Nasal obstruction
23. Another word for nasal hemorrhage is
□ Epistaxis
24. Total loss of smell is called
□ Anosmia
25. Inferior turbinate is seen well and often mimics a
□ Nasal polyp
26. Most reliable test for allergic rhinitis is
□ RAST test
27. Nasal pathology may cause referred head and neck pain via
□ Trigeminal nerve (CN 5)
28. Skin prick tests for allergies are
□ Quite unreliable
29. What is rhinnitis
□ Inflammation of the nose
30. What is the common means of managing nasal allergies
□ Avoidance of the allergen
31. Rhinnitis medicamentosa is
□ Overuse of topical vasoconstrictors
32. Most common causes of referred ear pain in adults are
□ Osteoarthritis of cervical spine and TMJ problems
33. Most common causes of otologic pain in children are
□ OME and AOM
34. Malignant otitis externa is
□ Osteomyelitis of temporal bone due to infection of ear canal (not cancer)
35. Watery ottorhea is typical of
□ Eczema of ear canal
36. Most common complication of AOM is
□ Chronic OME and perforations (Rare complication is mastoiditis)
37. Most common bacterium causing AOM is
□ Streptococcus Pneumonia (pneumococci)
38. Most common infectious organisms causing acute sinusitis are
□ Common cold virus (haemophilus influenza) and streptococcus pneumonia
39. Stiff neck, high fever and severe headaches are key symptoms of
□ Acute meningitis
40. Swimmer’s ear is also called
□ Acute Otitis externa
TEST 2 – EENT (EYES, MOUTH AND THROAT)
1. Glaucoma involves which of the following…
□ Increased intra-ocular pressure
2. Cataracts involve which of the following…
□ Clouding of the lens
3. Pseudomonas keratitis is associated w/
□ Infection of the cornea by improper handling of contact lenses
4. Reiter’s and ankylosing spondylitis are associated w/
□ Autoimmune disease of the iris (iritis) …. Or Keratic Precipitates
5. Most common cause of legal blindness in developed countries is
□ Diabetes Mellitus
6. Conjunctivitis is
□ Inflammation/irritation of the conjunctiva
7. Conjunctival injection (hyperemia) is associated w/
□ Bacterial conjunctivitis
8. Ciliary hyperemia is typical for
□ Immovable vessels encircling the iris and having purulent secretions (bacterial cause)
9. Eye pain is typical for all of the following except…
□ Cataract
10. Rapidly developing loss of vision is typical for all except…
□ Allergic Conjunctivitis
11. Strep throat is a common name for
□ Tonsillitis from streptococcus A bacteria
CASE 1 – 8 year old patient comes into your office w/ red eyes, sore throat, cough, headache and a
temperature above 100 degrees.
12. During your exam you discover movable, dilated blood vessels on the eye bulb. This indicates…
□ Conjunctival Hyperemia
13. The finding in question 12 is most likely caused by…
□ Staph infection secondary to an URI
14. The presentation in case 1 is not typical for…
□ Streptococcus Tonsillitis
15. Allergic conjunctivitis is associated w/ all of the following except…
□ Ciliary Hyperemia
16. Conservative treatment (nutrition advice, rest, antioxidants, chiropractic adjustments…) is indicated in which of the following…
□ OME – otitis media w/ effusion
17. Immune complications to group A Strep related tonsillitis include…
□ Glomerulonephritis and Rheumatic Fever
18. A loud murmur is heard over the left 5TH ICS in the midclavicular line in a recurrent case of G. A. S. This could explain…
□ Mitral valve stenosis from Strep and scarlet fever
19. What’s true in regard to ear tubes and OM…
□ The cost to insert ear tubes is astronomical
20. Conjunctivitis in neonates in the US is most commonly caused by…
□ Chlamydia Trachomatus
21. Macular degeneration mainly affects which group of people…
□ People over age of 65 yrs.
22. Macular degeneration causes…
□ Difficulty reading
23. Bacterial conjunctivitis should primarily be treated w/…
□ Washing your eyes out w/ water first and then applying a salve
24. Nutritional support for macular degeneration includes…
□ Lutein and Zinc
25. What structure in the neck should be penetrated when a secondary airway is needed…
□ Cricothyroid Membrane
26. Before doing that procedure in #25, what should you do first…
□ Heimlich maneuver
CASE 2 – A 2 year-old boy comes to our office w/ fever, severe dyspnea and inspiratory stridor.
27. In our list of differential diagnoses, what must we include as a possibility…
□ Epiglottidis
28. Haemophilus Influenza can cause…
□ All of the above (meningitis, Epiglottidis, AOM)
29. Streptococcus Pyogens (GAS) is an example of infectious bacteria of what group…
□ Gram (+) bacteria
30. Diphtheria may present w/ severe dyspnea and inspiratory stridor caused by the formation of membranes in the hypopharynx and larynx. What is this condition called…
□ Croup
31. When a person has an URI, how should they handle their contact lenses…
□ Discard them and don’t put in new ones until they are well. Bacteria on your hands could transfer to contact lenses and result in eye infections.
MATCHING:
32. Purulent secretion of the eyes --- Bacterial conjunctivitis
33. Scarlet fever associated w/ --- Strep (GAS) and mitral valve stenosis
34. Function of saliva --- protect teeth (IgA), start digestion process, taste, lubricate food, articulation
35. Function of larynx --- phonation and protection
36. Function of epiglottis and larynx --- protection of respiratory tract
37. Size of pupil due to iritis --- miosis (small pupil)
38. Size of pupil due to acute glaucoma --- mydriasis (large dilated pupil)
39. Unilateral tonsillitis is associated w/ --- cancer
40. Most common agent of tonsillitis --- viral (adults) … bacterial (younger ages)
41. Common cause of loss of sense of taste --- nasal obstruction
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