NSG 6020 EENT Questions and Answers (Updated 2021)

Drooping of the upper eyelid is termed: ptosis 2. 8-year-old c/o itching in the right ear & increased in pain when the pinna is pulled, or the tragus is palpated. Exam reveals slight redness in the ear canal w/a clear ...

Drooping of the upper eyelid is termed: ptosis 2. 8-year-old c/o itching in the right ear & increased in pain when the pinna is pulled, or the tragus is palpated. Exam reveals slight redness in the ear canal w/a clear odorless fluid. This could be suggestive of: otitis externa. 3. A localized staphylococcal infection of the hair follicles at the lid margin is suggestive of: a hordeolum 4. What connects the middle ear to the nasopharynx? The proximal end of the eustachian tube 5. When a light beam shines into one pupil causing pupillary constriction in that eye, the term used is: direct reaction to light 6. A Pt is able to recognize distant objects but has difficulty reading a book’s small print. This describes: hyperopia 7. A Pt is able to read a magazine w/o difficulty but cannot distinguish distant objects. This describes: myopia 8. A child presents w/a c/o left earache that worsens w/ head movement. Findings on exam include temp of 102F, cellulitis behind the left ear. These findings are consistent w/: mastoiditis 9. The gradual loss of vision w/a change in color and size of the optic disc is referred to as: glaucoma 10. A nodular protuberance that points backward over the entrance to the ear canal is called the: Tragus 11. Which disorder of the eye can be detected w/the cover-uncover and the Hirschberg test? Strabismus 12. The mouth of a ten-month-old infant has white patches on the mucosa that cannot be removed. These patches are consistent w/: thrush 13. A condition of the sclera that appears as localized ocular inflammation of the episcleral vessels is most likely: episcleritis 14. In order to exam the tongue, ask the Pt to stick out his tongue & w/the examiner’s right hand: grasp the tip of the tongue gently pull it to the left side, and inspect the side of the tongue 15. Person’s eye gaze included both eyes moving in the same direction simultaneously: conjugate gaze 16. 35-year-old Pt c/o vertigo accompanied by nausea and vomiting. Exam reveals bilateral diplopia and an unsteady gait. These symptoms could be suggestive of: a neurological condition 17. An example of a cause of conductive hearing loss in children would be: the presence of a peanut in the ear for three weeks 18. Ophthalmoscopic exam of the retina reveals a normal arteriovenous crossing. This appears as if the: vein crosses beneath the artery 19. 50-year-old Pt presents w/ c/o seeing double bilaterally. Exam reveals a vertical diplopia. This maybe suggestive of a: palsy of cranial nerve III or IV 20. Ophthalmoscopic exam of the retina reveals AV tapering. This appears as if the: vein “wind” down on either side of the artery 21. A condition that involves optic nerve damage and visual field changes is termed: glaucoma 22. The most common cause of bacterial pharyngeal infection in children is: group A beta- hemolytic streptococcus 23. Janeway lesions of the palms and soles appear as: small, nontender, erythematous nodules 24. A softening of the skin at the angles of the mouth which maybe due to nutritional deficiency is commonly referred to as: angular cheilitis 25. The maxillary sinuses: surround the nasal cavity 26. Sudden bilateral and painful visual loss is rare but can be associated w/: radiation exposure 27. Eversion of the upper eyelid can be performed by placing the cotton applicator on the upper lid above the level of the internal tarsal plates and then: gently push down w/the stick and left the lashes up & flip the lid inside out 28. On Ophthalmoscopic exam of a 70-year-old, a thin grayish white arc is noted on the lower end of the cornea. This appearance is referred to as a: corneal arcus 29. 50-year-old Pt c/o being unable to read the hymnal at church. This describes: presbyopia 30. The ossicles are located in the: middle ear 31. On physical exam, an abnormal Rinne test might indicate: impaired hearing ability 32. With transillumination of the frontal sinuses, a dim red glow is observed on the forehead. This dim red glow would be indicative of: clear frontal sinuses 33. The nasolacrimal duct drains into the: inferior meatus 34. All of the following symptoms in a 10-month-old would be indicative of acute otitis media (OM) except: increased mobility of the TM 35. In the normal ear, all of the following landmarks ca be visualized when using the otoscope, except the: eustachian tube 36. When examining the conjunctiva and sclera, have the Pt look upward and then: depress both lower lids w/your thumbs, exposing the sclera and conjunctiva 37. In Pts who have allergic rhinitis, the nasal mucosa appears: pale 38. Fordyce spots or granules are considered: normal sebaceous glands of the buccal mucosa 39. In order to visualize the opening of Stensen’s duct, examine the: buccal mucosa opposite the second molar 40. 30-year-old Pt presents w/a moderated “aching” in his right eye. Findings reveal a small and irregular shaped right pupil. The cornea appears cloudy w/a slight erythematous area around the corneal limbus. There is no ocular discharge noted. These findings are consistent w/: acute iritis 41. Miosis is a term used to described: constriction of the pupils 42. Most of the paranasal sinuses drain into: middle meatus 43. A condition in which the eyes are not properly aligned w/each other is termed: strabismus 44. Current indications for tympanostomy tube placement include all of the following except which one? Persistent serous otitis media (SOM) that has not responded to a 3-6 weeks course of medical treatment 45. A man w/a history of long term use of chewing tobacco presents, w/a mouth lesion that is suspicious for malignancy. Oral assessment findings described: an ulcerated lesion w/ indurated margins on the lateral tongue 46. Children who pick their noses are at a higher risk for development of: epistaxis 47. A teenage c/o itching and burning of his eye. Examination reveals an erythematous eyelid margin w/ crusting and a clear mucus discharge. These findings are consistent w/: blepharitis 48. A Pt w/ diagnosed as being farsighted. The term for this condition is: hyperopia 49. Ptosis is defined as: drooping of the eyelid 50. Actinic cheilitis is a condition of the lower lip most commonly seen in: fair-skinned men who work outdoors 51. 30-year-old Pt present w/ c/o seeing double in the right eye. Exam reveals diplopia in the right eye when the left eye is closed. This maybe suggestive of: a problem in the cornea 52. On exam of the tympanic membrane, red bulging ear drum is detected. This is consistent w/: acute otitis media 53. The ethmoidal sinuses: are located between the eyes 54. 45-year-old Pt c/o vertigo, tinnitus, and pressure in the right ear. These symptoms are consistent w/: Meniere’s disease 55. When examining the eyes, both pupils appear small and have an irregular shape. They are noted to accommodate but do not appear to react to light. This could be indicative of: Argyll Robertson pupils 56. The lacrimal puncta are located: along the margin of the upper and lower eyelids 57. If there is an abnormal protrusion, what condition should be suspected if there is an abnormal protrusion of the eye? Graves’ disease 58. Mydriasis is a term used to describe: dilation of the pupils 59. A toddler w/a suspected hearing loss would: likely communicate through gestures 60. 6-year-old child presents w/ sore throat, difficulty swallowing and a temp 102F. Findings reveal lymphadenopathy and pharyngeal erythema. This is probably: pharyngitis 61. 60-year-old Pt presents with severe, deep left eye pain. Findings reveal dilated and fixed left pupil and the cornea is cloudy. There is no ocular discharge noted. These findings are most likely consistent w/: acute angle closure glaucoma 62. Where in the mouth would reddened areas, nodules, or ulcerations that are suspicious of malignary be present? Tongue 63. Ophthalmoscopic examination of the fundus reveals small, rounded, slightly irregular red spots embedded in the retina. These findings are consistent w/: deep retinal hemorrhages 64. On ophthalmoscopic exam of the older adult, there is an increased cup-to-disc ratio: This findings is suggestive of: open angle glaucoma 65. Leukoplakia was noted during an exam of the mouth. This symptom may be: precancerous 66. Ectropion is defined as: an outward turning of the lower eyelid