NSG 6020 HEENT Quiz Flashcards
Where in the SOAP note does the following information go? The patient denies CP, orthopnea, palpations, paroxysmal nocturnal dyspnea
Review of systems (ROS)
The following information is recorded in the health history. The patient has had abdominal pain for one week the pain lasts for 30 minutes at a time the pain comes and goes with a severity of 7 to 9 on a scale of 1-10. This is accompanied by N/V it is located in the mid epigastric area
History of Present illness (HPI)
A 15-year-old high school sophomore comes to the clinic for evaluation for a 3-week history of sneezing, itchy/watery eyes, clear nasal discharge ear pain, and nonproductive cough. What is the likely pathological process
Allergic
A 22-year-old presents for evaluation of joint pain. The pain is new and located in the fingers and wrists bilaterally. The patient denies rash, recent travel, or camping activities. She has a family hx significant for rheumatoid arthritis. Based on this information what pathological process would be most likely?
Inflammatory
Mrs. Donalin who is 86 years old comes for her usual visit for her BP. She is on a low dose of diuretic chronically. She denies any side effects. Her BP is 118/78 today. While you are writing her script she mentions that it is hard not having her husband Bill around. What would you do next?
Ask why Bill is not there?
Alexandria is a 28-year-old who presents to the clinic with abdominal pain. The pain is a dull ache located in the RUQ that she rates at a 3 at the least and 8 at the worst. The pain started a few weeks ago it last 2-3 hours at a time it comes and goes and it seems to be worst a couple of hours after eating. She has noticed that it starts after eating greasy food so she has cut down on these as much as she can. The pain use to occur once a week now it is every other day. Nothing makes it better. From this description which of the 7 attributes of symptoms has been omitted?
Associated manifestions
Glaucoma is the leading cause of blindness in African Americans and the second leading cause of blindness overall. What findings would be noted on fundoscopic examination?
Increased cup to disc ratios
You feel a small mass that you think is a lymph node. It is mobile and moves up and down and from side to side. Which of the following is most likely?
Lymph node
A college student presents with a sore throat, fever & fatigue for several days. You notice exudate on her enlarged tonsils. You do a careful lymphatic examination and you notice some scattered small mobile lymph nodes just behind her sternocleidomastoid muscle bilaterally. What group of nodes is this?
Posterior cervical lymph nodes
Considering the age and presentation of the patient in the prior question. What diagnosis would be placed at the top of your differential Dx list?
Epstein- Barr virus
A light is shined in the patient’s pupil and the pupil contracts. The other pupil also contracts even though it is not exposed to bright light. What term describes this phenomenon?
Consentual reaction
Which of the following is a red flag regarding patients presenting with a headache?
Age over 50
A 49-year-old presents to the office for evaluation of dizziness. You elicit the information that the dizziness is a spinning sensation of sudden onset worsening with head position changes the episodes last for a few seconds then go away. They are accompanied by intense nausea she has vomited one time. She denies tinnitus. You perform a physical exam of the head and neck and know that the patient’s hearing is intact with the Weber & Rinne and there is nystagmus. Her gait is normal. Based on this description which of the following is the likely diagnosis?
BPPV
Which of the following is associated with the chronic use of chewing tobacco?
Leukoplakia
Sphenoid pain is felt where?
Top of the head
