CPD Lab Midterm

Question 1

Examination of Head

Answer 1

1. Hair quality, quantity, dist, baldness, texture
2. Nits, lice.
3. Redness or scaling of scalp.
4. Skull size and deformities, tenderness, lumps
5. Facial expression, symmetry, deformities, tenderness, lumps.
6. Skin color, texture, thickness, hair dist., lesions

Question 2

Examination of Nose

Answer 2

1. Inferior turbinate and inf. border of middle turbinate - color, swelling, polyps.
2. Mucosa - color, swelling, bleeding
3. Septum - deviation or perforation

Question 3

Examination of Sinuses

Answer 3

1. Palpate - pain or tenderness
2. Percuss - pain or tenderness
3. Transilluminate

Question 4

Examination of Mouth - major parts

Answer 4

Lips, buccal mucosa, mucosa, gums/teeth, roof of mouth, tongue

Question 5

Examination of Mouth - Lips

Answer 5

Lips - color, moisture, lumps, cracking, ulcers, lesions

Question 6

Examination of Mouth - Buccal Mucosa

Answer 6

Buccal mucosa - color, pigmentation, ulcers, nodules, leukoplakia, candidiasis,

Question 7

Examination of Mouth - Mucosa

Answer 7

Mucosa - color swelling, bleeding, Stenson’s (parotid) and Wharton’s (submandibular glands)

Question 8

Examination of Mouth - Gums/teeth

Answer 8

Gums/teeth - inflammation, bleeding, retraction, missing teeth, caries, fillings, abnormal shape/position

Question 9

Examination of Mouth - Roof of mouth

Answer 9

Roof of mouth - palpate hard and soft palate (torus)

Question 10

Examination of Mouth - Tongue

Answer 10

Tongue - tongue symmetrical, inspect inferior and lateral tongue.

Question 11

Examination of Pharynx

Answer 11

Depressor middle third of tongue.
Pt says Ahh at different pitches.
Inspect soft palate, pillars, tonsils, uvula, and pharynx for color, symmetry, swelling, exudates.

Question 12

Examination of Lymph Nodes

Answer 12

1. Inspect neck for swelling, tracheal deviation asymmetry
2. Note size shape, mobility, consistency, tenderness of lymph nodes
3. Palpate BL: Pre-auricular, post-auricular, occipital, tonsilar, submandibular, submental
4. Palpate UL: Superficial cervical, posterior cervical, deep cervical, supraclavicular

Question 13

Examination of Thyroid

Answer 13

1. observe
2. swallow water
3. finger on crichoid, swallow to feel isthmus
4. palpate isthmus and lobes
5. note: enlargement, nodules

Question 14

Examination of Ear - Outer

Answer 14

1. Auricle or tragus pain tenderness
2. Mastoid - redness swelling
3. Canal - swelling redness pain d/c

Question 15

Examination of Ear - TM

Answer 15

1. Position - bulging neutral retracted
2. Color - pearly gray, dull, cloudy, amber, red, blue hemorrhage, bullae
3. Cone of light, umbo
4. Bony landmarks - manubrium
5. Insufflation

Question 16

Examination of Ear - Whispered Voice Test

Answer 16

Pt repeats at least 3 of 6 numbers of letters correctly

Question 17

Examination of Ear - Weber

Answer 17

Is there a difference in sensation or hearing in one of the ears.

1. Conductive loss - sound lateralizes to bad ear
2. Sensory loss - sound lateralizes to good ear

Question 18

Examination of Ear - Rinne

Answer 18

When pt no longer hears tuning fork on mastoid, position tuning fork just over ear. Can they hear it?

1. Normal AC >= BC
2. Conductive loss BC>= AC
3. SN loss decrease AC > decrease BC

Question 19

Examination of Eyes - Major Parts

Answer 19

1. Snellen and Rosenbaum charts
2. Peripheral vision
3. Position/alignment/outer eye exam
4. Conjunctiva and Sclera
5. Cornea, iris, ant chamber, lens
6. PERRLA, hippus
7. Extraoccular movements

Question 20

Examination of Eyes - Position/alignment/outer eye exam

Answer 20

1. Exophthalamos (proptosis) - bulging eyes
2. Strabismus (cross-eye)
3. Hirschberg corneal reflex (light reflect same spot both eyes
4. Eyebrows - quanitity, loss outer third, scaling
5. Eyelids - edema, redness, hordeolum, chalazions, blepharitis, eyelashes, dropping of eyelids
6. Lacrimal apparatus - redness, swelling, excess or dry

Question 21

Examination of Eyes - Conjunctiva and Sclera

Answer 21

1. pull down lower lid - look up, to side
2. lift upper lid - look down
3. excessive injection, jaundice, chemosis, local redness, nodularity

Question 22

Examination of Eyes - Cornea, Lens, Anterior Chamber, Iris

Answer 22

1. Oblique lighting - opacities of cornea, lens
2. oblique/tangential lighting - ant chamber blood, pus, or inflammatory cells (flare of iritis)
3. tangential lighting - shadow of iris

Question 23

Examination of Eyes - PERRLA

Answer 23

1. Equal
2. Round
3. Reactive to Light (direct, consensual)
4. Accommodation - constriction, convergence (tip of pen)

Question 24

Examination of Eyes - Extraocular movements

Answer 24

1. H or X
2. Abnormalities in gaze, congruity of gaze, lateral movement (CN 6), inferior/medial movement (CN 4), any other movement (CN 3), strabismus, nystagmus

Question 25

Ophthalmoscopic Exam - Retina

Answer 25

Optic disc - clarity of outline, color, cup/disc ratio A/V crossings - nicking Lesions on retina Macula

Question 26

Ophthalmoscopic Exam - Anterior Chamber

Answer 26

Slit aperture, green diopters | Flare of iritis, hyphema (blood), hypopyon (pus), opacity of lens