ENT

Question 1

inspection of the auricles

Answer 1

size, shape, symmetry, deformities or lesions

Question 2

note position of the auricles

Answer 2

horizontal and verticle positions

Question 3

inspection of external auditory canal

Answer 3

discharge or odor

Question 4

palpate auricles, tragus, and mastoid area

Answer 4

tenderness, swelling, or nodules

Question 5

inspection auditory canal

Answer 5

cerumen, dischare, scaling, erythema, lesions, foreign body

Question 6

inspect tympanic membrane

Answer 6

landmarks, color, contour perforations,

Question 7

response to questions during history

Answer 7

ability to hear questions without difficulty

Question 8

finger rubbing test bilaterally

Answer 8

hear 3 ft equally in both ears

Question 9

inspection of nose

Answer 9

size, shape, color

Question 10

inspection of nares

Answer 10

discharge, flaring, narrowing, transverse crease at bridge

Question 11

palpate the bridge and soft tissues

Answer 11

tenderness, masses, bone or cartilage displacement

Question 12

patency of nares

Answer 12

difficulty inhaling/exhaling through one or both nares

Question 13

inspect the nasal cavity using nasal speculum

Answer 13

color, discharge, lesion, turbinates, perforations

Question 14

test sense of smell with 2 distinct scents

Answer 14

ability to distinguish scents

Question 15

inspect frontal and maxillary sinus

Answer 15

swelling

Question 16

palpate frontal and maxillary sinus

Answer 16

swelling, tenderness or pain

Question 17

inspect internal and external lips

Answer 17

color, symmetry, edema, lesions

Question 18

inspect buccal/labial mucosa, gums

Answer 18

color, lesions, swelling bleeding

Question 19

inspect teeth (occlusion)

Answer 19

caries, loose or missing teeth

Question 20

inspect tongue

Answer 20

coating, ulcerations, variations in size or color

Question 21

stick tongue out

Answer 21

cranial nerve 11, deviation or tremor

Question 22

inspect the mouth floor, palate and uvula

Answer 22

floor: swelling or nodules. palate: nodules, torus, palatinus. uvula bifid

Question 23

inspection of oropharynx

Answer 23

deviation of uvula, tonsillar size and color.

Question 24

assess soft plate, test CN IX and X

Answer 24

movement of soft palate

Question 25

inspect posterior wall

Answer 25

color, smoothness, exudate

Question 26

palpate lips, buccal, labial mucosa and gums

Answer 26

lesions, plauques, nodules, ulcerations, thickening or masses

Question 27

palpate tongue, floor of mouth and palate

Answer 27

coating, lumps, nodules, ulcerations

Question 28

pneumatic otoscopy

Answer 28

+ TM is immobile

Question 29

Weber test

Answer 29

+ sound lateralizes to: (imparied ear = conductive hearing loss) OR (unaffected ear = sensinerual loss)

Question 30

Rhine test

Answer 30

+ conductive loss BC = AC or BC > AC. (+) sensineural loss AC>BC but less than 2:1

Question 31

Transilliumnate sinuses

Answer 31

(+) absence of light glow through palate or above the eyebrow

Question 32

Peform dix-hallpike maneuver

Answer 32

+ nystagmus usually begins after 5-10 seconds