Exam I HENT

Question 1

Evaluation of the parotid glands at

Answer 1

Sup/Post. to Mandible

Submandibular deep to mandible

Stenson’s Duct-Patortid

Wharton’s Duct-Submandibular

Question 2

Superficial Temporal Artery evaluation

Answer 2

Immediately Ant. to ear

Question 3

Head evaluation

Answer 3

Hair Distribution-sparce or thickness, infestation

Normocephalic, no lesions, erythema or echymosis

Question 4

is the superior portion of TM; Is more flaccid and the location of most spontaneous perforations

Answer 4

The Pars Flaccida

Question 5

Aspect of TM that is usually the most tense

Answer 5

The Pars Tense

Question 6

where the TM meets the tip of the malleus

Answer 6

Umbo

Question 7

Vibrations pass through the air and are transmitted through the TM to the ossicles to the cochlea.

Answer 7

Conductive Phase

Question 8

The cochlea senses and codes the vibrations, and nerve impulses sent to brain through cochlear nerve

Answer 8

Sensorineural Phase

Question 9

Chronic inflammatory lesion; starts out as painful, tender papule on helix or antihelix, ulcerates and crust

R/O Canrcinoma

Answer 9

Chondrodermatitis Helicis

Question 10

A deposit of uric acid crystals associated with Gout. Hard nodule on heli/antehelix;

May change tto chalky white crystals through the skin

Answer 10

Tophi

Question 11

Raised nodules w/ irregular borders; smooth with rolled borders or crusty with scales, telangectatic vessels

Answer 11

Basil Cell carcinoma /Squamous BCC/SCC

Question 12

Temporal Membrane evaluation

Answer 12

• Color Countour
• Light Reflex
• Landmarks
• Valsalva

Question 13

Air conduction which falls within range of human speech

Answer 13

Preferred-512-1024 Hz
Human Range (300-3000 Hz)

Question 14

Place tuning fork firmly on the top of the pt’s head or mid forehead.

Answer 14

Weber Test

Question 15

Conductive Hearing loss is caused by

Answer 15

• Middle ear disease

- Ear compaction= better Bone conduction than A/C

Question 16

Place the base of the fork on the mastoid bone behind the ear and level with the canal

Answer 16

Rinne Test

Question 17

Inner ear problems such as loud noise exposure, inner ear infections, aging, congenital and familial disorders

Answer 17

Sensoryneuro Hearing Loss AC>BC

Question 18

External and middle ear problems such as FOB in canal, otitis media, perforated TM, otosclerosis

Answer 18

Conductive Hearing Loss BC>AC

Question 19

is a convergence of small fragile vessels located superficially on the anterior superior portion septum;

common source of nosebleeds

Answer 19

Kiesselbach Plexus

Question 20

unlike the rest of the cavity, is lined with hair-bearing skin, not mucosa

Answer 20

Vestibule

Question 21

opens onto the buccal mucosa near the upper second molar. Often marked by its own small papillae.

Answer 21

Stenson’s Duct

Question 22

Starts with softening of the skin at the angles of the mouth, followed by fissuring

nutritional deficiency or overclosure of the mouth, as in people with no teeth or ill-fitting dentures

Answer 22

Angular Cheilitis

Question 23

Results from excessive exposure to sunlight and affects primarily lower lip.Outdoor Fair-skinned men affected.

Lip loses its normal color and may become scaly, thickened, and slightly everted. R/O Carcinoma

Answer 23

Actinic Cheilitis

Question 24

Normal sebaceous glands that appear as small yellowish spots in the buccal mucosa or the lips

Answer 24

Fordyce Spots

Question 25

Early sign of measles (rubeola).Small white specks that resemble grains of salt on a red background. Usually appear on buccal mucosa near first or second molars

Answer 25

Koplik's Spots

Question 26

Small red spots that result when blood escapes from capillaries into the tissues. Often caused by accidental biting of the cheek, infection, decreased platelets, or trauma.

Answer 26

Petechiae

Question 27

Yeast infection due to Candida.Thick, white plaques that adhere somewhat to the mucosa. Causes: prolonged antibiotic or corticosteroid use and AIDS

Answer 27

Oral Canididiasis (Thush)

Question 28

Thickened white patch on the oral mucosa that cannot be scraped off. Causes: frequent chewing of tobacco. Leads to cancer

Answer 28

Leukoplakia

Question 29

CN evaluation check gag reflex with tongue blade.

Answer 29

CN IX and X

Question 30

CN Evaluation; Inspect for midline rise of the uvula on phonation. Have patient say “AAAHHH”.

Answer 30

CN X

Question 31

CN Evaluation: Inspect tongue position with protrusion.

Answer 31

CNXII

Question 32

Tonsil Grades

Answer 32

``` Grade 0= All in fossa Grade I = <25% of OP Grade II= <50% of OP Grade III= <75% of OP Grade IV= >75% of OP ```

Question 33

Smooth and often sore tongue that has lost its papillae. | Suggests nutritional deficiency or tx with chemo.

Answer 33

Smooth Tongue (Atrophic Glossitis)

Question 34

within the inner ear senses the position and movements of the head and helps to maintain balance

Answer 34

Labyrinth

Question 35

Firm hypertrophic mass of scar. More common in dark skin patients.

Answer 35

Keloid

Question 36

Dome-shaped lump in the dermis forms a benign closed firm sac attached to the epidermis

Answer 36

Cyst

Question 37

Below each turbinate is a groove named

Answer 37

Meatus

Question 38

drains into the inferior meatus

Answer 38

Nasolacrimal duct

Question 39

drain into the middle meatus (not visible).

Answer 39

Paranasal

Question 40

mucosa is reddened and swollen.

Answer 40

Viral Rhinitis

Question 41

mucosa may be pale, bluish, or red in color

Answer 41

Allergic Rhinitis

Question 42

are pale, semitranslucent masses that usually come from the middle meatus; Chronic Allergic rhinitis

Answer 42

Polyps

Question 43

pass forward and medial on each side of the lingual frenulum.

Answer 43

Wharton's Ducts

Question 44

Intense redness without exudate in oropharynx

Answer 44

Pharyngitis

Question 45

Cancer most commonly occurs on _____ and secondly more often on ________

Answer 45

Sides; Base

Question 46

hairy” yellowish to brown or black elongated papillae on the tongue; Antibiotic Use

Answer 46

Hairy Tongue

Question 47

Fissures appear with increasing age/Down syndrome on tongue

Answer 47

Fissured tongue

Question 48

Tender Lymph nodes suggest

Answer 48

Inflammation

Question 49

Hard or fixed Lymph nodes suggest

Answer 49

Malignancy

Question 50

Palpate Thyroid;Place fingers just below cricoid cartilage Have them swallow and feel the_____ rise up under your finger pads.

Answer 50

Isthmus

Question 51

A soft enlarged Thyriod indicates

Answer 51

Graves disease

Question 52

A firm Thyroid incicates

Answer 52

Hashimoto's Thryoiditis

Question 53

Thyroid Abnormality; Enlarged thyroid gland with two or more nodules suggest a metabolic rather than neoplastic process

Answer 53

Multinodular Goiter

Question 54

ThryoidAbnormality; May be a cyst, benign tumor, or malignancy.

Answer 54

Single Nodule

Question 55

Thyroid Abnormality; Includes the isthmus and lobes. Causes include Grave’s disease, Hashimoto’s thyroiditis, and goiter.

Answer 55

Diffuse Enlargement

Question 56

Point where the TM meets the tip of the Malleus

Answer 56

Umbo

Question 57

First part of the pathway from the external ear through the middle ear_____; Disorder here causes_____

Answer 57

Conductive Phase; conductive hearing loss

Question 58

Second part of hearing pathwayinvolving the cochlea and cochlear nerve is called______ A disorder here causes_______ hearing loss

Answer 58

Sensorineural Phase ; Sensorineural

Question 59

The upper third of the nos is supported by _____ the lower two thirds is supported by______.

Answer 59

Bone; Cartilage

Question 60

Are air filled cavities within the bones of the skull

Answer 60

Paranasal cavities

Question 61

____is a Common symptom with aging; when associated w/ hearing loss and vertigo Supect______

Answer 61

Tinnitis; Menier's

Question 62

Drugs that may cause stuffiness

Answer 62

Oral contraceptives, reserpine , alcohol

Question 63

rhinorrea or congestion, pain or tenderness in face or sinuses indicates

Answer 63

Sinusitis

Question 64

Fever, pharyngeal exudate, lymphodenapathy with absence of cough suggests

Answer 64

Streptococcal Pharyngitis

Question 65

causes of chronic hoarsenes

Answer 65

- Tuberculosis - smoking - Hypothyroidism

Question 66

Is the leading cause of blindness in African Americans and second leading overall

Answer 66

Galucoma

Question 67

Fair hair, Intolerance for temperature and decreased sweating suggests

Answer 67

Hypothyroidism

Question 68

Fine hair, lid lag, Palpitations and involuntary weight loss suggests

Answer 68

Hyperthyroidism

Question 69

More than a third of adults older than 65 have a _____ deficit.

Answer 69

Hearing deficit

Question 70

Nontender nodular swelling covered by normal skin deep in the ear canals suggests

Answer 70

Exostoses

Question 71

The soft palate fails to rise and uvula deviates to opposite side suggests

Answer 71

CN X paralysis

Question 72

Asymmetric protrusion of the tongue suggests

Answer 72

CN XII Lesion

Question 73

Enlargement of a supraclavicular node especially on the left suggests

Answer 73

Metastasis from Thoracic or Abdominal Malignancy

Question 74

A tender tonsillar node high and depp between the mandible and the SCM muscle is probably a

Answer 74

Styloid Process