Final

Question 1

The tympanic reflex, involves which muscle and nerve combination?

Answer 1

Tensor tympani and stapedius muscles, both controlled by facial.

Question 2

Which is primarily responsible for maintaining the integrity of the fxn of the middle ear?

Answer 2

Eustachian tube

Question 3

In the normal RIGHT ear, where do you expect to see the cone of light?

Answer 3

5 o’clock

Question 4

When the cone of light is seen at 3 o’clock and the manubrium appears to be horizontally oriented, the tympani membrane is most likely:

Answer 4

Retracted

Question 5

Patient presents w/ an itching external auditory canal and states that when they scratch it they experience a burning pain. You suspect:

Answer 5

Otomycosis externa

Question 6

Swimmer’s ear is most commonly associated w/:

*

Answer 6

Pseudomonas infection

Question 7

Which of the following presentations can cause a conductive hearing loss?

Answer 7

Tympanosclerosis

Question 8

A patient presents w/ bilateral ear pain. They have had an upper respiratory infection for 6 days. They just returned from a vacation in the Bahamas. You examine the ears and note bluish-grey tympanic membranes. Given their complaint and appearance of membranes you suspect:

Answer 8

Serous otitis media

Question 9

This condition is caused by a rxn of the periosteum resulting from stimulation of the auditory canal by repeated exposure to cold water:

Answer 9

Exostosis

Question 10

What is the correct sequence of events in the development of otitis media?
*

Answer 10

Eustachian tube blockage, fluid stasis, infection of fluid, tympanic membrane retraction, serous otitis media, purulent otitis media, tympanic membrane rupture/burst.

Question 11

Which of the following conditions can be a result of chronic and repeated middle ear infection?
*

Answer 11

Cholesteatoma

or Scarring (Sclerosis) on diff test

Question 12

An abnormal sensation of movement, usually rotatory, associated w/ difficulty maintaining balance is called:

Answer 12

Vertigo

Question 13

This condition is described to involve recurrences of sudden attacks of whirling vertigo, tinnitus and hearing loss, w/ nausea and vomiting at the peak. When the attack subsides there is a residual low level tinnitus and a resulting hearing loss. It is called:

Answer 13

Menierre’s syndrome

Question 14

This condition presents w/ hyperemic vessels across the tympanic membrane which is usually bulging, landmarks are obscured, w/ significant pain and the drum may perforate:

Answer 14

Acute purulent otitis media

Question 15

Complication of endolymphatic hydrops (meniere’s) include which of the following:

Answer 15

Neural hearing loss

Question 16

Complications of repeated purulent otitis media include:

Answer 16

Facial nerve paralysis

Question 17

The perception of sound in the absence of an acoustic stimulus describes:

Answer 17

Tinnitus

Question 18

This condition is often the result of recurrent inner ear infections:

Answer 18

Bullous myringitis

Question 19

This cyst-like mass is filled w/ cellular debris, has a cottage cheese appearance, and is most common in the middle ear that can spread to the skull and even into the cranium causing CNS dysfunction:

Answer 19

Cholesteatoma

Question 20

The most common cause of conductive hearing loss is:

*

Answer 20

Cerumen (Wax)

Question 21

Which of the following conditions is least likely to be associated w/ tympanic membrane perforation?

Answer 21

Cholesteatoma

Question 22

Clear drainage (otorrhea) seen after head trauma is highly suspicious of:
*

Answer 22

CSF

Question 23

When performing the otoscopic exam, you must take care not to exert pressure on the very sensitive ____ wall of the external canal.

Answer 23

Anterior

Question 24

This painful ear condition is associated with vesicles on the tympanic membrane:

Answer 24

Bullous myringitis

Question 25

This condition is a result of repeated blunt trauma to the pinna: *

Answer 25

Cauliflower ear

Question 26

These nodules are a result of deposits of uric acid crystals in the pinna:

Answer 26

Tophus

Question 27

This condition presents as a small elevation in the rim of the pinna that is a harmless congenital variant: *

Answer 27

Darwin's tubercle

Question 28

The fustenberg diet is usually recommended for people who are experiencing complaints related to which of the following disorders?

Answer 28

Labyrinthine hydrops

Question 29

The frequency range that the human ear is most sensitive to is:

Answer 29

20 - 20000 hz

Question 30

It is recommended by OSHA that hearing protection be used in which of the following noise exposure situation:

Answer 30

>85 db for >4 hours

Question 31

Hearing loss associated w/ chronic and prolonged exposure to loud sounds:

Answer 31

Starts around 4000 hz and spreads w/ time to the remainder of the frequencies.

Question 32

The hearing loss is associated w/ meniere's disease (syndrome)

Answer 32

Starts around 200 hz and spreads w/ time to the remainder of the frequencies

Question 33

The discharge associated w/ acute rhinitis is: | *

Answer 33

Watery and clear discharge but may turn purulent

Question 34

In allergic rhinitis, the nasal mucosa appears:

Answer 34

Pale, swollen and edematous

Question 35

Ozena is associated w/:

Answer 35

Atrophic rhinitis

Question 36

Nosebleed is often a simple complaint, however, it can be serious or even life threatening if associated w/: *

Answer 36

Hypertension

Question 37

The primary concern when evaluating spontaneous epistaxis is:

Answer 37

To take the patients blood pressure

Question 38

The appearance of the pharynx that is strongly suggestive of strep throat is:

Answer 38

Bright red mucosa, studded w/ white or yellow follicles.

Question 39

Trench mouth is associated w/:

Answer 39

Fusobacterium ploutivincenti

Question 40

Vincent's stomatitis is associated w/:

Answer 40

Gum infection and very bad breath

Question 41

Ammonia smelling breath is associated w/:

Answer 41

Ketonemia

Question 42

Musky smelling breath is associated w/:

Answer 42

Liver disease

Question 43

Black hairy tongue is associated w/:

Answer 43

Asperfillus niger (fungus)

Question 44

White hairy tongue is associated w/:

Answer 44

Candida albicans

Question 45

Magenta cobblestone tongue is associated w/:

Answer 45

Riboflavin deficiency (B2)

Question 46

Scrotal tongue is associated w/:

Answer 46

Transverse furrows

Question 47

Geographic tongue is associated w/:

Answer 47

Transient, denuded patches

Question 48

Strawberry tongue is associated w/:

Answer 48

Red enlarged fungiform papillae

Question 49

What happens to ear when ear drum is retracted?

Answer 49

Manubrium gets horizontally oriented

Question 50

Definition of vertigo:

Answer 50

A feeling of motion when one is stationary.

Question 51

What is the triad of symptoms of Meneire's disease (aka Endolymphatic hydrops)

Answer 51

Hearing loss, Vertigo, Tinnitus (ringing of ear)

Question 52

Cholesteatoma common in middle ear, cottage cheese appearances, spreads into skull and can affect CNS

Answer 52

Medial side of ear drum; more tissue on squamous mastoid cells

Question 53

Tympanic membrane perforation:

Answer 53

Fluid leaks out and the membrane scars over

Question 54

The nodules you get in the pinna from a deposit of uric acid crystals symbolizes a problem w/:

Answer 54

Purine metabolism

Question 55

Primary lesion of syphilis: Causative agent: *

Answer 55

Chancre; Treponema pallidum

Question 56

What is a nevis?

Answer 56

Mole

Question 57

What is actinic keratosis?

Answer 57

Precursor to basal cell carcinoma - you can scrape it off

Question 58

Vocal chords that are subjected to extended vocal abuse develop vocal nodules. What should you recommend?

Answer 58

Vocal rest

Question 59

What is the layer of skin that lies below the dermis?

Answer 59

Subcutaneous

Question 60

Macule =

Answer 60

Flat lesion

Question 61

Papule =

Answer 61

Raised lesion

Question 62

Pustule =

Answer 62

Lesions containing pus

Question 63

Vesicle =

Answer 63

Blister-like eruptions

Question 64

Bullae =

Answer 64

Large, fluid containing lesions

Question 65

Nodule (aka tumors) =

Answer 65

Hard to the touch

Question 66

Pruritus =

Answer 66

Itching

Question 67

Inflammation of the hair follicle?

Answer 67

Foliculitis

Question 68

Cellulitis should be followed by drawing a line of _____?

Answer 68

Demarcation

Question 69

T/F: Herpes type 1 is oral in nature

Answer 69

True

Question 70

Patient presents w/ painful red rash that doesn't cross the midline. What other information would aid you in making your diagnosis?

Answer 70

History of varicella virus

Question 71

What is the fungus that normally occurs in the scalp known as?

Answer 71

Tinea capitis

Question 72

What is the fungus that normally occurs in the inguinal region?

Answer 72

Tinea cruris

Question 73

What is the fungus that normally occurs on the bearded areas of the face?

Answer 73

No such thing...ok fine: | Tinea barbae

Question 74

What is the fungus that normally occurs under the fingernails

Answer 74

Tinea unguium

Question 75

What is the fungus that normally occurs on the trunk of the body?

Answer 75

Tinea corpus

Question 76

Thrush is usually associated w:

Answer 76

Candida albicans and a suppressed immune system

Question 77

Scabies is known as the 7 year itch b/c:

Answer 77

The life cycle repeats and the eggs burrow into the skin

Question 78

The appearance on the pharynx that strongly suggests strep throat is:

Answer 78

Bright red mucosa and yellow/white spots

Question 79

What is the grey pseudo-membrane?

Answer 79

Diptheria

Question 80

Penicillin is the most likely cause of what skin irritation syndrome?

Answer 80

Steven's johnson's syndrome - allergic to penicillin

Question 81

What is most common cause of a decubitus ulcer?

Answer 81

Bed sore so: Demobilization

Question 82

This disorder is characterized by red, crackled, and bleeding scales, mouse-ear deformities, and sausage digits:

Answer 82

Psoriatic arthritis

Question 83

The purpose of this structure is to collect and direct sound to the tympanic membrane:

Answer 83

Auricle