Final Questions Flashcards by Lauren Smedley

Where is the normal cone of light in the normal RIGHT ear?

5pm

How well did you know this?

Not at all

Perfectly

Where is the normal cone of light in the normal LEFT ear?

7pm

How well did you know this?

Not at all

Perfectly

What happens to ear when the ear drum is retracted?

Manubrium gets horizontally oriented

How well did you know this?

Not at all

Perfectly

When the cone of light is at 3 o’clock in a right ear with the manubrium shortened and horizontal what is going on with the tympanic membrane?

Tempanic membrane is bulging

How well did you know this?

Not at all

Perfectly

Swimmers ear is caused by what microbial agent?

Pseudomonas (Gram -)

How well did you know this?

Not at all

Perfectly

What is the sequence of events for otitis media?

Eustachian tube blockage
Fluid Stasis 
Fluid Infection 
Membrane retraction 
Membrane bulging 
Membrane bursting

How well did you know this?

Not at all

Perfectly

What happens to the tympanic membrane when you get chronic, repeated middle ear infections?

Scarring (sclerosis)

How well did you know this?

Not at all

Perfectly

Define vertigo

A feeling of motion when one is stationary

How well did you know this?

Not at all

Perfectly

What is the triad of symptoms for Meneire’s disease?

Hearing Loss
Vertigo
Tinnitus - ringing in the ears

How well did you know this?

Not at all

Perfectly

What is an aka for Meneire’s disease?

Endolymphatic Highdrops

How well did you know this?

Not at all

Perfectly

A cyst like mass filled with cellular debris with cottage cheese appearance is most common in the middle ear and affects CNS

Cholesteatoma

medial side of ear drum
more tissue on squamous mastoid cells

How well did you know this?

Not at all

Perfectly

Most common cause of conductive hearing loss?

Wax

How well did you know this?

Not at all

Perfectly

What occurs with tympanic membrane perforation?

Fluid leaks out and the membrane scars over

How well did you know this?

Not at all

Perfectly

What is most likely to be associated with tympanic membrane perforation?

Acute Otis Media

How well did you know this?

Not at all

Perfectly

Clear drainage from nose after traumatic brain injury would be indicative of what?

CSF leak - test with glucose paper test

How well did you know this?

Not at all

Perfectly

Repeated blunt force trauma to pinna would cause?

Cauliflower ear

How well did you know this?

Not at all

Perfectly

Nodules on the pinna from uric acid crystal deposit symbolizes a problem with?

Purine metabolism

How well did you know this?

Not at all

Perfectly

Name the tiny elevation of the rim of the ear?

Darwin’s Tubercle

How well did you know this?

Not at all

Perfectly

What does nasal mucosa look like in allergic rhinitis?

Clear

How well did you know this?

Not at all

Perfectly

Nose bleeds are usually a minor complaint, but can be very serious when it is associated with what disease?

Hypertension

How well did you know this?

Not at all

Perfectly

What is the primary lesion of syphilis?

Chancre

How well did you know this?

Not at all

Perfectly

What is the causative agent of syphilis?

Trepenema pallidum

How well did you know this?

Not at all

Perfectly

What is a nevis?

Mole

How well did you know this?

Not at all

Perfectly

3 Qs on TNM staging

T = tumor size (increase in # (ie T4) = worse)
N = nodal involvement (#increase = worse)
M = Metastasis (#increase = worse)

How well did you know this?

Not at all

Perfectly

What is actinic keratosis?

Precursor to basal cell carcinomas (skin cancer) | Can scrape off

Macule

flat lesion

Papule

raised lesion

Pustule

lesion containing pus

Vesicle

blister-like eruptions

Bullae

large, fluid containing lesion

Nodule (aka tumor)

hard to the touch

Erythematous

skin reddened by congested blood vessels resulting from injury or inflammation

Pruritus

itching

What is it called when you get inflammation of the hair follicle?

Folliculitis

Cellulitis should be followed by drawing a line of

Demarcation

What is a blister like eruption called?

Vesicle

T/F Herpes type 1 is oral in nature

True

Patient presents with painful red rash that doesnt cross the midline. What other info would aid you in making your diagnosis?

History of varicella virus

Fungus of the scalp

Tinea capitis

Fungus of the inguinal region

Tinea cruris

Fungus of the beard

Tinea barbae

Fungus of the fingernails

Tinea unguium

Fungus of the trunk of the body

Tinea corpus

Thrush is usually associated with

Candida albicans and a suppressed immune system

Scabies is know as the 7 year itch because

the life cycle repeats and the eggs burrow in the skin

The appearance on the pharynx that strongly suggests strep throat is

bright red mucosa and yellow/white spots

What is the grey psudo membrane?

Diptheria

Difference between basal and squamous lesions

Basal is slow growing aka rodent lesion | Squamous is fast growing

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

Steven Johnsons Syndrom

What is the most common cause of a decubitous ulcer?

Bed sore; demobilization

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

Psoriatic Arthritis

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

Auricle

The structure that is responsible for maintaining the integrity of the middle ear cavity is the:

Eustachian tube

Muscle that attaches tympanic membrane and plays a part in the stapedic reflex

Tensor tympani muscle

Which nerve of the following is not associated with ear pain:

CN 11 - Spinal Accessory

The symptom associated with systemic lupus and discoid lupus is:

Butterfly Lesion / rash

This condition can be described as an abnormal perception of sound when no external sound is present:

Tinnitus

MCC of hearing loss

Medication

In which of the following conditions is a decrease of sodium in the patient’s diet recommended:

Meniere's Disease

WOTF will cause a lateralization to the good ear:

Sensorineural hearing loss

Denaturation of proteins

Cataracts

WOTF conditions is often resulting of swimmer’s ear:

External Otitis

CN responsible for stapedial reflex:

Facial

Otosclerosis will result in

conductive deafness (foot plate of stapes)

WOFT presents with vertigo that climaxed in 24-48 hours, nausea and vomiting at the height of the problem, and finds that being in the horizontal position to limit the problem while raising the head induces the problem:

acute toxic labyrinthitis

Desquamation in the attic of the tympanic cavity producing a mass of cells, keratin, and debris, which can eventually erode bone. Describes as a white casseous mass when observed with an otoscope:

Cholesteatoma

While testing vibration sense, WOTF vibration tuning fork is applicable:

128

Pathway for vibration sense:

contralateral cortex, ascends same side, crosses in midbrain

WOTF is not a cranial nerve lesion:

Horner's Syndrome

WOTF CN is involved with extraoccular motion of the right eye toward right lateral gaze:

Abducens

Muscle involved with extraocular motion of the right eye towards left superior gaze:

Inferior Oblique

WOTF fundoscopic exam nerve may indicate an increased intracranial pressure:

papilledema (most reliable medical finding along with Babinski sign). Intra-cranial and intra-ocular pressure (20mmhg)

Pathway of corneal reflex:

afferent 5 efferent 7. Pupillary: 2, 3bilateral

Benign change in a nevus (mole):

NOTA

Lab findings will confirm lupus:

ANA

Area of fundus visual acuity:

Macula

Left homonomous hemianopia represents a lesion in the:

Right optic tract

When performing an otoscopic exam what do you stay off of?

Do not put pressure on the ??? wall with the speculum, as it will cause the patient pain

Final Questions Flashcards

(78 cards)