Head & Neck - Week 5 Flashcards
(36 cards)
Which disorder is associated with age-related visual changes that cause difficulty with reading? (Bates, p 217)
a. Myopia
b. Presbycusis
c. Presbyopia
d. Glaucoma
C Presbyopia
Consensual reaction to light is when a person shifts their gaze from a far object to a near object, the pupils constrict: (Bates, p 229)
a. True
b. False
B false
The static wiggle test evaluates: (Bates, p 232)
a. Pupillary response to motion
b. EOM
c. Near reaction to light
d. Peripheral vision
D
The diopter of the ophthalmoscope measures: (Bates, p 239)
a. The power of a lens to converge or diverge light
b. Retinal width
c. AV diameter
d. The power of the patient’s lens to reflect light
A
On ophthalmic exam, you see light red vessels that are about 2/3 the size of the other darker vessels. You are now are visualizing: (Bates, p 241)
a. Veins
b. Arteries
c. Venous pulsations
d. Optic disc vessels
B
Painless, leakage of blood outside the eye vessels producing red, sharply demarcated area with no discharge is: (Bates, p 270)
a. Subconjunctival hemorrhage
b. Corneal injury or infection
c. Acute angle closure glaucoma
d. Acute iritis
A
Your patient presents with severe, aching, deep eye pain associated with decreased vision, fixed dilated pupil, cloudy cornea & no discharge is: (Bates, 270)
a. Subconjunctival hemorrhage
b. Corneal injury or infection
c. Acute angle closure glaucoma
d. Acute iritisis
C Acute angle closure glaucoma
You see medullated nerve fibers on your ophthalmic exam. You explain to your patient: (Bates, p 279)
a. They should have an urgent ophthomology referral
b. This is a chronic condition & the cause of their decreased night vision
c. A sign of hyperthyroidism
d. A normal variation of the optic disc
D
Visualization of physiologic cupping should warrant emergent referral. (Bates, p 279)
a. True b. False
B
All are potential signs of acute bacterial rhinosinusitis except: (Bates, p. 251)
a. Facial pain, pressure or fullness
b. Smell disorder
c. Taste disorder
d. Purulent nasal drainage
C
You see a pink, hyperemic optic disc with disc vessels very numerous, curving over the disc border, with no visibility of the physiologic cup. You know that this is: (Bates, 280)
a. Papilledema
b. Glaucomatous cupping
c. Optic atrophy
d. A normal variation
A
You note exophthalmos in your patient. You suspect: (Bates, p 264):
a. Hypothyroidism
b. Multinodular goiter
c. Grave’s disease
d. Thyroid malignancy
C
You note enlargement of the left supraclavicular nodes. Top on your DDx would be: (Bates, p. 260)
a. Left thyroid nodules
b. Thoracic metastasis
c. Left Tonsillar abscess
d. Left side pneumonia
B
You see marked AV crossing, copper wiring of the arterioles & cotton-wool spots. You suspect these are caused by: (Bates, p. 283)
a. Diabetes
b. Increased cranial pressure
c. Increased ocular pressure
d. Hypertension
D
You are performing pneumatic otoscopy. The expected normal finding is that no TM movement.
a. True b. False
B
You note a +”tug” test on exam. You know that this likely indicates: (Bates, p. 245)
a. AOM
b. Otitis media with effusion
c. AOE
d. Inflamed preauricular lymph nodes
C
Your patient has one eye covered. You instruct him to look at your nose while you present 1-5 fingers to each quadrant of vision. This is used to assess visual fields & is called: (Bates, p 232)
a. Consensual Light reaction
b. Confrontation testing
c. Cover-uncover test
d. Convergence
B
All are considered “red flags” headache warning signs except: (Bates, p 216)
a. Change in patterns from past headaches
b. Aggravated or relieved by position change
c. Sudden onset like a “thunderclap”
d. New onset after age 35
D
Testing of bone conduction (BC) should be done by the Weber test. (Bates, p. 248)
a. True b. False
B
You see the following on exam of a 14-year-old male patient. You document this as: (Bates, p. 287)
LOOKS like scar tissue on tympanic membrane
a. Serous effusion
b. AOM w/ effusion
c. Tympanosclerosis
d. Perforation of TM
*Describe expected findings each of these
C
You are examining your 54 y.o. male patient who has a h/o smoking x 27 years and drinks approximate 6 beers a day. On oral exam, you assess a white, adherent patch on the side surface of the tongue. You are most suspicious of: (Bates, p. 256)
a. Oral herpes simplex
b. Melanoma
c. Leukoplakia
d. Erythroplakia
*Describe expected findings each of these
C
In conductive hearing loss, testing using the Rinne method will show BC=AC or BC > AC.
a. True b. False
* What will you see in conductive hearing loss when you use the Weber test?
* What will you see in sensorineural hearing loss?
A
On exam of a 5 y.o. with R ear pain, you see a buldging TM with obscured landmarks. Erythema is most obvious by the umbo, but the redness is diffuse. There may be spontaneous rupture with discharge in the canal. This describes: (Bates, p. 288)
a. Serous effusion b. Otitis externa c. Bullous myringitis d. Acute otitis media w/ purulent effusion
*Describe characteristics of each of the above
D acute otitis media with purulent effusion
Your patient presents with white exudate on their tonsils, erythematous posterior pharynx, low-grade fever & enlarged cervical lymphnodes. You are most suspicious of: (Bates, p. 292)
a. Viral pharyngitis b. Diphtheira c. Group A streptococcus d. Thrush
*Describe characteristics of each of the above
C
