HEENT

Question 1

What is tinnitus

Answer 1

ringing of the ears

Question 2

what is epistaxis

Answer 2

nose bleeds

Question 3

what is rhinorrhea

Answer 3

runny nose

Question 4

what are scotomas

Answer 4

spots in the vision field

Question 5

What is the point where the conjunctiva meets the cornea

Answer 5

the limbus

Question 6

scratching the cornea or sclera causes more pain

Answer 6

cornea because sensitive epithelium

Question 7

what is exopthalmos

Answer 7

bulging of eyes

Question 8

What is the 1st and most important part of the eye exam

Answer 8

visual acuity

Question 9

how do you test central vision

Answer 9

snellen eye chard positioned 20 ft from chart and test one eye at a time then together

Question 10

What is the difference between nystagmus and strabismus

Answer 10

nystagmus is involuntary rapid, rhythmic movement of eye

strabismus is misalignment of eyes relative to each other

Question 11

what can lead to amblyopia

Answer 11

untreated strabismus

Question 12

What is the cover test

Answer 12

stare at one spot then cover one eye, hold gaze and cover other eye, if eye moves- then have strabismus

Question 13

A patient who has painless blood around their eye but stops at limbus probably has what

Answer 13

subconjunctival hemmorhage

Question 14

a nonmobile tympanic membrane is due to?

a hypermobile tympanic membrane is due to?

Answer 14

nonmobile- fluid, mass, sclerosis

hypermobile- ossicle bones disrupted

Question 15

What does the weber test test

Answer 15

lateralization of sound

Question 16

What does the rhinne test test

Answer 16

compares time of air vs bone conduction, air is usually better

Question 17

What is the definintion of conductive loss of hearing

Answer 17

bone conduction sounds better than air

Question 18

how will a patient with cochlear nerve damage present

Answer 18

lose both bone and air conduction- sensorineural

Question 19

which part of the ear is more sensitive to sounds

Answer 19

the middle ear so thats why air conduction is usually better

Question 20

what can cause sensorineural loss

Answer 20

loud noise, inner ear infections, trauma, tumors, congenital and family disorders

Question 21

what can cause conductive loss to the ear

Answer 21

foreign body, otitis media, perforated eardrum and otosclerosis of ossicles

Question 22

elderly experience which type of hearing loss most ocmmonly

Answer 22

sensorineural

Question 23

What do you look for in a nose exam

Answer 23

color, excudate, ulcers of mucosa, whether the septum is deviated or perforated
turbinates, cannot see superior

Question 24

what are oral disease risk factors

Answer 24

tobacco and alcohol use
family history of oral cancers
lack of mouth gaurd in sports
methamphetamine
bulemia
significant GERD

Question 25

where are our lymph nodes on our necks

Answer 25

preauricular, posterior auricular, occipital, tonsillar, submandibular, submental, superficial anterior cervical, posterior cervical and supraclavicular

Question 26

an elevated jugular venous pulse means what else is probably going on

Answer 26

poor blood flow though heart or lungs causing back up

Question 27

When checking the thyroid gland what are you specifically noting

Answer 27

size shape and consistency as well as tenderness