HEENT

Question 1

What is the difference between Bell Palsy and a central lesion?

Answer 1

Bell palsy is complete facial paralysis. A central lesion still allows wrinkling forehead.

Question 2

If a patient presents with an ear problem, which ear do you examine first?

Answer 2

Asymptomatic ear

Question 3

During the Weber test, which side does the test localize?

Answer 3

1. Conductive loss: localizes to affected ear

2. Sensineuronal Loss: localizes to normal ear

Question 4

During the Rinne Test, what does bone conduction > air conduction indicate?

Answer 4

Conductive hearing loss

Question 5

What direction is the pinna pulled for otoscopic examination?

Answer 5

Adults: up, back, and out
Peds: down, back, and out

Question 6

What is the Stenson Duct?

Answer 6

Parotid Gland Duct

usually near the second molar in the buccal mucosa

Question 7

What are the two components of visual function?

Answer 7

1. Visual acuity

2. Peripheral fields

Question 8

What is strabismus?

Answer 8

Condition in which the eyes are not properly aligned with each other. Usually lack of coordination of EOM.

Question 9

What is a sty?

Answer 9

Painful, tender gland infection on the margin of the eye.

Question 10

What is icterus?

Answer 10

Yellow sclera usually indicative of jaundice.

Question 11

What is anisocoria?

Answer 11

Unequal size of pupils