HENT

Question 1

Where are the turbinates found

Answer 1

In the nasopharynx

Question 2

What should you look for during hair inspection

Answer 2

1. texture
2. color
3. distribution

Question 3

What should you look for during external ear inspection

Answer 3

1. Shape, symmetry of the auricles
2. External auditory discharge
3. Mastoid area, no redness

Question 4

How do you check for position of auricle on kids

Answer 4

Draw an imaginary line between the inner canthus and the protuberance of the occiput. Should be no more than 10 degree lateral-postero angle

Question 5

Auricle inspection

Answer 5

Should be firm with good recoil, non-tender

Question 6

What direction do you pull the ear for otoscopy

Answer 6

Up and back

Question 7

What should you look for during internal ear inspection

Answer 7

1. discharge
2. erythema
3. cerumen
4. foreign bodies

Question 8

What should TM look like

Answer 8

Pearly gray

should see umbo, malleus, cone of light

Question 9

2 types of hearing loss

Answer 9

1. Conductive hearing loss

2. Sensorineural hearing loss

Question 10

Conductive hearing loss

Answer 10

Sound is transformed due to wax, or infections

Question 11

Sensorineural hearing loss

Answer 11

Due to damage/disease of CN VIII

Question 12

How to you test for hearing

Answer 12

1. Whisper test

2. Weber/Rinne test

Question 13

What is the Weber test

Answer 13

Test for hearing, use tuning fork and place on top of head.

Question 14

What is the Rinne test

Answer 14

Use tuning fork and place on mastoid, then hold up to ear.

Pt should be able to hear longer in front of the ear

Question 15

What ear does the pt hear better in if it lateralizes in the weber test

Answer 15

The affected ear (Conductive loss). If it is sensorineural loss the patient will ear it in the opposite ear

Question 16

If sound is heard longer with bone conduction what type of hearing loss is it?

Answer 16

Conductive hearing loss

Question 17

If sound is longer in air conduction of affected ear what type of hearing loss is it

Answer 17

Sensorineural hearing loss

Must be less than 2:1 ratio

Question 18

What should you look for during external inspection of the nose

Answer 18

1. Color should be same as face
2. Tip is midline
3. Nares oval, symmetric, no discharge
4. non-tender

Question 19

What should you look for during internal inspection of the nose

Answer 19

1. Inspect septum
2. Free of discharge
3. No inflammation of turbinates

Question 20

Two ways to test the sinuses

Answer 20

1. Pushing on the maxillary and frontal sinuses

2. Transilluminate

Question 21

What to look for on lips

Answer 21

1. symmetry
2. free of lesions
3. vermillion border defined

Question 22

What to look for on tongue

Answer 22

1. moist
2. lesions
3. Anterior portion rough
4. Poster portion papillae

Question 23

Where are the parotid glands

Answer 23

Inside the cheek

Question 24

Stensen ducts

Answer 24

Ducts near 2nd molar, upper jaw

Question 25

Wharton ducts

Answer 25

Ducts on each side of the frenulum

Question 26

Where are the submandibular glands

Answer 26

Under the tongue

Question 27

Where are the palpebral fissures

Answer 27

Around the eyes

Question 28

Where are the Nasolabial fissures

Answer 28

Dimple area, form cheeks

Question 29

What do you look for during neck inspection

Answer 29

1. lymph nodes 2. SCM and trapezius should be symmetric 3. Note any pulsating carotids 4. Palpate thyroid 5. Check back of neck along spine 6. trachea should be midline

Question 30

Lymph nodes of the neck

Answer 30

1. Pre-auricular 2. post-auricular 3. tonsillar 4. Submandibular 5. Submental 6. Anterior (superficial) cervical 7. Posterior (deep) cervical 8. Occipital 9. Supraclavicular

Question 31

What does an abnormal thyroid nodule feel like

Answer 31

Buck shot | should not be fixed, should not be hard, should not be large

Question 32

Rhinitis

Answer 32

Inflammation the nose

Question 33

Rhinorrhea

Answer 33

Discharge from the nose

Question 34

otorrhea

Answer 34

Discharge from the ear

Question 35

Effusion

Answer 35

giving off a Liquid, light, smell

Question 36

Bulging of tympanic membrane

Answer 36

Indicative of an infection

Question 37

Otosclerosis

Answer 37

Hardening of the middle her, disrupts the ability of sound to travel to the inner ear

Question 38

torticollis

Answer 38

Condition where the head becomes persistently turned to one side. Due to excessive contraction of the SCM.

Question 39

glossitis

Answer 39

Inflammation of the tongue, swells and gets smooth

Question 40

pharyngitis

Answer 40

Inflammation of the pharynx

Question 41

tonsillitis

Answer 41

Inflammation of the tonsils

Question 42

gingivitis

Answer 42

Inflammation of the gums

Question 43

gingival hyperplasia

Answer 43

Increase in the size of the gums

Question 44

frontal bossing

Answer 44

Prominent, protruding forehead. Usually identified in children

Question 45

goiter

Answer 45

abnormal enlargement of the thyroid gland

Question 46

geographic tongue

Answer 46

Papillae appear smooth and usually in patches

Question 47

strawberry tongue

Answer 47

type of glossitis where the papillae are enlarged, looks like a strawberry

Question 48

torus palatinus

Answer 48

Boby protrusion on the hard palate

Question 49

atrophic tongue

Answer 49

Type of glossitis that looks like a smooth glossy tongue, very tender and painful. Papillae atrophy

Question 50

hairy tongue

Answer 50

Abnormal coating on top of tongue that looks like hair

Question 51

darwins tubercle

Answer 51

Congenital ear condition which is a thickening or pointing of the helix of the auricle

Question 52

cauliflower ear

Answer 52

External ear is thickened or deformed due to repeated blows. Wrestlers or boxers

Question 53

presbycusis

Answer 53

Age related hearing loss, bilateral sensorineural hearing loss