Lab Final

Question 1

hypertrophy of skin and sebaceous glands of the nose is called

Answer 1

Rhinophyma

Question 2

Rhinophyma is associated with

Answer 2

acne rosacea

Question 3

Rhinophyma is aggravated by

Answer 3

chronic alcohol abuse

Question 4

Congenital syphilis causes

Answer 4

saddle nose
furunculosis
septal abscesses

Question 5

Leprosy can cause atrophy of

Answer 5

nasal structure

Question 6

A slowly growing ulcerated nodular area can be

Answer 6

basal cell carcinoma of the eye
or
lupus vulgaris of TB.

Question 7

Abnormal respiratory motion is seen in

Answer 7

respiratory distress syndrome of the newborn. T

Question 8

The characteristic ground glass appearance on an X-ray chest films indicates

Answer 8

hyaline membrane disease

Question 9

Flaring of ala nasi can indicate

Answer 9

pneumonia

respiratory distress syndrome

Question 10

Nasal discharge is evaluated for

Answer 10

appearance
quantity
character

Question 11

Nasal discharge usually indicates

Answer 11

common cold or allergy

Question 12

after head trauma causing skull fracture at the cribriform plate there will be

Answer 12

CSF in nasal passage

Question 13

Clear nasal discharge and CSF are differentiated by testing the discharge with

Answer 13

glucose oxidase paper

Question 14

Glucose is present in

Answer 14

CSF

shows color change

Question 15

Purulent discharge can be associated with

Answer 15

foreign body in nasal cavity

Question 16

Allergy induced purulent discharge x-ray have what type of white cells are present

Answer 16

eosinophils

Question 17

purulent discharge is also present with

Answer 17

common cold

prodromal sign of infection

Question 18

Sinusitis appearance of sinuses on x-rays

Answer 18

an be illuminated with a light from your otoscope

Question 19

Nosebleed: a common cause is

Answer 19

• direct trauma to the most anterior portions of nose (Kiesselbachs plexus)
• excoriation of cartilaginous septum (picking)

Question 20

less common causes for nosebleed

Answer 20

neoplasm in the nose, nasopharynx or sinus

Question 21

. Spontaneous nosebleeds are seen in patients with

Answer 21

hypertension

Question 22

Nosebleeds may be

cause by

Answer 22

• acute rheumatic fever
• hemorrhagic diathesis with
  wide spread echymosis or petechial hemorrhage

Question 23

Usually patients who are not bleeding from a site in addition to the nose are not suffering from

Answer 23

epistaxis secondary to a systemic bleeding disorder.

Question 24

Spontaneous epistaxis is often a prodromal

sign of

Answer 24

typhoid fever

Question 25

The characteristic of typhoid fever is

Answer 25

nocturnal at its peak | bradycardia

Question 26

Epistaxis is often the presenting sign of patients with

Answer 26

Ostler-Weber-Rondeau disease | hereditary hemorrhagic telangectasia

Question 27

bilateral obstruction can indicate to

Answer 27

more serious infection or allergy

Question 28

Patient can cause own nasal obstruction by chronic use of

Answer 28

``` intranasal epinephrine (rhinitis medicomentosa) ```

Question 29

Unilateral obstruction can be caused by

Answer 29

deviated septum nasal polyps foreign body malignant disease

Question 30

choanae atretic can cause

Answer 30

choking at birth

Question 31

Inspect nasal cavity well by using a

Answer 31

speculum with a bright ligh

Question 32

Inspecting nasal cavity includes the following regions

Answer 32

vestibules mucosa inferior and middle turbinate bones middle meatus and septum

Question 33

As seen on the film, a patient whose nasal pyramid is completely destroyed by tertiary syphilis allows the view of

Answer 33

inferior and middle turbinates ethmoidal spine remnant of the vomer

Question 34

nasal mucosa appearance

Answer 34

bright red, much redder than mucosa of the mouth,

Question 35

nasal mucosa is often misdiagnosed as being

Answer 35

hyperemic

Question 36

bright red appearance is

Answer 36

normal physical finding

Question 37

Swollen erectile turbinates are seen in

Answer 37

common cold hyperemic mucosa characteristic discharge

Question 38

Swollen and pale turbinates indicate

Answer 38

allergic rhinitis

Question 39

condition: the turbinates are often atrophic

Answer 39

Atrophic rhinitis

Question 40

in Atrophic rhinitis, mucosa is covered with

Answer 40

crust and pus

Question 41

Atrophic rhinitis: patient often complains of an offensive odor called

Answer 41

ozena

Question 42

the greatest symptom of Atrophic rhinitis

Answer 42

ozena

Question 43

Patients with 2 week history of nasal discharge that is not allergy related can indicate

Answer 43

ethmoidal and sphenoid maxillary | or frontal sinusitis

Question 44

Gross distortion of nasal anatomy is usually a result of

Answer 44

trauma

Question 45

Nasal septum with a perforation can be caused by

Answer 45

TB or systemic lupus

Question 46

Commonly Gross distortion is from

Answer 46

chronic picking submucus resection operation chronic cocaine abuse

Question 47

Cystic fibrosis presents with

Answer 47

several edematous boggy saccular masses in nasal passage

Question 48

edematous boggy saccular masses in nasal passage called

Answer 48

polyps

Question 49

polyps are seen more commonly in patients with

Answer 49

allergic rhinitis

Question 50

Most nasal polyps Occur in

Answer 50

middle meatus

Question 51

polyps are often confused with

Answer 51

turbinates,

Question 52

polyps characteristic

Answer 52

pale non-tender to touch move freely on their stalk

Question 53

turbinates characteristic

Answer 53

pink tender to touch immobile

Question 54

Label the tympanic membrane

Answer 54

1

Question 55

A complete examination of ear includes inspection of

Answer 55

auricles auditory canals tympanic membranes an estimate of the patient’s hearing

Question 56

Most ear pathologies found on auricle are found upon

Answer 56

simple inspection

Question 57

Total aplasia of auricle may or may not be associated with

Answer 57

atretic external auditory canal

Question 58

T/F: The shape of the auricle is important

Answer 58

True

Question 59

Cutis laxa causes

Answer 59

lop ears

Question 60

Visible lumps in pinna are usually gouty tophy from

Answer 60

sodium urate crystals.

Question 61

is auricle immune to neoplasia

Answer 61

no, but it's rare

Question 62

A benign cystic mass of EAM can be

Answer 62

basal cell carcinoma

Question 63

Wrestlers and boxers with chronic trauma to auricles suffer from

Answer 63

bleeding between cartilage and perichondrium

Question 64

Scar tissue collects causing deformity of auricle called

Answer 64

cauliflower ear

Question 65

the cause of tinnitus and partial deafness in one ear is

Answer 65

impacted cerumen

Question 66

Cerumen is commonly a source of

Answer 66

fever as are foreign bodies

Question 67

he external auditory canal may collapse and hearing can be improve by

Answer 67

pulling the ear out to open the canal

Question 68

In performing the otoscopic examination pull the ear ________ for adults

Answer 68

up and back

Question 69

In performing the otoscopic examination pull the ear ________ for infants

Answer 69

down and back

Question 70

most sensitive wall of the ear canal is

Answer 70

anterior wall