Ultimate Reviewer HEENT Flashcards
(175 cards)
1
Q
Rhinoscopy (ndi dapat tamaan
A
Nasal septum
2
Q
polyps
A
Medial meatus
3
Q
Family history
A
Migrane
4
Q
Hyperthyroidism
A
Grave’s disease
5
Q
button like
A
Chancre in syphillis
6
Q
maplike
A
Geographical
7
Q
caused by deficiency in riboflavin and niacin
A
Smooth tongue
8
Q
ear pull (adults
A
Up and back
9
Q
unilateral painless
A
Retinal wall
10
Q
examining the oropharynx use a tongue depressor
A
Distal hall of tongue
11
Q
white optic disc and tiny vessel are absent
A
Optic atrophy
12
Q
fissured tongue
A
Appeared with increasing age
13
Q
nutritional deficiency (cold sore
A
Angular chelitis
14
Q
caused by trauma
A
Sub conjunctival hemorrhage
15
Q
Tug test painful in
A
Otitis externa
16
Q
Riboflavin def. and chemotx
A
Smooth
17
Q
Exposure to sumlight
A
Lip carcinoma
18
Q
Factor to carcinoma
A
Actinic chelitis
19
Q
Worsen in noisy environmanet
A
Sensorineural hearing loss
20
Q
better seen further away Central loss
A
Presbyoptic
21
Q
Button like infection
A
Angular chelitis
22
Q
Sign of lip canar
A
Actinic chelitis
23
Q
Deacrease facial mobility and characteristic stare
A
Parkinson’s disease
24
Q
Head is elongated with bony prominence of the forehead, nose and lower jaw
A
Acromegaly
25
swelling usually appears first in the eyes and in the morning
Nephrotic syndrome
26
hair is dry, coarse and sparse with periorbital edema. Lateral eyebrows thin
Myxedema
27
Red cheeks, hirsutism and “moonface
Cushing syndrome
28
May accompany lipid disorders
Xanthelasma
29
Tearing is prominent. Nasolacrimal duct obstruction is also noted
Dacrycocytitis
30
Usually points inside the lid rather that the lid margin
Chalazion
31
A painful, tender red infection in a gland at the margin of the eyelids
Sty
32
Drooping of eyelids
Ptosis
33
nausea and vomiting, possible loss of consciousness, neck pain
Subarachnoid hemorrhage
34
cause myasthenia gravis, damage to the oculomotor nerve (CN III), damage to the sympathetic nerve supply ( Horner's syndrome
Ptosis
35
the margin of the lower lid is turned outward, exposing the palpebral conjunctiva
Ectropion
36
-‐ swelling between the lower eyelid and the nose
Inflammation of the Lacrimal Sac (Dacryocystitis)
37
small affected pupil, reacts briskly to light and near effort, ptosis present, loss of sweating on forehead, heterochromia
Horners syndrome
38
small, irregular pupils that accomodate but do not react to light indicate CNS syphilis
Argyle Robertson pupils
39
Normal arterial wall is transparent; Normal light reflex is narrow
Normal arterial wall is transparent; Normal light reflex is narrow
40
occasionally a portion of a narrowed artery develops such as an opaque wall that has no blood is visible within it
Silver wiring
41
tiny, round red spots seen commonly but not exclusively in and around the macular area; minute dilatations of very small retinal vessels, but the vascular connections are too small to be seen opthalmoscopically
Micro aneurysm
42
formation of new blood vessels; more numerous, more tortuous, and narrower than other blood vessels in the area and form disorderly looking red arcades
Neurovascularization
43
marked arteriolar venous crossing changes are seen, copper wiring of the arterioles is present. Cotton wool spot is seen just superior to the disc
Hypertensive retinopathy
44
-‐ tiny red dots/ microaneurysms
Nonproliferative Retinopathy ( Moderately severe)
45
-‐ new preretinal vessels arising on the disc extening across the disc margins. Visual acuity is still normal, but risk for visual loss is high
Proliferative Retinopathy ( Neovascularization)
46
firm, nodular, hypertrophic mass of scar tissue (binding) extending beyond the area of injury
Keloid
47
deposit of uric acid crystals characteristic of chronic tophaceous gout
Tophi
48
-‐ caused by bacterial infection earache, fever and hearing loss
Acute Otitis Media with Purulent Effusion
49
weber's test: sound lateralizes to good ear
Sensorineural loss
50
softening of the skin at the angles of the mouth, fissuring
Angular chelitis
51
appear on the lip, firm button-‐like lesion
Chancre of syphillis
52
normal tonsils may be enlarged; protrude medially beyond the pillars and even to the midline
Large normal tonsils
53
dull red, gray exudate (pseudomembrane) is present on the uvula, pharynx and tongue
Diphtheria
54
early sign of measles, small white specks that resembles grains of salt
Kopliks spots
55
-‐ ulcers develop in the interdental papilla
Acute Necrotizing Ulcerative Gingivitis
56
sides of these teeth show normal contours; sides, shaping of the teeth are unaffected
Hutchinson teeth
57
-‐ lost its papillae, deficiency in riboflavin, niacin, folic acid, Vit. B12, pyridoxine, iron
Smooth tongue (Atrophic Glossitis)
58
-‐ painful, round/oval ulcer that is white/yellowish gray and surrounded by a halo of reddened mucosa
Apthous ulcer (Canker sores)
59
Diffuse Enlargement
Endemic goiter
60
Enlarged skull may signify:
Hydrocephalus or Paget’s disease of Bone
61
20/200 vision meaning:
at 20 ft., the patient can read print that a person with normal vision could read at 200 feet
62
Absence of a red reflex:
Cataract (opacity of lens), detached retina, retinoblastoma
63
Light rays from a distance focus on the anterior of retina
Myopia
64
Light rays from a distance focus on the posterior of retina
Hyperopia
65
Loss of venous pulsation in pathologic conditions like head trauma, meningitis, or mass lesions may be an early sign of
Elevated ICP
66
Canal is swollen, narrowed, moist, pale, tender, reddened
Acute otitis externa
67
Unilateral Conductive hearing loss
Sound is heard in the impaired ear
68
Unilateral Sensorineural Hearing loss
Sound is hear in the good ear
69
Conductive hearing loss
BC>AC
70
Mucosa is reddened and swollen
Viral rhinitis
71
Mucosa is pale, bluish, or red
Allergic rhinitis
72
Basic landmark for palpating Thyroid gland
Thyroid cartilage and cricoid cartilage
73
Nausea, Vomiting
Migraine
| Subarachnoid
74
Sudden movements of the head may be associated with
Brain tumor
75
Spinning sensation
Vertigo
76
Left Homonymous Hemianopsia
Right optic radiation
77
Damage to Oculomotor nerve
Ptosis
78
Eye no longer drains satisfactorily
Ectropion
79
Bilateral Exopthalmos
Graves hyperthyroidism
80
Unilateral exophthalmos
Graves' disease
Tumor
Inflammation Of the orbit
81
Painful, Tender, Red infection of the margin of the eyelid
Stye
82
Pupil is large, regular and usually unilateral; reaction to light is severely reduced/ slowed or absent
Addie's pupil
| Tonic pupil
83
Loss of venous pulsation; disc vessels more visible, more numerous
Papilledema
84
Arteries show areas of focal/generalized narrowing
Hypertension
85
Arteries become full and somewhat tortuous; Inc light reflex
Copper wiring
86
Presence of cotton-‐wool spot
Hypertensive retinopathy
87
Softening of the skin at the angles of the mouth followed by fissuring
Angular chelitis
88
Firm lesion on the lip
Chancre of syphillis
89
Reddened throat without exudate
Pharyngitis
90
Smooth tongue that has lost its papillae
Atrophic glossitis
91
Headache is severe and sudden onset
Subarachnoid hemorrhage
| Acute meningitis
92
Sudden unilateral visual loss is pinless
Retinal detachment
93
If visual loss is painful:
corneal ulcer/ uveitis/ acute glaucoma/ optic neuritis
94
Bilateral and painless visual loss:
d/t cholinergics, anticholinergics and steroids/ Chemical, radiation exposure
95
People having trouble understanding speech; noisy environment makes hearing worse:
Sensorineural loss
96
Local cause of epistaxis
Trauma nose picking most common
97
Enlarged blind spot
Glaucoma
Optic neuritis
Papilledema
98
In primary position, R eye deviates laterally but cannot move medially
R medial rectus palsy
99
Renal artery of HTN
Focal narrowing
100
A portion of a narrowed artery develops such an opaque wall that no blood is visible with in it
Silver artery or silver wire artery
101
most important attribute for head ache
Chronologic pattern
102
Holding a pencil and moving toward the bridge of the nose
Convergence test
103
Inspection of anterior nares is limited to
Vestibule
104
In opthalmoscopic examination
The view is limited to posterior structure
105
Benign lesion associated with antibiotic therapy
Hairy tongue
106
Examination of LN is done by
Palpation
107
Basic landmark of thyroid gland
Cricothyroid
108
In opthalmoscopic Examination
The view is limited to posterior structure
109
2. A (-‐) lens is used in
Myopic eye
110
Physical sign of retrosternal goiter
Venous engorgement
111
Examinatin of the lymphnode is primarily by
Palpation
112
Basic landmark for thyroid gland examination
Cricoid cartilage
113
Primary lesion from posterior 2/3 of the scalp and nasopharynx
Posterior cervical storage
114
Nasal flaring is associated with
Respiratory distress
115
A hole in nasal septum is commonly caused by
Cocaine abuse
116
Headache presents on aakening
Migraine
117
Sudden unilateral painless visual loss
Uveitis
118
Produce recurrent and painful eruptions of the lips and surrounding skin
Cold sore
119
Maybe due to ill-‐fitting dentures
Angular chelitis
120
Highly infectious, firm, button-‐like lesion that ulcerates and may become crusted
Chancre of syphillis
121
Fair skin and prolonged exposure to the sun are common risks factors
Carcinoma of the lips
122
It may be due to nutritional deficiency
Angular chelitis
123
Conductive hearing loss
One cause is otitis media
Voice maybe loud because hearing is difficult
Usual ageof onset childhood and adulthood, up to age 40
124
Sensorineural loss
In weber test, sound lateralizes to good ear
In Rinne test, normal pattern prevails
Voice may be loud because the patient has trouble hearing his or her own voice
Sound lateral to good ear in Weber test
AC>BC, Rinne test
125
Lesion in the posterior 2/3 of the scalp and nasopharynx
Sub scapular
126
Retrosternal goiter
Venous engorgement
127
Examination of the lymphnode
Palpation
128
Ophalmoscopic examination
The view is limited to posterior structure
129
A (-‐) lens is used in
Aphakic eyes
130
Risk factors are fair skin, and prolonged exposure to sun
Carcinoma of the lips
131
Nutritional insufficiency
Angular chelitis
132
Painful vesicular lesions in angle of the mouth
Herpes simplex/ cold sore
133
Unilateral, painless visual loss
Retinal vein occlusion
134
Nasal flaring associated to
Respiratory distress
135
Hole in the basal septum most common in
Repeated trauma in picking of crust
136
Primary lesion from posterior 2/3 of the scalp and nasopharynx
Posterior cervical triangle
137
An image from the upper nasal visual field strikes the
Lower temporal area
138
Sees better when the card is farther away
Presbyopia
139
Absence of red reflex indicates
Opacity of lens
140
An enlarged blind spot occurs in
Optic neuritis
141
Headache from errors of refraction include
Astigmatism
142
Testing near reaction is used in diagnosis of
Argyll Robertson pupil
143
Fixed defects (scotoma) are seen in
Retina
144
Excessive tearing from increased production is due to
Corneal irritation
145
Hyperthyroidism
Involuntary weight loss
146
The tug test is painful in
Acute otitis externa
147
Bilateral, painless change in refractory may be due to
Steroids
148
Family history may be positive is
Migraine
149
The eardrum itself is scarred, no landmarks visible, often closes in healing processs
Perforation of eardrum
150
Arteries may show focal or generalized narrowing
Retinal arteries in hypertension
151
Opaque wall and no blood visible
Silver wire
152
Arteries close to the disc become full and somewhat torturous
Copper wire
153
Arterial wall is invisible A-‐V crossing is visible
Retinal arteries in hypertension
154
pupils that accommodate but do not react to light
Argyll Robertson pupil
155
dialted pupil is fixed to light and near effort
Occulomotor nerve paralysis
156
slow accommodation causes blurred vision
Aries pupil
157
pupil is large regular, usually unilateral
Adies pupil
158
causes include blunt trauma to the eyes, open-‐angle glaucoma
Anisocaria
159
One kind of this diplopia is physiologic
Images are side by side
Caused by palsy of CN III or IV
Horizontal diplopia
160
Images are on top of each other
Vertical diplopia
161
May need i memorize
Na screen shot
162
Cough, sneezing, changing position of the head can increase the pain from
Brain tumor
163
Aging vision
Presbyopia
164
Bilateral painful eye
Chronic radiation exposure
165
Horizontal diplopia
Lesion 3 and 6
166
Conductive hearing loss
Noisy environment
167
Perceived sound without external stimulus
Tinnitus
168
Fever, pharyngeal exudates, anterior lymphadenopathy, no cough
Strep pharyngitis
169
Hyperthyroidism
Weight loss
170
Hypothyroidism
Cold intolerance – hypo b. Preference of warm clothing – hypo c. Weight loss d. Decrease sweating – hypo
171
Leading cause of blindness in African American and 2nd leading cause of blindness overall
Glaucoma
172
Triangular thickening of bulbar conjunctiva
Pterygium
173
Characteristic of optic atrophy
Tiny optic vessel
174
Fullness and popping sound in the ear with mild conductive hearing loss and ear pain
Serous effusion
175
Unilateral headache that can be localized behind the eyes
Cluster
