EENT midterm 1 j

When an individual looks up, then looks straight ahead, if there is a strip of sclera visible between the iris and upper eyelid, which of the following is most likely?

Graves disease

Which of the following would present with a full “stopped up” feeling ear and retracted tympanic membrane?

Blocked eustachian tube

Which of the following tests is most helpful in diagnosing glaucoma?

confrontation

Which of the following describes the most likely eye examination findings for an individual with Argyll Robertson pupils? The pupils are:

Miotic, irregular, they do not react to light, they accommodate

Which of the following could cause a corneal abrasion?

entropion

Redness and swelling near the medial can thus of the eye along with presence of pus coming through the punctum when the lacrimal sac is present would suggest which of the following?

Dacryocystitis

Asking if an individual can feel an ice cube on the anterior portion of their tongue tests which cranial nerve?

CN V

A patient protrudes their tongue and it deviates to the left. This suggest a lesion of which cranial nerve?

CN left XII

The cover/uncover test is useful to detect which of the following conditions?

strabismus

An individual opens their mouth as wide as possible and the distance is approximately 2 finger width. This would suggest the movement of the TMJ is _____

decreased

When is arcus senilis clinically significant?

in patients under 40 years old

Which of the following describes anterior-venous nicking seen in the eye?

wider space between vein and artery

What are yellow deposits of cholesterol around the eyelids called?

xanthelemas

A red itchy, foul-smelling, crusty ear would most likely be which of the following conditions?

otitis externa

The Rhombergs test is one part of the evaluation of which cranial nerve?

CN VIII

Which of the following occurs when one’s gaze shifts focus from far away to an object nearby?

the pupils constrict

An individual reports feeling fatigued and constipated. They have gained weight over the past few months and have dry, coarse skin and brittle hair…

diffusers enlarge thyroid gland

Both the sternocleidomastoid and the trapezius are weak on the right. This suggests a lesion of which cranial nerve?

CN XI

Which of the following can grow across the cornea and obstruct vision?

pterygium

The corneal reflex tests which cranial nerves

CN III, V, VII

Which of the following is a risk factor for acute toxic labyrinths?

taking aspirin, drinking large amounts of alcohol

A 67-year old reports increasing difficulty driving at night due to heightened glare from oncoming headlights. Which of the following would be most…

disruption of the red relex

What causes paronychia?

bacteria

What term describes a lesion that is an elevated, irregular-shaped area of cutaneous edema such as urticaria or an insect bite?

wheal

Which of the following is associated with increased risk for colon cancer?

peutz-jegher’s syndrome

The difference between bullae and vesicles in that bullae?

are larger in size

Which of the following is most commonly associated with cotton wool patches/exudates in the retina?

hypertension

Fever is associated with which of the following nasal conditions?

coryza

What does pitting of the fingernail’s suggest?

psoriasis

What is the term for thinning of the skin surface with loss of skin markings?

atrophy

Swollen, red nasal mucosa and thick purulent discharge suggest which of the following?

coryza

. Clubbing of the nails could indicate which of the following conditions?

heart failure

An individual who smokes and has worked for the past 25 years as a landscaper develops ulcerations on his lower lip that has persisted for 3 weeks. What is most likely?

labial carcinoma

when doing the weber test, if they hear the sound louder on the side that was longer on the rub test, which is the underlying cause of hearing loss?

acoustic neuroma

which of the following describes grinding with Adie’s tonic pupil?

mydriatic pupil and slow light reflex

which of the following is most likely to create hard, nontender nodule in pinna of ear?

gouty tophi

which of the following creates swollen gums that bleed easily?

vitamin c deficiency

which of the following suggests maxillary sinus infection?

toothache

when doing the weber test, if they hear the sound louder on the side that was shorter on the rub test, which is the underlying cause of hearing loss?

excessive cerumen (ear wax), foreign object in ear,

which of the following would be the likely underlying cause of springiness and floating when nail roots are palpated?

lung cancer

congenital sypilis may cause which of the following nasal conditions?

saddle nose

which of the following would cause copper/silver wiring?

antherosclerosis or arteriosclerosis

difference between excoriation versus fissure?

excoriation is a scratch, fissure extends to the dermis

if a patient has a CN II lesion, which of the following can be findings?

mydriatic pupil

gingival hyperplasia is a red flag for which of the following?

leukemia

the amsler grid is used to diagnose which condition?

macular degeneration

sialolithiasis is suspected when an individual reports what symptoms?

intermittent submandibular swelling

a large amount of drusen bodies around the macular suggests?

age -related macular degeneration

an individual with sudden onset of numerous visual floaters and sparks of light followed by vision loss like a shade coming across… is what condition?

retinal detachment

which of the following causes a smooth tongue (atrophic)?

riboflavin deficiency

what is a depressed, moist loss of part of epidermis following rupture of a vesicle?

erosion

rhinophyma is believed to be an extreme form of what condition?

rosacea

if someone had a brain tumor causing intracranial pressure, which of the following would be diagnostic?

papilledema

rhinitis medicamentosa is associated with which of the following?

medicated nose drops

untreated strep puts an individual at higher risk for which of the following?

heart damage

onycholysis is likely to result from fungus, psoriasis or which of the following?

trauma

what is the term for a lesion that is flat, nonpalpable and less than 1cm in diameter?

macule

koilonychia is caused by which of the following underling condition?

iron deficiency (anemia)

to palpate the thyroid gland, the examiner middle finger should be?

on the cricoid cartilage

discovering a lymph node in left subclavian fossa that is enlarged, hard, non movable?

GI metastasis

an individual reports diplopia when trying to read a book, which of the following exam findings indicate a CN IV lesion as a possible cause of diplopia?

eye cannot look down and in

when tapping on patient’s parotid gland produces ipsilateral facial spasms, ordering a blood test for which of the following is most appropriate?

hypoclaemia

direct pupillary reflex is absent on the right, consensual reflex to the left is absent, direct response on the right is intact. where is the lesion?

right CN II

if a person has unilateral sensorineural hearing loss on weber test, they would hear the sound louder on the side that was ___ on the rub test?

long side

if the result of rhinne test bilaterally are 23 sec on mastoid and 47 in front of EAM, results are ___?

normal

for the rhinne test, the examiner sounds tuning fork and then?

places on mastoid until they cannot hear then moves it to the ear

a single enlarged nodule in thyroid gland is most suggestive of what condition?

malignancy

where does the examiner place their fingers to palpate for movement TMJ?

anterior to tragus

what are yellow deposits of cholesterol around eyelids?

xanthelasmas

if an individual cannot close their eye, which other exam findings would be most likely

loss of facial muscle tone on left side

amber fluid behind tympanic membrane?

acute serous otitis media

both the SCM and trapezius are weak on right. Suggest lesion of what CN?

CN XI

which of the following nail signs suggest subacute bacterial endocarditis

splinter hemorrhage

a lesion of which CN is most likely when an individual is instructed to look straight ahead and one of their eyes deviates medially?

CN VI

an otoscopic exam, the TM is beefy red and intact without visible landmark, and the cone of light is scattered, which of the following is most likely?

bacterial infection

on examining a patient’s mouth, a hard midline growth is palpable along hard palate and patient says it has always been there, the growth is most likely?

benign

cvostek’s sign is?

tapping on parotid produces ipsilateral facial spasm

which of the following is associated with cupping of optic disc?

glaucomaw

which of the following would help differentiate leukoplakia from oral candidiasis?

checking to see if the patches can be scraped off

nasal polyps are commonly associated with which of the following?

allergies