Pre-Quiz# 3 HEENT

The six cardinal fields of gaze:

Evaluate the performance of CN II, III, IV

Evaluate the performance of CN III, IV, V

Test the ability of the pupil to dilate

Evaluate the performance of CN III, IV, VI

Evaluate the performance of CN III, IV, VI

PERRLA stands for:

pupils, equal, reactive, round, light, accommodation

pupils, equal, red, reflex, light, accommodation

papules, equal, round, reactive, light, accommodation

pupils, equal, round, reactive, light, accommodation

pupils, equal, round, reactive, light, accommodation

The nurse is testing a patient’s visual accommodation. Which of the following statements explain visual accommodation best?

Involuntary blinking in the presence of bright light

Using the Snellen chart

Pupillary constriction when looking at a near object

Changes in peripheral vision in response to bright light

Pupillary constriction when looking at a near object

Which of the following statements describing a headache would warrant an immediate referral?

“I have never had a headache like this before; it is so bad I can’t function and feels like a thunderclap.”

“This is the worst headache I’ve had since puberty.”

“This is the worst migraine I have had since last year."

“I have had daily headaches for years.”

“I have never had a headache like this before; it is so bad I can’t function and feels like a thunderclap.”

A patient’s thyroid gland is enlarged, and the nurse is preparing to auscultate the thyroid gland for the presence of a bruit. A bruit is a __________ sound that is heard best with the __________ of the stethoscope.

Loud, whooshing, blowing; bell

Soft, whooshing, pulsatile; bell

Low gurgling; diaphragm

High-pitched tinkling; diaphragm

Soft, whooshing, pulsatile; bell

A 36-year-old female patient reports "debilitating". throbbing, unilateral, frontal, headaches lasting approximately 6-8 hours in duration.  She usually experiences "floaters" & "flashes of light" during an episode. She states that her headaches are worse during her menstrual periods and after eating chocolate. The only thing that seems to help is lying down in a dark room. She does not take any prescription medications and OTC Tylenol is ineffective. She currently rates her headache an 8/10 on the verbal pain scale. The nurse understands that these symptoms correlate with which type of headache? 

Migraine Headache

Sinus Headache

Tension-Type Headache

Cluster Headache

Migraine headache

A patient with a history of advanced stage liver disease has the following findings upon inspection of the eyes:  (Picture contains eye with yellow around pupils)

Scleral Icterus

Conjunctivitis

Pterygium

Cataract

Scleral Icterus

A patient reports working in construction for the past 30 years while operating heavy machinery everyday. He reports that he has experienced hearing loss over the past few years and has difficulty hearing high-pitched sounds, like birds singing, beeping machinery, or female voices.

The nurse understands that the type of hearing loss this patient describes is: 

Conductive Hearing Loss

Sensorineural Hearing Loss

Sensorineural Hearing Loss

The cranial nerve responsible for strength and movement of the tongue is: 

CN X- Vagus Nerve

CN V- Trigeminal Nerve

CN IX-Glossopharyngeal Nerve

CN XII- Hypoglossal Nerve

CN XII- Hypoglossal Nerve

Movement of facial musculature responsible for facial expression and appearance is mediated by which cranial nerve?

CN IV- Trochlear Nerve

CN VIII- Vestibulocochlear Nerve

CN V- Trigeminal Nerve

CN VII- Facial Nerve

CN VII- Facial Nerve