EENT MT 2

An individual who has xanthelasmas should be tested for which of the following

High cholesterol

When a tuning fork is placed on top of a patient's head, if they hear the sound louder on the side that was longer on the finger rub test, which of the following would explain the cause of hearing loss

Acoustic neuroma

A subjunctive hemorrhage can be caused by ______ but is often idiopathic

Increased intrathecal pressure

Which of the following could cause an absence of the red reflex on the fundoscopic exam

Detached retina

Amber fluid behind the membrane is associated with what?

Acute serous otitis media

Palpation of a lymph node that is enlarged, hard, non-moveable and non-tender suggests the node is which of the following

Cancerous

Which of the following is most likely to create hard, non-tender nodules in the pinnacle of the ear

Chondrodermatitis nodularis helicis

An individual whose ears are constantly wet is likely to develop _______

Otitis externa

When a persons focus changes from something far away to something nearby, the pupils ____ and the lends becomes more ____

Constricted; round

Chvostek's sign is present when

Tapping the parotid gland produces facial spasm

A 56-year old cannot accommodate to read small print held 8-10" from their eyes. There are no abnormalities detected on the cardinal fields of gaze and the pupil light reflex's are intact bilaterally. Which of the following is most likely?

Presbyopia

A blue-gray ring encircling a 74-year old iris is most likely ______

A benign age related finding

On otoscopic examination, the tympanic membrane is beefy red and intact, without visible landmarks. The cone of light is scattered and diffuse. Which of the following is most likely?

Bacterial infection

Cauliflower ear tends to result from which of the following

Healed hematomas

A lump in the ear canal caused by excessive growth of the bony lining describes _____

Exocytosis

If an individual cannot close their left eye, which other exam finding would be most likely

Loss of facial muscle tone on the left side

Which of the following describes findings with Adie's/tonic pupil

Mydriatic pupil with a slow light reflex

An individual with a blocked Eustachian tube complains of hearing loss and ___________

Severe loss of balance

Which of the following suggests a maxillary sinus infection

Toothache

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

Lung cancer

A fine lingual tremor suggests which of the following

Thryotoxicosis

A difference between excoriation and a fissure is

Fissure extends to the dermis

Which of the following would indicate proliferation diabetic retinopathy

neovascularization

Which of the following is associated with cupping of the optic disc

Glaucoma

Congenital syphilis may cause which of the following nasal conditions

Saddle nose

Koilonychia is caused by which of the following underlying conditions

Iron deficiency anemia

Scarlet fever caused which of these findings in the mouth

Strawberry

Gingival hyperplasia is a red flag of which of the following

Leukaemia

Which of the following causes a blue gray line among the gums

Bismuth

Rosacea may be linked to which of the following conditions of the nose

Rhinophyma

Which of the following describes arterio-venous nicking seen in the eye

Wider space between vein and artery

Two days after getting a manicure, an individual develops swelling and tenderness around the fingernail on the right index finger. Which of the following conditions is most likely

Paronychia

Untreated strep throat puts an individual at higher risk of which of the following

Heart valve damage

Which of the following could cause hairy tongue

Antibiotics

A ________ is an elevated, irregular shaped area of cutaneous edema such as urticaria or an insect bite

Wheal

Which of the following nail signs suggests subacute bacterial endocarditis

Splinter hemorrhages

Which other findings would be likely when examining a person with yellow nail syndrome

Extremity deformation

Nasal polyps are associated with which of the following?

Allergies

A hair dresser develops pruritic vessels on their fingers that erupt and leave ring of scales with a red cracked base. Which of the following is the most likely

Pompholyx

Which of the following would be most helpful in differentiating contact dermatitis from other types of dermatitis? The patient _______

Recently started using a new laundry detergent

What are the main treatment gleams for ichthyosis vulgaris?

Hydration, lubrication and keratolysis

Individuals with psoriasis often present with erythematous plaque and silvery scales on their skin and ______ nails

Pitted

______ is the most deadly skin cancer due to the risk of metastasis

Melanoma

On examining a patients mouth, a hard, midline growth is palpable along the hard palate. The patient says it has always been there. The growth is most likely _________

Benign

Purities refers to skin conditions that are _______

Itchy

The most common precursor lesions to squamous cell carcinoma (that is better felt than seen)

Actinic keratosis

Sialotlithiasis is suspected when an individual reports what symptoms

Intermittent submandibular swelling

An inverted, building optic disc suggests which of the following

Increased intracranial pressure

Which of the following fundoscopic exam findings is associated with hypertensive retinopathy

Flame hemorrhages

Increase of what hormone is associated with spinner angiomas

Estrogen

Atopic dermatitis is associated with increased Ig__

E

Which of the following causes swollen gums that bleed easily

Vitamin C deficiency

If an individual has blue lunulas, which finding is likely when examining their eyes

Kaiser-fliescher rings

Which of the following conditions develops most rapidly when susceptible individuals are exposed to the sun

solar urticaria

The ABCDE mnemonic is primarily used to remember key diagnostic features for which skin cancer

Melanoma

Which of the following procedures would help to differentiate leukoplakia from oral candidiasis

Checking if the white patch can be easily scraped off

Which of the following recommendations would be least beneficial for an individual with atopic dermatitis

Take more hot, soapy baths

A ______ is a flat non-palpable lesion that measures less than 1cm in diameter

Macula

Onycholysis is like to result form fungus, psoriasis or which of the following

Trauma

Rhinitis medicamentosa is associated with which of the following

Medicated nose drops

If someone had a brain tumour caused increased intracranial pressure, which of the following would be the most diagnostic finding on the exam

Papilledema

Rhinophyma is believed to be an extreme form of what skin condition

Rosacea

What is a depressed, moist loss part of the epithet is following rupture of a vesicle called

Erosion

Which of the following causes a smooth tongue (atrophied glossitis)

Riboflavin deficiency

An individual reports sudden onset of numerous visual floaters and sparks of light followed by vision loss "like a shade coming across my ...."

Retinal detachment

Large amounts of drusen bodies around the macula would suggest what

Macular degeneration

The amsler grid is used to help diagnose which of the following conditions

Macular degeneration

Which of the following causes copper and silver wiring to be seen in the eye

Arteriosclerosis

On the Webber test is the sound is louder on the short side from the finger rub test which of the following is likely an underlying cause?

Excessive cerumen

An individual with cataracts would likely have difficulty with which of the following

Reading snellen chart

When examining a child's eyes, if red reflex for the fundoscopic exam is absent or appears abnormal they should be evaluated for possible ________

Retinoblastoma

Which of the following would be most likely to cause angular stomatitis

Ill-fitting dentures

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

Peutz-Jeghers syndrome

Which of the following mouth exams findings is a red flag for possible leukaemia

Gingival hyperplasia

A teenager with night blindness and poor peripheral vision should be examined for

Retinitis pigmentosa

An individual with red lunulas should be examined for further signs of

Heat failure

Hemangiomas of infancy occur most commonly on the

Head and neck

If a person has horners syndrome they would exhibit ptosis of the eyelid and which of the following

Miotic pupil

If a patient has a cranial nerve III lesion, which of the following would be an associated finding

Miotic pupil

Which of the following would be most likely to cause and an inspection finding of tracheal deviation

Pneumothorax

If an individual has unilateral sensorineural hearing loss on the Weber test, the patient would hear the sound louder on the side that was ______ on the rub test

Shorter

If the results of the Rinne test bilaterally are 23 seconds on the mastoid and 47 seconds in front of the EAM, the results suggest

Normal hearing

The results on the finger rub test show that on the right the patient can hear the sound on the fingertips on their outstretched are and on the left they hear the sound to their elbow. On the Weber test, the sound is louder in the right ear. Which of the following results on the rhinne test would be consistent with the other exam findings

20 seconds on the mastoid; 30 seconds in the air

A single enlarged nodule in the thyroid gland is most suggestive of

Malignancy

A lesion of which CN is most likely if an individual is instructed to look straight and one of their eyes deviated medially

VI

When an individual has an infection, the lymph node often becomes enlarged, ______

Boggy and tender

A lymph node that is hard, non-tender and moveable suggests which of the following. The lymph node it ____

Calcified

An individual has no gag reflex on the left but does on the right. Sensation is intact bilaterally. On the "ahhhhh" test the left pharyngeal arch is lower on the right. What lesion would this most likely be? Left cranial nerve

X

Lack of tear production could result from an impairment of which CN

VII

This condition found typically on extensor surfaces presents with erythematous plaques, silvery scales, pitted nails and oncholysis. It may suggest a need for B12

Psoriasis

A treatment recommended for basal and squamous cell carcinoma

Mohs surgery

An elevated lesion filled with purulent fluid

Pustule

An individual should be tested for this contagious condition if they develop a skin rash, flu like symptoms, photophobia and white spots (koplik spots) on the inside of their cheeks

Measles

People should be tested for this condition if they present an acanthosis nigricans (velvety hyperpigmentation- appears in skin folds)

Diabetes mellitus

The term for thinning of skin with loss of skin markings

Atrophy

Tertiary syphilis is suspected when the pupils are _____ and irregular, they accommodate but do not react to light (argyle Robinsons pupil)

Miotic

Congenital syphilis may cause these type of teeth that are peg shaped with a notch

Hutchinson' s

Although this skin condition that begins with a herald patch followed by smaller spots on the abdomen and trunk is benign, it can resemble to appearance of secondary syphilis

Pityriasis rosea

A scar that grows beyond the boundaries of original wound

Keloid

The most common distribution of basal cell carcinoma

Face or head