Chapter 36 Speciality Exams and Procedures

The ear may require irrigation (also known as ___________) to removes excess wax.

lavage

If non-disposable specula are used when examining the ears, they must be sanitized after every use with a mild detergent. Before they are reused safely to examine another patient, they must also be:

a. dried.

b. disinfected.

c. cleansed.

d. sterilized.

d. sterilized.

Which of the following is part of the medical assistant's role in assisting with ear and eye examinations?

a. Obtain informed consent from the patient

b. Hand instruments to the provider

c. Suture the incision

d. Advise the provider on needed instruments

b. Hand instruments to the provider

Ear irrigation may be necessary to

remove wax

Occasionally, it is necessary to instill which of the following in the ear to soften earwax before an irrigation procedure can be performed?

a. Hot water

b. Antibiotics

c. Softening solution

d. Cotton

c. Softening solution

What do many patients feel after irrigation procedures are performed?

a. Fullness

b. Pain

c. Dizziness

d. Weakness

c. Dizziness

Which of the following is true about a wall-mounted otoscope?

a. They must be unplugged at the end of each day.

b. The scopes should be changed at the end of each day.

c. They should be replaced annually.

d. The bulbs should be changed periodically.

d. The bulbs should be changed periodically.

Which of the following is a common behavior that indicates the loss of hearing ability?

a. Responding when spoken to if out of sight range

b. Talking in an inappropriately soft voice

c. Frequently asking to repeat what was said during conversation

d. Becoming angry with the medical assistant

c. Frequently asking to repeat what was said during conversation

If there is a noticeable problem with hearing, how often should hearing tests be completed (unless otherwise instructed by the provider)?

a. Every 5 years

b. Bi-annually

c. Annually

d. Monthly

c. Annually

Which procedure determines the ability of the middle ear to transmit sound waves and is commonly performed on children to diagnose middle ear infections?

a. Audiometry

b. Weber testing

c. Jaeger testing

d. Tympanometry

d. Tympanometry

The Rinne and Weber tests are completed using a(n):

a. audiometer.

b. tuning fork.

c. tympanometry.

d. ear lavage.

b. tuning fork

Which test is used to evaluate patients suspected of having pulmonary insufficiency?

a. Spirometry

b. Tonometry

c. Tympanometry

d. Pulse oximetry

a. Spirometry

In the Rinne test, the examiner strikes the fork then holds the shank (stem) against which of the following bones until the patient no longer hears the sound?

a. Skull

b. Mastoid

c. Collar

d. Ear

b. Mastoid

When irrigating a patient's eye, instruct the patient to lie on their side with their face turned in what direction?

a. Turned to the side of the eye being irrigated

b. Facing downward

c. Turned to the opposite side of the eye being irrigated

d. Facing upward

a. Turned to the side of the eye being irrigated

Which of the following is a common method of screening for near vision acuity?

a. Snellen chart

b. Pelli-Robson chart

c. E chart

d. Jaeger chart

d. Jaeger chart

Which of the following is used to measure a person's hearing?

a. Audiometer

b. Funduscope

c. Evacuant

d. Proctoscope

a. Audiometer

Following a proctologic procedure, advise patients to report any problems, such as discharge, swelling, ___________ or any other unusual discomfort.

bleeding

Peak flow testing measures a patient's ability to:

a. breathe.

b. inhale.

c. sleep.

d. exhale.

d. exhale

Which of the following type of ear speculum do most providers use to prevent disease transmission?

a. Plastic

b. Paper

c. Glass

d. Metal

a. Plastic

Sometimes it is difficult for the provider to inspect the patient's ear due to a buildup of what in the ear?

a. Hair

b. Oil

c. Cerumen

d. Fluid

c. Cerumen

Occasionally, the eye may need to have which of the following done to it if there is inflammation, secretions in the eye due to infection, a chemical contamination, or a foreign particle in the eye?

a. Held open

b. Sutured shut

c. Patched

d. Irrigated

d. Irrigated

Which of the following is defined as the greatest volume of air that can be expelled during a complete, slow, unforced expiration following a maximum inspiration?

a. Spirometry

b. Pulse oximetry

c. Peak flow

d. Vital capacity

d. Vital capacity

Which of the following is considered a risk factor for infections that would encourage further respiratory diagnostic testing to be performed?

a. Measles

b. Environmental exposures

c. Pneumonia

d. Exercising

c. Pneumonia

When performing spirometry testing, test results are considered abnormal when they are below -________percent.

80

In the diagnosis of hemorrhoids, fissures, and ulcerations, the provider usually begins investigative procedures by examining the anus and the interior of the rectum with a(n):

a. sigmoidoscope.

b. proctoscope.

c. speculum.

d. otoscope.

b. proctoscope.

Delicate instruments and those with plastic or rubber parts during proctologic examinations will require processing in a(n):

a. sanitization agent.

b. autoclave.

c. detergent.

d. germicidal solution.

d. germicidal solution.

Which of the following can be inserted much farther into the colon with less discomfort and makes it possible to view more of the interior of the colon?

a. Flexible sigmoidoscope

b. Proctoscope

c. Sigmoidoscope

d. Speculum

a. Flexible sigmoidoscope