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46 Terms

1
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Where does the examiner place their fingers to palpate the movement of the TMJ?

Anterior to the tragus of the ear

2
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What are the yellow deposits of cholesterol around the eyelids called?

Xanthelasmas

3
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A red, itchy, foul-smelling, crusty ear would most likely be which of the following conditions?

Otitis Externa

4
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The Rhomberg test is one part of the evaluation of which cranial nerve?

VIII (8)

5
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Direct pupillary reflex is absent on the right and the consensual reflex to the left is absent. Direct response is intact on the left and consensual reflex to the right is intact. Which is the most likely lesion?

Right CN II

6
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I the result of the Rinne test bilaterally is 23 seconds on the mastoid and 47 seconds in front of the EAM, what is the significance of those results?

Hearing is normal

7
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Which of the following occurs when one's gaze shifts focus from far away to an object nearby?

The pupils constrict

8
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If a lymph node is small, moveable, soft and nontender, it is most likely

Normal

9
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Chvostek's sign is present when

Tapping the parotid gland produces a facial spasm

10
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On the weber test if the sound is louder on the short side from the finger test, which of the following is likely the underlying cause of the hearing loss?

Excessive Cerumen

11
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Argyll Robertson Pupils are ______ and irregularly shaped.

Miotic (constricted)

12
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An individual reports feeling fatigued and constipated. They have gained weight over the past few months and have dry, coarse skin and thinning brittle hair...

Diffusely enlarged thyroid gland

13
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If an individual cannot close their left eye, which other exam finding would be most likely

Loss of facial muscle tone of the left side

14
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Amber fluid behind the typanic membrane is associated with what?

Acute serous otitis media

15
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Both the sternocleidomastoid and the trapezius are weak on the right. This suggest a lesion of which cranial nerve?

CN XI (11)

16
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Which of the following can grow across the cornea and obstruct vision?

Pterygium

17
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The corneal reflex tests which cranial nerves?

CN III, CN V, and CN VII

18
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What is the significance of Chvostek's sign?

Hypocalcemia

19
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Which of the following is a risk factor for acute toxic labyrinths?

Taking aspirin

20
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Discovering a lymph node in the left supraclavicular fossa that is enlarged, hard, and non-moveable, suggest which of the following conditions?

GI metastasis

21
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If a patient has a cranial nerve II lesion, which of the following would be an associated finding?

Mydriatic pupil

22
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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?

Grave's Disease

23
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Which of the following would present with a full "stopped up" feeling ear and retracted tympanic membrane?

Blocked Eustacian tube

24
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Which of the following would be most likely to cause an inspection finding of tracheal deviation?

Pneumothorax

25
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When a tuning fork is placed on the top of a patient's head, if they hear the sound louder on the stide that was longer on the finger rub test, which of the following is a likely underlying cuase of the hearing loss?

Acoustic Neuroma

26
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Which of the following tests is most helpful in diagnosing glaucome?

Confrontation

27
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Which of the following describes the findings with Adie's/tonic puil?

Mydriatic + slow light reflex

28
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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

29
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Which of the following could cause corneal abrasion?

Entropion

30
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When testing an individual's hearing, the finger rub extends past the fingertips on the patient's left and extends to the elbow on the right. On the Weber test, the sound localized to the right ear. Which of the following is a likely finding for the Rinne test?

20 seconds on the mastoid and 30 seconds in the air

31
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For the rinne test, the examiner sounds the tuning fork and then does what?

Places it on the mastoid until the patient can no longer hear it, then moves it next to the ear

32
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Redness and swelling near the medical canthus of the eye along with presence of pus coming through the punctum when the lacrimal sac is present would suggest

Dacrocystitis

33
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An abrupt onset of eye pressure and pain accompanied by a dilated pupil, eye redness on palpation and a (+) shadow test would suggest which of the following?

Closed angled glaucoma

34
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Excessive growth of the bony lining of the ear canal that causes a lump in the ear anal best describes which of the following?

Exostosis

35
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A lesion of which cranial nerve is most likely if an individual is instructed to look straight ahead and one of their eyes deviated laterally?

CN III (3)

36
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Asking if an individual can feel an ice cube on the anterior portion of their tongue tests which cranial nerve?

CN V (5)

37
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A patient protrudes their tongue and it deviates to the left. This suggests a lesion of which cranial nerve?

Left CN XII

38
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A single enlarged node in the thyroid gland is most suggestive of which condition?

Malignancy

39
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Which of the following is most likely to create hard, nontender nodules in the pinna of the ear?

Gouty tophi

40
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The cover/uncover test is useful to detect which of the following conditions?

Strabismus (Tropia)

41
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On otoscopic examination, the tympanic membrane is beefy red and intact without visible landmarks. The cone of light is scattered and diffused. Which of the following is most likely?

Bacterial Infection

42
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To palpate the thyroid gland, the examiner's middle finger should be placed adjacent to which of the following landmarks?

Cricoid cartilage

43
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A diffuse, scattered cone of light would suggest which of the following?

Bulging tympanic membrane

44
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A red itchy, foul-smelling crusty ear would most likely be which of the following conditions?

Otitis externa

45
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An individual opens their mouth as wide as they can and the distance is approximately 2 fingers width. This suggests that movement of the TMJ is _______

Decreased

46
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When is arcus senilis clinically significant?

In patients under 40 years old