APEA- EENT Assessment
Performance of the Weber and Rinne tests to assess for hearing loss is best performed using tuning fork with a frequency of: 256 Hz. 512 Hz. 800 Hz. 1000Hz.
512 Hz.
Which of the paranasal sinuses are accessible to clinical examination? Ethmoidal sinuses Sphenoidal sinuses Frontal sinuses. Vestibular sinuses
Frontal sinuses.
A forty-five-year-old female complains of frequent attacks of dizziness accompanied by a sense of fullness in the right ear, headache, nausea, reduced hearing in the right ear. This patient may need further workup for: otosclerosis. Meniere's disease. Paget's disease. mastoiditis.
Meniere's disease.
Which disorder of the eye can be detected with the cover-uncover and the Hirschberg test? Amblyopia Conjunctivitis Strabismus Cataracts
Strabismus
A reduction in vision in one or both eyes causing loss of binocular vision is termed: strabismus. amblyopia. cataracts. macular degeneration.
amblyopia.
Examination of the nasolacrimal duct reveals a mucopurulent discharge from the puncta. This finding is suggestive of: conjunctivitis. an obstructed nasolacrimal duct. dacryocystitis. pinguecula.
an obstructed nasolacrimal duct.
Ectropion is defined as: an inward turning of the lower eyelid. an outward turning of the lower eyelid. drooping of the eyelid. a retracted eyelid with a wide-eyed stare.
an outward turning of the lower eyelid.
A man with a history of long-term use of chewing tobacco presents with a mouth lesion that is suspicious for malignancy. Oral assessment findings describe: a smooth circular pustule lesion on the base of the gum. a soft, solitary papule lesion located apical to the molar. a small, shallow, sore lesion at the base of the gums. an ulcerated lesion with indurated margins on the lateral tongue.
an ulcerated lesion with indurated margins on the lateral tongue.
A softening of the skin at the angles of the mouth which may be due to nutritional deficiency is commonly referred to as: actinic cheilitis. herpes simplex. angular cheilitis. leukoplakia.
angular cheilitis.
Round or oval shaped lesions surrounded by erythematous mucosa and noted on an area of the oral mucosa may be: leukoplakia. aphthous ulcers. Koplik's spots. ulcerative gingivitis.
aphthous ulcers.
The ethmoidal sinuses: are located between the eyes. are located above the eyes. surround the nasal cavity. are located behind the sphenoid sinuses.
are located between the eyes.
Assessment of a patient's visual acuity resulted in 20/200 using the Snellen eye chart. This means that: at 200 feet the patient can read printed information that a person with normal vision could read at 20 feet. at 20 feet the patient can read printed information that a person with normal vision could read at 200 feet. the patient has normal visual acuity. the patient may not be able to read so he should be tested with the picture or "E" eye charts.
at 20 feet the patient can read printed information that a person with normal vision could read at 200 feet.
On otoscopic examination, the cone of light can be visualized: at the 1 o'clock to 2 o'clock position of the left tympanic membrane. at the 4 o'clock to 5 o'clock position of the left tympanic membrane. at the 7 o'clock to 8 o'clock position of left tympanic membrane. at the 12 o'clock position of the left ear tympanic membrane.
at the 7 o'clock to 8 o'clock position of left tympanic membrane.
A patient presents with complaints of burning, itching, tearing, and some pain in the eye. Findings reveal red, scaly, greasy flakes and thickened, crusted lid margins. This would be suggestive of: a chalazion. blepharitis. a hordeolum. dacryocystitis.
blepharitis
A teenage complains of itching and burning of his eye. Examination reveals an erythematous eyelid margin with crusting and a clear mucus discharge. These findings are consistent with: conjunctivitis. a chalazion. a corneal ulcer. blepharitis.
blepharitis.
When the corneal reflex is stimulated by shining the light in the right eye, the right eye blinks. The left eye: does not blink. blinks. turns inward. turns outward.
blinks.
In order to visualize the opening of Stensen's duct, examine the: dorsal surface of the tongue. area beneath the mandible at the angle of the jaw. buccal mucosa opposite the second molar. small openings along the sublingual fold under the tongue.
buccal mucosa opposite the second molar.
A patient presents with complaints of earache, blood tinged discharge from the ear, and hearing loss. Findings reveal painful hemorrhagic vesicles on the tympanic membrane and the ear canal. These findings and symptoms are suggestive of: tympanosclerosis. serous effusion. otitis media with purulent effusion. bullous myringitis.
bullous myringitis.
With transillumination of the frontal sinuses, a dim red glow is observed on the forehead. This dim red glow would be indicative of: thickened mucosa or secretions in the frontal sinuses. clear frontal sinuses. an absent frontal sinus. a developmental absence of both frontal sinuses.
clear frontal sinuses
The Rinne hearing test allows the examiner to screen for: sensorineural hearing loss. conductive hearing loss. general hearing loss bilateral hearing loss.
conductive hearing loss.
Miosis is a term used to describe: the shape of the pupils. constriction of the pupils. dilation of the pupils. symmetry of the pupils.
constriction of the pupils.
A 40-year-old male was umpiring a little league baseball game when he was hit in the face with flying debris. He presents with decreased vision and severe pain in the left eye. Findings reveal watery, left ocular discharge. The pupils are normal in appearance and the cornea is slightly cloudy with areas of corneal erythema. These findings are most consistent with: acute iritis. corneal injury. corneal infection. acute angle closure glaucoma.
corneal injury.
Ophthalmoscopic examination of a 30-year-old with a history of an eye injury 3 years ago, reveals a superficial grayish-white opacity in the right cornea. This may be indicative of a: corneal arcus. corneal scar. pterygium. cataract.
corneal scar
A patient presents with findings of pain, warmth, redness, and swelling below the inner canthus toward nose. Tearing is present and when pressure is applied to the lacrimal sac, purulent discharge from the puncta is noted. This is suggestive of: blepharitis. dacryocystitis. a hordeolum. a chalazion.
dacryocystitis.
Examination of the eye reveals a painful, erythematous, and tender area around the nose and lower eyelid. This condition is most likely: conjunctivitis. chalazion. dacryocystitis. pinguecula.
dacryocystitis.
Ophthalmoscopic examination of the fundus reveals small, rounded, slightly irregular red spots embedded in the retina. These findings are consistent with: superficial retinal hemorrhages. preretinal hemorrhages. microaneurysms. deep retinal hemorrhages.
deep retinal hemorrhages.
When examining the conjunctiva and sclera, have the patient look upward and then: cover one eye while visualizing the sclera and conjunctiva of the uncovered eye. depress both lower lids with your thumbs, exposing the sclera and conjunctiva. look for excessive tearing or dryness in the conjunctiva sac. note the position of the lids in relation to the eyeballs and color of the sclera.
depress both lower lids with your thumbs, exposing the sclera and conjunctiva.
If a patient complains of seeing flashing lights across the field of vision, this could be: a normal response if around bright lights. a retinal detachment. detachment of the vitreous from the retina. lesion in the visual pathways.
detachment of the vitreous from the retina.
When a person shifts gaze from a near object to a far object, the pupils: dilate. constrict. remain unchanged. depends.
dilate.
Mydriasis is a term used to describe: the shape of the pupils. constriction of the pupils. dilation of the pupils. symmetry of the pupils.
dilation of the pupils.
When a light beam shines into one pupil causing pupillary constriction in that eye, the term used is: indirect reaction to light. consensual reaction to light. optic radiation. direct reaction to light.
direct reaction to light.
Ptosis is defined as: an inward turning of the lower eyelid. an outward turning of the lower eyelid. drooping of the eyelid. a retracted eyelid with a wide-eyed stare.
drooping of the eyelid.
A condition of the sclera that appears as localized ocular inflammation of the episcleral vessels is most likely: scleroderma. episcleritis. conjunctivitis. pinguecula.
episcleritis.
Actinic cheilitis is a condition of the lower lip most commonly seen in: dark-skinned males who work in coal mines. people of all races with nutritional deficiencies. people with a history of intestinal polyps. fair-skinned men who work outdoors.
fair-skinned men who work outdoors.
The whispered voice test allows the examiner to screen for: low frequency hearing loss. high frequency hearing loss. general hearing loss. conductive hearing loss.
general hearing loss.
Redness, bleeding, pain, and swelling of the gums is most likely: stomatitis. gingivitis. leukoplakia. aphthous ulcers.
gingivitis.
A condition that involves optic nerve damage and visual field changes is termed: retinoblastoma. cataracts. glaucoma. pterygium.
glaucoma.
The gradual loss of vision with a change in color and size of the optic disc is referred to as: macular degeneration. glaucoma. cataracts. retinoblastoma
glaucoma.
A patient complains of a sore tongue. Findings reveal a smooth and erythematous tongue. This condition is termed: gingivitis. stomatitis. glossitis. candidiasis.
glossitis.
Gingival hyperplasia could be seen in all the following conditions except: those patients undergoing phenytoin (Dilantin) therapy. adolescents with nickel braces. in patients diagnosed with diabetes. in adults with leukemia
in patients diagnosed with diabetes.
When assessing extraocular movements: use the Snellen eye chart. use the ophthalmoscope to view the fundus. include the cardinal directions of gaze. shine a penlight into the pupils.
include the cardinal directions of gaze.
All of the following symptoms in a 10-month-old would be indicative of acute otitis media (OM) except: nausea, vomiting, and possibly diarrhea increased mobility of the tympanic membrane persistent crying and irritability reluctance to suck a bottle
increased mobility of the tympanic membrane
One cause of nasal septum perforation may be: nasal polyps. intranasal use of cocaine. cystic fibrosis. chronic sinusitis.
intranasal use of cocaine.
A person who has been blind since birth presents for a physical exam. Expected findings of the pupillary reaction when light is shown would be: constriction of both pupils. dilation of both pupils. no reaction from either pupil. it depends.
it depends.
Findings following assessment of a person's left eye gaze include impaired movements when attempting to look upward, downward, or inward. This condition is most consistent with: a conjugate gaze. left cranial nerve III (oculomotor) paralysis cranial nerve IV (trochlear) paralysis. cranial nerve VI (abducens) paralysis.
left cranial nerve III (oculomotor) paralysis
When comparing veins and arteries in the eyes of older adults, the arteries appear: bright red. widened. less brilliant. curvy.
less brilliant.
A toddler with a suspected hearing loss would: exhibit little or no babbling or vocalization sounds. likely communicate through gestures. display poor school performance. need to watch television with the volume on high.
likely communicate through gestures.
A fine rhythmic oscillation of the eyes is termed: presbyopia. nystagmus. strabismus. proptosis.
nystagmus.
When examining the pupils, the left pupil is noted to be fixed and dilated to light and near accommodation. This condition may be suggestive of: a tonic pupil. oculomotor nerve (CN III) paralysis. Horner's syndrome. Argyll Robertson pupils.
oculomotor nerve (CN III) paralysis.
On ophthalmoscopic exam of the older adult, there is an increased cup-to-disc ratio: This finding is suggestive of: cataracts. macular degeneration. open angle glaucoma. blindness.
open angle glaucoma.
An eight-year-old complains of itching in the right ear and an increase in pain when the pinna is pulled or the tragus is palpated. Examination reveals slight redness in the ear canal with a clear odorless fluid. This could be suggestive of: otitis media. otitis externa. mastoiditis. a tympanic membrane rupture.
otitis externa.
In patients who have allergic rhinitis, the nasal mucosa appears: erythematous. pale. green. yellow.
pale.
On ophthalmoscopic examination, glaucomatous cupping appears: pink and hyperemic. yellowish orange to creamy pink. pale. white.
pale.
Causes of sensorineural hearing loss include all of the following except: aging. loud noises over prolonged periods of time. perforated tympanic membrane. acoustic neuroma.
perforated tympanic membrane
A swollen deviated uvula may be associated with a: vagus nerve lesion. peritonsillar abscess. person who smokes cigarettes. a normal finding in the elderly population.
peritonsillar abscess.
A six-year-old child presents with sore throat, difficulty swallowing, and a temperature of 102 °F. Findings reveal lymphadenopathy and pharyngeal erythema. This is probably: sinusitis. exudative tonsillitis. pharyngitis. the flu.
pharyngitis.
A cyclist sustained an avulsion of the upper central incisor. If he is unable to position the tooth in the socket until he is able to be seen by a dentist, he should: transport the tooth in a cup of lukewarm tap water. place the tooth between the molars and the inside of the cheek. rinse the tooth and transport it in a clean dry cloth. not rinse the tooth but transport it in a clean dry cloth.
place the tooth between the molars and the inside of the cheek.
Leukoplakia was noted during an exam of the mouth. This symptom may be: a normal finding. precancerous. associated with periodontal disease. consistent with gingivitis.
precancerous.
Ophthalmoscopic examination of the fundus reveals blood anterior to the retina and obscuring retinal vessels. These findings are consistent with: superficial retinal hemorrhages. preretinal hemorrhages. microaneurysms. deep retinal hemorrhages.
preretinal hemorrhages.
A 57-year-old man with a history of diabetes complains of difficulty hearing on the telephone and muffled sounds while watching the television at a low volume. He should be further evaluated for: acoustic neuroma. granulomatous disease. cholesteatoma. presbycusis.
presbycusis.
A sixty-year-old complains of a progressive bilateral hearing loss over the past four months. He has difficulty understanding spoken words and has become sensitive to loud noises. These symptoms are consistent with: otosclerosis. mastoiditis. presbycusis. Meniere's disease.
presbycusis.
A 50- year-old patient complains of being unable to read the hymnal at church. This describes: hyperopia. myopia. presbyopia. astigmatism.
presbyopia.
To palpate for sinus tenderness, press up on the frontal sinuses from under the bony brows, then: press down on the ethmoid sinus. press up on the maxillary sinus. palpate around the orbit. observe the turbinates.
press up on the maxillary sinus.
Sudden bilateral and painful visual loss is rare but can be associated with: cholinergics. anticholinergics. steroids. radiation exposure.
radiation exposure.
Examples of sudden, painful, unilateral visual loss include all the following except: retinal detachment. corneal ulcer. traumatic hyphema. acute glaucoma.
retinal detachment.
Sudden visual loss suggests: retinal detachment. hyperopia. macular degeneration. hyperglycemia.
retinal detachment.
A term used to describe drainage from the nose is: rhinitis. rhinorrhea. cerumen. otorrhea.
rhinorrhea.
All of the following diseases may be associated with the appearance of a strawberry tongue except: scarlet fever. folic acid and B-12 deficiencies. rubeola. Kawasaki syndrome.
rubeola.
A patient complains of seeing specks that obscure his line of vision when he looks in a certain direction. This impairment could be caused by: vitreous floaters. retinal detachment. macular degeneration. scotomas.
scotomas.
A condition in which the eyes are not properly aligned with each other is termed: hyperopia. myopia. strabismus. astigmatism.
strabismus.
The maxillary sinuses: are located between the eyes. surround the nasal cavity. are located above the eyes. are located behind the ethmoidal sinuses.
surround the nasal cavity.
All of the following are examples of causes of sensorineural hearing loss in children except: the presence of cerumen impaction. prolonged use of tobramycin. maternal history of Herpes infection. congenital rubella syndrome.
the presence of cerumen impaction.
When administering ear drops to a 6-year-old, the pinna should be pulled: downward. downward and back. upward. upward and back.
upward and back.
A deviated uvula without swelling may be suggestive of a: vagus nerve lesion. peritonsillar abscess. person who smokes cigarettes. a normal finding in the elderly population.
vagus nerve lesion.
Ophthalmoscopic examination of the retina reveals AV tapering. This appears as if the: vein "winds" down on either side of the artery. vein is twisted on the distal side of the artery. vein crosses beneath the artery. vein stops abruptly on either side of the artery.
vein "winds" down on either side of the artery.
Ophthalmoscopic examination of the retina reveals AV banking. This appears as if the: vein tapes down on either side of the artery. vein is twisted on the distal side of the artery. vein crosses beneath the artery. vein stops abruptly on either side of the artery.
vein is twisted on the distal side of the artery.
On ophthalmoscopic examination, optic atrophy appears: pink and hyperemic. yellowish orange to creamy pink. pale. white.
white.
A 60-year-old was concerned about a yellowish colored lesion above her right eyelid. Findings revealed a slightly raised yellowish, well circumscribed plaque along the nasal area of her right eyelid. This finding is most consistent with: a pinguecula. a chalazion. episcleritis. xanthelasma.
xanthelasma.
Raised or flat, deep purple colored lesions noted in the mouth may be suggestive of: Koplik's spots. Kaposi's sarcoma. torus palatinus. Fordyce spots.
Kaposi's sarcoma.
When a 512 Hz tuning fork is placed over the mastoid bone and then held next to the ear canal with recordings of how long sound was heard in each ear, this is known as the: absolute bone conduction test. pure tone audiometry test. Weber test. Rinne test.
Rinne test.
Where in the mouth would reddened areas, nodules, or ulcerations that are suspicious of malignancy be present? Mucous membranes Tongue Gums Palate
Tongue
What visual acuity constitutes legal blindness? Visual acuity of 20/80 or worse bilaterally. Visual acuity of 20/200 or worse in the better eye with corrected lens. Visual acuity of 20/200 in the better eye without corrected lens. Visual acuity of 20/100 with corrected lens.
Visual acuity of 20/200 or worse in the better eye with corrected lens.
Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss? Weber Test Rinne Test Whispered Voice Test bilateral hearing loss.
Weber Test
Findings following assessment of a person's eye gaze include both eyes moving in the same direction simultaneously. This condition is most consistent with: a conjugate gaze. left cranial nerve III (oculomotor) paralysis cranial nerve IV (trochlear) paralysis. cranial nerve VI (abducens) paralysis.
a conjugate gaze.
The patient complains of seeing floating spots. This is consistent with: macular degeneration. a detached retina. glaucoma. cataracts.
a detached retina.
A localized Staphylococcal infection of the hair follicles at the lid margin is suggestive of: a hordeolum. blepharitis. a chalazion. dacryocystitis.
a hordeolum.
Surgical perforation of the tympanic membrane to allow drainage of middle ear secretions is termed: otosclerosis. a myringotomy. a tympanocentesis. a tympanoplasty.
a myringotomy.
Upon examination of the right tympanic membrane, a cone of light was visible at the four o'clock mark. This would be interpreted as: a perforation of the ear drum. an acute otitis media. a normal eardrum. tympanosclerosis.
a normal eardrum.
On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of: a tonic pupil. oculomotor nerve (CN III) paralysis. Horner's syndrome. Argyll Robertson pupils.
a tonic pupil.
A 60- year-old patient presents with severe, deep left eye pain. Findings reveal dilated and fixed left pupil and the cornea is cloudy. There is no ocular discharge noted. These findings are most likely consistent with: acute iritis. corneal injury. corneal infection. acute angle closure glaucoma.
acute angle closure glaucoma.
A 30-year-old patient presents with a moderate "aching" in his right eye. Findings reveal a small and irregular shaped right pupil. The cornea appears cloudy with a slight erythematous area around the corneal limbus. There is no ocular discharge noted. These findings are consistent with: acute iritis. corneal injury. corneal infection. acute angle closure glaucoma.
acute iritis.
On examination of the tympanic membrane, a red bulging ear drum is detected. This is consistent with: acute otitis externa. chronic otitis externa. acute otitis media. a serous effusion.
acute otitis media.
Examination of the nose and paranasal sinuses reveal local tenderness, pain, fever, and rhinorrhea. These symptoms are suggestive of: chronic sinusitis of the frontal and maxillary sinuses. allergic rhinitis. upper respiratory infection. acute sinusitis of the frontal and maxillary sinuses.
acute sinusitis of the frontal and maxillary sinuses.
