Chamberlain NR 511 Week 2 Quiz Disorders of GI and ENT
Questions With Complete Solutions
Acoustic Neuroma Correct Answer Rare tumor on the auditory
nerve (8th cranial nerve) that causes unilateral vertigo, tinnitus,
and hearing loss. Sometimes associated with a headache. May
also have neurologic changes such as facial weakness, tingling,
loss of taste and dysphagia.
Altered intestinal motility Correct Answer * secondary to
diabetic neuropathy, dumping syndrome, or IBS, antibiotic
therapy
aphasia Correct Answer difficulty speaking
Bacterial Rhinosinusitis Correct Answer * Complicates about
2% of Viral
* Imunocompromised host: consider bacterial or fungal
* Caused by:
1. Streptococcus Pn. (40%)
2. Staff Aureus (5%) Causes complications
Benign Positional Vertigo Correct Answer * Common
diagnosis of vestibular dysfunction in elderly
* Paroxysmal vertigo with nystagmus when lying, turning over
in bed, or tilting head backwards
* No hearing loss associated with
* Diagnosed with Nylen-Barany Maneuver
Causes of Melena Correct Answer * Iron supplements
* Bismuth salicylates
,* Upper GI Peptic or gastric ulcer, Gastric or esophageal
erosions.
* Lower Gi: Colong CA, polyps, IBS, Colitis, small bowel CA,
meckel's diverticulum
Cerumen impaction complication Correct Answer If trauma to
canal during disimpaction:
Treat with cortisporin otic, 4 drops 3 to 4 times daily for 5 to 7
days)
Cerumen Impaction Management Correct Answer * Place 1:1
mixture of warm hydrogen pyroxide and mineral oil in external
ear canal for 1 hour. Then lavage with warm saline.
* or us Debrox (6.5% carbamide peroxide
* or use docusate sodium liquid
** press post and pre auricle then up and down to work the wax
out, dry with warm hair dryer.
*** Use for 1 week before returning for ear canal disimpaction
**** Do not disimpact if tympanic membrane is perforated
Cheilitis Correct Answer inflammation of the lip
Cholesteotoma Correct Answer a type of tumor that can occur
in the middle ear and cause a conductive hearing loss
(keratonizing Squamous Epithelium)
Chondrodermatitis chronicus helicis Correct Answer *
extremely tender nodule of the inner ear helix
Common causes of AVRS (Acute Viral Rhino Sinusitis)
Correct Answer * Rhinovirus (30%)
, * Coronavirus
* Adenovirus
* Echovirus
* Coxsackievirus
Less common are : Respiratory Syncytial Virus(RSV) and
Influenza viruses
Conductive Hearing Loss Correct Answer Hearing loss or
impairment resulting from interference with the transmission of
sound waves to the cochlea
Constipation Correct Answer Hard, slow stools that are
difficult to eliminate; often a result of too little fiber in the diet
Cromolyn Sodium Nasalspray (nasalcrom) Correct Answer *
Used to prevent flareups when exposure expected
* 4% solution 3 to 6 times per day before known antigen
exposure may prevent
Diagnostic test for Rhinosinusitis Correct Answer * Otoscopic
examination
* CBC to check for leukocytopenia
* XRay only in rare cases where symptoms are not resolving
Diagnostic Testing Correct Answer * Not necesary if
uncomplicated Viral rhinitis
* If Exudate present consider Giemsa or Wrights stained smear,
CBC
* Leukocytosis may be present in bacterial
Questions With Complete Solutions
Acoustic Neuroma Correct Answer Rare tumor on the auditory
nerve (8th cranial nerve) that causes unilateral vertigo, tinnitus,
and hearing loss. Sometimes associated with a headache. May
also have neurologic changes such as facial weakness, tingling,
loss of taste and dysphagia.
Altered intestinal motility Correct Answer * secondary to
diabetic neuropathy, dumping syndrome, or IBS, antibiotic
therapy
aphasia Correct Answer difficulty speaking
Bacterial Rhinosinusitis Correct Answer * Complicates about
2% of Viral
* Imunocompromised host: consider bacterial or fungal
* Caused by:
1. Streptococcus Pn. (40%)
2. Staff Aureus (5%) Causes complications
Benign Positional Vertigo Correct Answer * Common
diagnosis of vestibular dysfunction in elderly
* Paroxysmal vertigo with nystagmus when lying, turning over
in bed, or tilting head backwards
* No hearing loss associated with
* Diagnosed with Nylen-Barany Maneuver
Causes of Melena Correct Answer * Iron supplements
* Bismuth salicylates
,* Upper GI Peptic or gastric ulcer, Gastric or esophageal
erosions.
* Lower Gi: Colong CA, polyps, IBS, Colitis, small bowel CA,
meckel's diverticulum
Cerumen impaction complication Correct Answer If trauma to
canal during disimpaction:
Treat with cortisporin otic, 4 drops 3 to 4 times daily for 5 to 7
days)
Cerumen Impaction Management Correct Answer * Place 1:1
mixture of warm hydrogen pyroxide and mineral oil in external
ear canal for 1 hour. Then lavage with warm saline.
* or us Debrox (6.5% carbamide peroxide
* or use docusate sodium liquid
** press post and pre auricle then up and down to work the wax
out, dry with warm hair dryer.
*** Use for 1 week before returning for ear canal disimpaction
**** Do not disimpact if tympanic membrane is perforated
Cheilitis Correct Answer inflammation of the lip
Cholesteotoma Correct Answer a type of tumor that can occur
in the middle ear and cause a conductive hearing loss
(keratonizing Squamous Epithelium)
Chondrodermatitis chronicus helicis Correct Answer *
extremely tender nodule of the inner ear helix
Common causes of AVRS (Acute Viral Rhino Sinusitis)
Correct Answer * Rhinovirus (30%)
, * Coronavirus
* Adenovirus
* Echovirus
* Coxsackievirus
Less common are : Respiratory Syncytial Virus(RSV) and
Influenza viruses
Conductive Hearing Loss Correct Answer Hearing loss or
impairment resulting from interference with the transmission of
sound waves to the cochlea
Constipation Correct Answer Hard, slow stools that are
difficult to eliminate; often a result of too little fiber in the diet
Cromolyn Sodium Nasalspray (nasalcrom) Correct Answer *
Used to prevent flareups when exposure expected
* 4% solution 3 to 6 times per day before known antigen
exposure may prevent
Diagnostic test for Rhinosinusitis Correct Answer * Otoscopic
examination
* CBC to check for leukocytopenia
* XRay only in rare cases where symptoms are not resolving
Diagnostic Testing Correct Answer * Not necesary if
uncomplicated Viral rhinitis
* If Exudate present consider Giemsa or Wrights stained smear,
CBC
* Leukocytosis may be present in bacterial
