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ACNP – EENT QUESTIONS AND ANSWERS
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ACNP – EENT QUESTIONS AND ANSWERS
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ACNP – EENT QUESTIONS AND ANSWERSA 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 Correct Ans-place the tooth
between the molars and the inside of the cheek.
The tooth can be transported in the mouth, keeping it between the molars and the cheek. If the
patient is young and likely to swallow it, have them spit into a cup and keep the tooth
submerged. Saline or milk can be used for transport as well.
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 Correct Ans-scotomas.
With fixed defects, or scotomas, lesions appear in the retina or visual pathways of a certain area
of the visual field.
When comparing veins and arteries in the eyes of older adults, the arteries appear Correct
Ans-less brilliant.
In older adults, fundi lose their youthful shine and light reflections. The arteries look narrowed,
pale, straight, and less brilliant than in young or middle adults.
The maxillary sinuses Correct Ans-surround the nasal cavity.
, The whispered voice test allows the examiner to screen for Correct Ans-general hearing loss.
The whispered voice test tests for auditory acuity and allows the examiner to screen for general
hearing loss.
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 Correct Ans-Meniere's disease.
Meniere's disease is a disorder of the middle ear with excessive endolymphatic fluid
accumulation in the membranous labyrinth. It may be d/t malabsorption or a blocked
endolymphatic duct. S/s include recurrent attacks of dizziness, a sense of fullness in the ears with
roaring or ringing tinnitus. Usually occurs in adults around 40 years of age.
On otoscopic examination, the cone of light can be visualized Correct Ans-at the 7 to 8
o'clock position of the left tympanic membrane.
Surgical perforation of the tympanic membrane to allow drainage of middle ear secretions is
termed Correct Ans-a myringotomy.
Examination of the eye reveals a painful, erythematous, and tender area around the nose and
lower eyelid. This condition is most likely Correct Ans-dacryocystitis.
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