PATHO NR 283 ENT Assessment APEA Chamberlain 2024/PATHO NR 283 ENT Assessment APEA Chamberlain 2024/PATHO NR 283 ENT Assessment APEA Chamberlain 2024/PATHO NR 283 ENT Assessment APEA Chamberlain 2024
All of the following are examples of causes of sensorineural hearing loss in children except;
Cerumen impaction
Examination of the eyes reveals a painful erythematous and tender area around the nose and lower
eyelid. This condition is most likely
Dacryocystitis = inflammation of the lacrimal sac, the area b/w lower eyelid and the nose.
A term used to describe drainage from the nose is: Rhinorrhea
Where in the mouth would redden areas, nodules, or ulcerations that are suspicious of malignancy be
present? Tongue
Leukoplakia was noted during an exam of the mouth. This symptom may be: precancerous
Leukoplakia = are thickened white patch located on any area of the mouth.
A patient complains of sore tongue. Findings reveal a smooth and erythematous tongue. This condition
is termed: glossitis
Sudden visual loss suggests: retinal detachment
Causes of sensorineural hearing loss include all of the following except: perforated tympanic membrane
One cause of nasal septum perforation may be: intranasal use of cocaine.
Round or oval shaped lesions surrounded by erythematous mucosa and noted on an area of the oral
mucosa may be: Aphthous ulcers can appear anywhere on the buccal mucosa.
Kolpik’s spots appear in the early stages of measles (rubeola).
Raised or flat, deep purple-colored lesions noted in the mouth may be suggestive of: Kaposi’s sarcoma.
Kaposi’s sarcoma = a low-grade vascular tumor associated with human herpes virus, is associated with
flat or raised deep purple colored lesions of the mouth.
Torus palatinus = develops as a bony growth in the hard palate and is common in adults.
Fordyce spots = or granules appear as yellow spots in the buccal mucosa or on the lips. They are
considered normal sebaceous glands.
On ophthalmoscopic examination, optic atrophy appears: white.
In optic atrophy there is death of the optic nerve fibers. This leads to loss of the disc vessels giving a
white appearance. A pink and hyperemic disc is seen in patients with papilledema. A pale disc w/a
backward depression is characteristic of glaucomatous cupping.
A 60 y.o. pt presents with severe deep left eye pain. Findings reveal dilated and fixed left pupil and the
cornea is cloudy. There is no ocular discharged noted. These findings are most likely consist with: Acute
angle closure glaucoma = severe, aching, deep. Pupils dilated & fixed and cornea appears
steamy/cloudy.
, Acute iritis presents with a moderate aching pain deep within the eye. The pupils are small and irregular
and vision is decreased and photophobia is usually present. The cornea is clear or slightly cloudy with
injection confined to the corneal limbus = emergency r/t herpes zoster infection or TB.
When comparing veins and arteries in the eyes of older adults, the arteries appear: less brilliant
Hx of DM complains of difficulty hearing on the phone and muffled sounds while watching tv at a low
volume. He should be further evaluated for: Presbycusis = most common type of sensorineural hearing
loss caused by the natural aging of auditory sys.
Acoustic neuroma = rare condition that develops from direct effects on the main nerve or from a tumor
pressing on adjacent nerves or brain structures. It causes sys of dizzy, loss of balance, and facial
numbness.
Cholesteatoma and granulomatous disease = physical sxs of infectious ear drainage.
Upon exam of right tympanic membrane, a cone of light was visible at the 4 o’clock mark. Normal.
On exam 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
Argyll Robertson = condition appear small and irregular shaped and accommodate but do not react to
light.
A condition that involves optic nerve damage and visual field changes is termed = glaucoma
A man with a hx of long-term use chewing tobacco presents with a mouth lesion that is suspicious for
malignancy. Oral assessment findings described: an ulcerated lesion with indurated margins on the
lateral tongue.
If a pt c/o seeing flashing lights across the field of vision, this could be: detachment of the vitreous from
the retina.
A fine rhythmic oscillation of the eyes is termed = nystagmus
When exam the conjunctiva and sclera, have the pt look upward and then: depress both lower lids with
your thumbs, exposing the sclera and conjunctiva.
Ophthalmoscopic exam of a 30yo w/ hx of eye injury 3 yrs ago, reveals a superficial grayish-white
opacity in the right cornea. Indicative of a = corneal scar.
A 6 yr old child presents with ST, difficulty swallowing, and a temp of 102. Findings reveal
lymphadenopathy and pharyngeal erythema. This is probably: pharyngitis
A 60 yr was concerns about a yellowish colored lesion above her right eyelid. Findings reveals a slightly
raised yellowish, well circumscribed plaque along the nasal area of her right eyelid. This finding is
most consistent with: xanthelasma.
All of the following diseases may be associated with the appearance of a strawberry tongue except:
rubeola.
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