CEEXAM 2021
Duri
ngaWebert est
,apat i
entwit
hr i
ghtearheari
nglossreport
sheari
ng
soundlongeri
ntherightearthanthelef
tear.Whatresult
sshoul
dthe
nurseexpectt
ofindf
r om t
hispat
ientduringaRinnetest
?
Ai
rconduc
tionwi
llbet
wic
easl
ongasbonec
onduc
tion(
2:1r
ati
o).
Ai
rconduc
tionwi
llbe1.
5ti
mesasl
ongasbonec
onduc
tion(
1.5:
1rat
io)
.
Bonec
onduc
tionwi
llbel
ongert
hanai
rconduc
tion.
Bonec
onduc
tionwi
llbeequalt
oai
rconduc
tion.
Anur
ser
eadsi
nthehi
stor
ythatapat
ienthasanew ons
etofac
uteot
iti
smedi
a.Bas
ed
ont
hisi
nfor
mat
ion,how doest
henur
seexpec
tthi
spat
ient
’st
ympani
cmembr
anet
o
appear
?
Dul
l
Shi
ny
Red
Bl
uet
odeepr
ed
,Anur
seexami
nesapat
ient
’saudi
tor
ycanalandt
ympani
cmembr
anewi
th
anot
osc
opeandobs
erveswhi
chf
indi
ngasnor
mal
?
,Cl
earf
lui
dli
ningt
heaudi
tor
ycanal
Af
irmt
ympani
cmembr
anewi
thoutf
luc
tuat
ionwi
thpuf
fsofai
r
As
mal
lhol
ewi
thi
nthec
oneofl
ight
As
hiny,t
rans
luc
entt
ympani
cmembr
ane
Whenus
inganopht
hal
mos
copet
oexami
net
hei
nter
naleye,how
doest
henur
sedi
sti
ngui
sht
her
eti
nalar
ter
iesf
rom t
her
eti
nal
vei
ns?
Thear
ter
iesar
enar
rowert
hanvei
ns.
Thear
ter
iesar
eadar
kerr
edt
hanvei
ns.
Thear
ter
ieshavenol
ightr
efl
exandt
hevei
nshaveanar
row bandofl
ighti
n
the
c
ent
er.
Thear
ter
ieshavepr
omi
nentpul
sat
ionsandvei
nshavenopul
sat
ions
.
Dur
inganeyeexami
nat
ionofanAs
ianpat
ient
,anur
senot
icesani
nvol
unt
ary
r
hyt
hmi
cal
,hor
izont
almovementoft
hepat
ient
’seyes
.How doesanur
sedoc
ument
t
hisf
indi
ng?
, Anexpec
tedr
aci
alvar
iat
ion