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NURS 701 Mod 6 Ch 7 Goolsby ENT questions with correct answers
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NURS 701 Mod 6 Ch 7 Goolsby ENT questions with correct answers
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NURS 701 Mod 6 Ch 7 Goolsby ENT questions withcorrect answers
Viruses common in day care settings Correct Answer-Rhinovirus
Influenza
Parainfluenza
RSV
Adenovirus
8 Common symptoms of viral URI Correct Answer-cough,
otalgia,
ear infections,
headaches,
rhinosinusitis,
pharyngitis,
fevers,
malaise
Symptoms of Viral URI typically resolve in ________-__________
days.
What percentage can progress to superimposed bacterial infection?
Correct Answer-7-10 days.
<5%
,Diffuse erythema and edema of the auricle or ear canal associated with
severe pain Correct Answer-Malignant otitis externa/mastoiditis
Erythema and edema of ear canal with or without otorrhea Correct
Answer-Otitis externa
External ear canal wound, malignancy, skull fracture, traumatic
perforation of tympanic membrane Correct Answer-Bloody discharge
Yellow or brown matter that occludes the tympanic membrane Correct
Answer-Cerumen impaction
Purulent discharge Correct Answer-Infection or foreign body
Bulging tympanic membrane with purulence noted behind tympanic
membrane Correct Answer-Otitis media
White plaques on the tympanic membrane Correct Answer-Scarring
from chronic infections or pressure-equalizing tubes
Bubbles with yellow/orange hue behind tympanic membrane Correct
Answer-Serous otitis media
,Keratinizing squamous epithelial tissue eroding the tympanic membrane
or superior ear canal Correct Answer-Cholesteatoma
Gray, white, black or brown debris with fungal spores Correct Answer-
Fungal otitis externa
Red tympanic membrane Correct Answer-Acute otitis externa, fever,
crying
Sudden hearing loss is a medical emergency.
What is the treatment plan?
What could be causing it? Correct Answer-The patient must be urgently
referred to an audiologist for a stat audiogram and an otolaryngologist
for prompt treatment with corticosteroids. Diagnostic imaging, such as
magnetic resonance imaging (MRI), is needed to rule out acoustic
schwannoma
Erythema, an edematous auricle that is very painful (pain is out of
proportion to ear examination, especially pain worse at night) in the
setting of a patient with diabetes or immunosuppression, could be
_______________ ___________ _____________ or
______________________. Correct Answer-a malignant otitis externa
or mastoiditis. Urgent referral to an otolaryngologist or emergency room
is indicated. Diagnostic computed tomography (CT) imaging is
indicated.
, Auricular lesions that are irregular, ulcerated, discolored and with rapid
growth pose a significant risk of ___________.
What is the treatment plan? Correct Answer-of cancer and should be or
referred to a specialist for biopsy.
Clear fluid draining from the ear, especially after a head injury, may be
associated with ____________________ ___________________
______________________.
What is the treatment plan? Correct Answer-cerebral spinal fluid
referred for prompt diagnostic imaging (CT or MRI).
In affected ear, bone conduction greater than air conduction,
lateralization to the affected ear Correct Answer-Conductive hearing
loss
In affected ear, air conduction greater than bone conduction,
lateralization to "good" ear Correct Answer-Sensorineural hearing loss.
Thick, purulent nasal discharge is associated with Correct Answer-
infection,
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