PNCB Prep: Ear, Nose And Throat: Questions & Answers
Which period of gestation does a cleft palate usually occur? Right Ans - 6 to
12 weeks
When taking the prenatal history of a baby with a cleft palate, it would be
important to ask about: Right Ans - Medications or substance use during
pregnancy. Because exposure to toxins may interfere with the developing
fetus and be associated with birth defects like cleft palate.
What is the average size of the newborn anterior fontanelle? Right Ans -
2.1 cm
What is the average size of the newborn posterior fontanelle? Right Ans -
0.5 to 0.7 cm
Which visual acuity screening test is appropriate to use with a 4yo child?
Right Ans - HOTV matching chart
What is used for hearing assessment in children 4 years and older? Right
Ans - Audiometry
During the cover-uncover test, a normal response, once you uncover the right
eye is: Right Ans - No movement in the right eye
What tests are used to detect strabismus Right Ans - - Cover-uncover test
- Corneal light reflex
The red reflex is done in the newborn period to rule out: Right Ans -
Congenital cataracts and retinoblastoma
The fundoscopic examination allows the NP to : Right Ans - Visualize
structures at the back of the eye
A child presents to the office with left ear drainage. On exam you see that the
external canal has an orange-colored runny substance in it but the tympanic
membrane appears normal. The ear canal is not inflamed. This is consistent
with: Right Ans - Excessive cerumen
, On examination of a child, you visualize a slight crease across his nose where
the nasal bone ends. This may be a sign of: Right Ans - Allergic rhinitis. The
nasal crease (allergic salute) is caused by the child repeatedly wiping the nose
with the palm of the hand in an upward manner as with chronic allergic
rhinitis
Kathryn 6yo, is in the office complaining of sore throat. On exam her tonsils
are touching each other. You record this finding as tonsils: Right Ans - +4
Which glands are involved in mumps? Right Ans - Parotid glands. In
mumps, this causes significant swelling of the parotid glands.
Primary dentition erupts between: Right Ans - 6 and 24 months
What is the best position for palpation of the fontanelle? Right Ans - In a
sitting position
At what age is the anterior fontanelle no longer palpable? Right Ans - 24 to
26 months
A flat philtrum and thin upper lip are signs of: Right Ans - Fetal alcohol
syndrome
Primary diagnostic criteria for otitis media with effusion: Right Ans -
Minimal movement of tympanic membrane with pneumatic otoscopy
Treatment of otitis externa is best accomplished by: Right Ans - Topical
antibiotics are the primary treatment for otitis externa
What are the common organisms found to cause otitis externa? Right Ans -
- Pseudomonas aeruginosa
- Staph aureus
- Candida albicans
Ototoxicity due to medications results in which type of hearing loss? Right
Ans - Sensorineural hearing loss - due to damage of CN VIII
Appropriate management of suspected epiglottitis would be: Right Ans -
Medical transportation to an emergency facility with anesthesiology notified
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