Exam 13: Ears, Nose, and Throat

Nasal symptoms that imply an allergic response include:

You are performing hearing screening tests. Who would be expected to find difficulty in hearing the highest frequencies?

Mr. Sprat is a 21-year-old patient who complains of nasal congestion. He admits to using recreational drugs. On examination, you have noted a septal perforation. Which of the following recreational drugs is commonly associated with nasal septum perforation?

When conducting an adult otoscopic examination, you should:

Speech with a monotonous tone and erratic volume may indicate:

Bulging of an amber tympanic membrane without mobility is usually associated with:

A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness, you should palpate over the:

Mr. Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss. Which are changes in hearing that occur in older adults? (Select all that apply.)

A hairy tongue with yellowish brown to black elongated papillae on the dorsum:

For best results, an otoscopic and oral examination in a child should be:

Which signs and symptoms occur with a sensorineural hearing loss? (Select all that apply.)

You are interviewing a parent whose child has a fever, is pulling at her right ear, and is irritable. You ask the parent about the child's appetite and find that the child has a decreased appetite. This additional finding is more suggestive of:

Mrs. Donaldson is a 31-year-old patient who is pregnant. In providing Mrs. Donaldson with healthcare information, you will explain that she can expect to experience:

Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear drainage. When examining an infant's middle ear, the nurse should use one hand to stabilize the otoscope against the head while using the other hand to:

To inspect the lateral borders of the tongue, you should:

When you ask the patient to identify smells, you are assessing cranial nerve __.

You are using a pneumatic attachment on the otoscope while assessing tympanic membrane movement. You gently squeeze the bulb but see no movement of the membrane. Your next action should be to:

You are performing Weber and Rinne hearing tests. For the Weber test, the sound lateralized to the unaffected ear; for the Rinne test, air conduction-to-bone conduction ratio is less than 2:1. You interpret these findings as suggestive of:

To approximate vocal frequencies, which tuning fork should be used to assess hearing?

Mr. Spencer presents with the complaint of hearing loss. You specifically inquire about current medications. Which medications, if listed, are likely to contribute to his hearing loss?