Question 1

To palpate and percuss the maxillary sinuses,the nurse would do which of the following? Select all that apply.

Accepted Answer

A)   Stand in front of the patient.
B)   Gently press the thumbs under the bony ridge of the upper orbits.
C)   Avoid applying pressure on the globes themselves.
D)   Observe for the presence of pain.
E)   Percuss the area using the thumb.F)  Note the sound. A,D,E,F

Question 2

What are the three tiny bones of the ossicles? Select all that apply.

Accepted Answer

A)   Incus
B)   Stapes
C)   Stapedius
D)   Malleus
E)   Tensor tympaniF)  Tympanic membrane A,B,D

Question 3

A patient reports that her left lower molar is insensitive to cold foods and the tooth appears dark upon inspection.These findings most likely indicate

Accepted Answer

A)   bruxism.
B)   a dead tooth.
C)   repetitive biting on hard substances.
D)   dental caries. B

Question 4

The nurse prepares to examine a young adult's tympanic membrane.To straighten the ear canal,in which direction should the pinna be pulled?

Accepted Answer

A)   down and back
B)   down and forward
C)   up and forward
D)   up and back

Question 5

When examining your patient's mouth and throat,you note a grayish membrane over the mucus membranes in the mouth and oropharynx.You hypothesize that this is an indication of which of the following?

Accepted Answer

A)   herpes
B)   tonsillitis
C)   diphtheria
D)   pharyngitis

Question 6

The large parotid glands,located in the cheeks,secrete amylase-rich fluid through which of the following?

Accepted Answer

A)   Wharton ducts
B)   Stensen's ducts
C)   Sulcus terminalis
D)   Semicircular canals

Question 7

The nurse is performing an examination of a patient's ears.Which of the following findings needs immediate referral to a specialist?

Accepted Answer

A)   purulent drainage from the ear
B)   cerebrospinal fluid leaking from the ear
C)   an ear that is permanently swollen and deformed resembling a "cauliflower"
D)   pain or tenderness of the auricle of an ear

Question 8

The nurse is caring for a middle-aged man who complains of excessive daytime sleepiness.The nurse's examination reveals that the patient has large tonsils.He jokingly tells the nurse that his wife complains that he snores.The nurse hypothesizes that the patient has which of the following disorders?

Accepted Answer

A)   deviated septum
B)   obstructive sleep apnea
C)   occlusion of the nostrils
D)   upper respiratory infection

Question 9

Which major pathogen is not a cause of acute otitis media?

Accepted Answer

A)   Streptococcus pneumoniae
B)   Moraxella catarrhalis
C)   Candida albicans
D)   Haemophilus influenzae

Question 10

The tongue assists with which of the following? Select all that apply.

Accepted Answer

A)   Speech
B)   Breathing
C)   Mastication
D)   Swallowing
E)   Taste sensationF)  Mechanical cleansing of the teeth

Question 11

Flat-topped papules with thin,bluish white spider web lines resembling leukoplakia appearing on the buccal mucosa are

Accepted Answer

A)   aphthous ulcers.
B)   lichen planus.
C)   normal findings.
D)   xerostomia.

Question 12

The ossicles are three tiny bones: the malleus (hammer),the incus (anvil),
And the

Accepted Answer

A)   ampule
B)   stapes
C)   labyrinth
D)   tympanic membrane

Question 13

The eustachian tubes are located in the ____________________ ear and equalize air pressure.

Accepted Answer

The answer of The eustachian tubes are located in the...

Question 14

The structures of the nose protect the lungs from noxious agents by doing all of the following,EXCEPT

Accepted Answer

A)   filtering.
B)   humidifying.
C)   controlling temperature.
D)   killing bacteria.

Question 15

A patient's breath smells of acetone,which most likely indicates which of the following?

Accepted Answer

A)   diabetic ketoacidosis
B)   fetor hepaticus
C)   poor oral hygiene
D)   uremia

Question 16

Findings of a bright red pharynx with red,swollen tonsils,pillars,and uvula,as well as patches of white or yellow exudate on the tonsils are consistent with

Accepted Answer

A)   diphtheria.
B)   infectious mononucleosis.
C)   streptococcal pharyngitis and tonsillitis.
D)   the presence of a foreign body.

Question 17

Vibrations of the tympanic membrane caused by sound waves traveling down the auditory canal are transmitted first to the

Accepted Answer

A)   labyrinth.
B)   malleus, incus, and stapes.
C)   organ of Corti.
D)   perilymph and endolymph.

Question 18

When the nurse inspects the gums of a patient who has periodontitis resulting from chronic gingivitis,the inspection would most likely reveal

Accepted Answer

A)   brown coloration of the gums.
B)   a grayish membrane over an inflamed and ulcerated area of the mucosa.
C)   red gingival borders, receding gums, and purulent drainage.
D)   blue lines approximately 1 mm from the gingival margin.

Question 19

To palpate a patient's frontal sinuses,you should gently apply pressure

Accepted Answer

A)   over the infraorbital ridge with your thumb or middle finger.
B)   over the bony ridge of the upper orbits with your thumbs.
C)   under the bony ridge of the upper orbits with your thumbs.
D)   under the infraorbital ridge with your thumb or middle finger.

Question 20

Which paranasal sinus can be examined in the physical exam?

Accepted Answer

A)   ethmoid
B)   frontal
C)   sphenoid
D)   superior

Exam 13: Ears, nose, mouth, and Throat