2. Examination of the eye reveals a painful, erythematous, and tender area around the nose

3P EENT

• Where in the mouth would reddened areas, nodules, or ulcerations that aresuspicious of

malignancy be present?

Answer: Tongue

• Examination of the eye reveals a painful, erythematous, and tender area around the nose

and lower eyelid.This condition is most likely:

Answer: dacryocystitis.

• When comparing veins and arteries in the eyes of older adults, the arteriesappear:

Answer: less brilliant.

• A patient presents with complaints of earache, blood tinged discharge fromthe ear, and

hearing loss. Findings reveal painful hemorrhagic vesicles on the tympanic membrane and the

ear canal.These findings and symptoms aresuggestive of:

Answer: bullous myringitis.

• Findings following assessment of a person's left eye gaze include impairedmovements when

attempting to look upward, downward, or inward.This condition is most consistent with:

Answer: left cranial nerve III (oculomotor) paralysis

• On ophthalmoscopic exam of the older adult, there is an increasedcup-to-disc ratio: This

finding is suggestive of:

Answer: open angle glaucoma.

• Which disorder of the eye can be detected with the cover-uncover and theHirschberg test?

Answer: Strabismus

8. The maxillary sinuses:

Answer: surround the nasal cavity.

9. Actinic cheilitis is a condition of the lower lip most commonly seen in:

Answer: -fair-skinned men who work outdoors.

• A forty-five-year-old female complains of frequent attacks of dizziness ac-companied by a

sense of fullness in the right ear, headache, nausea, reducedhearing in the right ear. This patient

may need further workup for:

Answer: Meniere's disease.

• To palpate for sinus tenderness, press up on the frontal sinuses from underthe bony brows,

then: 1 / 2

Answer: press up on the maxillary sinus.

• Findings following assessment of a person's eye gaze include both eyes moving in the

same direction simultaneously.This condition is most consistent with:

Answer: a conjugate gaze.

13. The whispered voice test allows the examiner to screen for:

Answer: general hearing loss.

• A 57-year-old man with a history of diabetes complains of difficulty hearingon the

telephone and muffled sounds while watching the television at a low volume. He should be

further evaluated for:

Answer: presbycusis.

15. In order to visualize the opening of Stensen's duct, examine the:

Answer: buccalmucosa opposite the second molar.

• Raised or flat, deep purple colored lesions noted in the mouth may besuggestive of:

Answer: Kaposi's sarcoma.

17. When administering ear drops to a 6-year- old, the pinna should be pulled:-

Answer: upward and back.

18. Miosis is a term used to describe:

Answer: constriction of the pupils.

• Ophthalmoscopic examination of the fundus reveals blood anterior to the retina and

obscuring retinal vessels.These findings are consistent with:

Answer: pre-retinal hemorrhages.

• Examples of sudden, painful, unilateral visual loss include all the followingexcept:

Answer: retinal detachment.

• A patient complains of seeing specks that obscure his line of vision when he looks in a

certain direction.This impairment could be caused by:

Answer: scotomas.

• Surgical perforation of the tympanic membrane to allow drainage of middleear secretions is

termed:

Answer: a myringotomy.

• A condition of the sclera that appears as localized ocular inflammation of the episcleral

vessels is most likely:

Answer: episcleritis.

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