Ears, Nose, Mouth And Throat From Chapter 13 Estes

Front 1

What are the 2 pathways of hearing??

Back 1

Eustachian tube and Labyrinth.

Front 2

How do you hold the ear for an otoscopic examination on an adult?

Back 2

Pull the ear upward and backward.

Front 3

How do you perform a Voice-whisper test??

Back 3

Instruct the pt to use a finger to oclude one ear; stand 2 feet from pt's other ear and whisper a 2 syllable word;ask the pt to repeat the word;pt should be able to repeat the word.

Front 4

The Rinne test is used for:

Back 4

determining whether hearing loss is conductive or sensorineural.A tunning fork is used for this test. AC>BC

Front 5

air conducted(AC) sound is heard...

Back 5

via external auditory canal.

Front 6

bone conducted(BC) sound is heard...

Back 6

via the mastoid process

Front 7

The Weber test is used for:

Back 7

determining whether hearing loss is conductive or sensorineural. Sound should be perceived equally by both ears= "neg. weber test".

Front 8

Where are the sphenoid sinuses located??

Back 8

directly behind ethmoid sinuses.

Front 9

Sensorineural hearing loss could be related to:

Back 9

nerve degeneration.

Front 10

Transillumination of sinuses is used for:

Back 10

evaluation of frontal and maxillary sinuses.

Front 11

Name the salivary glands:

Back 11

Parotid, sublingual, and submandibular.

Front 12

How do you assess cranial nerves IX,X,and XII??

Back 12

IX and X: have the pt say "ah" and watch the uvula rise symmmetrically.
XII: ck for syringo bulbia because it causes hypoglossal nerve paralysis.

Front 13

Risk factors for oral cancer:

Back 13

male gender, african american, >40yrs old, smoking(ie.chewing), excessive alcohol use.

Front 14

Risk factors for otitis media:

Back 14

<2yrs of age;frequent URI; cold weather;males;caucasians, native americans, alaskan natives;family hx;smoky environment;day care;bottle fed;down syndrome;craniofacial disorders.

Front 15

Risk factors for hearing loss:

Back 15

Noise exposure;smoking; ototoxic drugs; heart disease; aging;tumors;trauma;meniere's disease; tympanic membrane perforatiion; barotrauma.

Front 16

assessing "patency" of the nose:

Back 16

the sense of smell (CN I) is evualated during testing of cranial nerves.

Front 17

Physical assessment of the oral cavity should include the following:

Back 17

Breath,lips, tongue, buccal mucosa, gums and teeth, hard and soft palates, throat, and TMJ.(temp.mand.joint)

Front 18

findings that might be noted on a pt with poor oral hygiene:

Back 18

gingivitis, hallatosis, swelling of the gums.

Front 19

What common problems are often noted in hearing and taste sensation of the Elderly??

Back 19

diminished sense of taste (=not eating as much),avoidance of social events due to hearing loss, dysphagia.

Front 20

Grading of Tonsils:

Back 20

1+ tonsils are visible;
2+ tonsils are between the pillars and uvula;
3+ tonsils are touching uvula;
4+ one or both tonsils extend to the midline of the oropharynx.

Front 21

Typical changes that occur in the ears and mouth with aging:

Back 21

Presbycusis, tastes diminishes, smell dimishes, loss of teeth, saliva decreases

Front 22

The primary site of oral cancer:

Back 22

on the lateral surfaces of the tongue.

Front 23

Examples of benign oral conditions:

Back 23

oral hairy leukoplakia;torus mandibularis;scrotal tongue;torus palatinus;Fordyce's spots;hemangioma(of the tongue)

Front 24

Prebyscusis:

Back 24

hearing loss; generally in older adults

Front 25

Ossicles-sound

Back 25

malleus, incus,stapes

Front 26

cerumen

Back 26

wax produced in ear canal

Front 27

eustachian tube:

Back 27

air channel connecting to middle ear to nasopharynx for equillibrium and air pressure.

Front 28

paranasal sinuses

Back 28

air filled spaces in cranium bone lines with mucous membranes.

Front 29

Stensen's ducts:

Back 29

openings from parotid glands just opposite of molars.

Front 30

Wharton's ducts:

Back 30

openings from submaxillary glands, located on either side of the frenulum.