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89 Cards in this Set

  • Front
  • Back
what does air conduction analyze?
normal conductive phase, the first portion of the hearing pathway
what does bone conduction analyze?
bypasses the external and middle ear
what does the nasolacrimal duct drain into?
the inferior meatus
What do the paranasal sinuses drain into?
the middle meatus
Where are the "great vessels found" ?
- carotid artery
-internal jugular vein
- both run deep to the sternomastoids

-external jugular vein
- passes diagnoally over the surface of the sternomasotid and may be helpful when trying to identify the jugular venous pressure
What does a painful tug test indicate?
acute otitis externa: inflammation of the ear canal, but not in otitis media (inflammation of the middle ear)
Patient presents with tenderness behind the ear, diagnosis?
otitis media
Patient presents with nontender nodular swelling covered by normal skin deep in th ear canal, diagnosis?
exostoses - nonmalignant overgrowths, which may obscure the drum
Patient presents with the skin of the canal as thickened, red, and itchy, diagnosis?
chronic otitis externa
Patient presents with red buldging drum, diagnosis?
acute purulent otitis media
what does air conduction analyze?
normal conductive phase, the first portion of the hearing pathway
what does bone conduction analyze?
bypasses the external and middle ear
what does the nasolacrimal duct drain into?
the inferior meatus
What do the paranasal sinuses drain into?
the middle meatus
Where are the "great vessels found" ?
- carotid artery
-internal jugular vein
- both run deep to the sternomastoids

-external jugular vein
- passes diagnoally over the surface of the sternomasotid and may be helpful when trying to identify the jugular venous pressure
What does a painful tug test indicate?
acute otitis externa: inflammation of the ear canal, but not in otitis media (inflammation of the middle ear)
Patient presents with tenderness behind the ear, diagnosis?
otitis media
Patient presents with nontender nodular swelling covered by normal skin deep in th ear canal, diagnosis?
exostoses - nonmalignant overgrowths, which may obscure the drum
Patient presents with the skin of the canal as thickened, red, and itchy, diagnosis?
chronic otitis externa
Patient presents with red buldging drum, diagnosis?
acute purulent otitis media
what does air conduction analyze?
normal conductive phase, the first portion of the hearing pathway
what does bone conduction analyze?
bypasses the external and middle ear
what does the nasolacrimal duct drain into?
the inferior meatus
What do the paranasal sinuses drain into?
the middle meatus
Where are the "great vessels found" ?
- carotid artery
-internal jugular vein
- both run deep to the sternomastoids

-external jugular vein
- passes diagnoally over the surface of the sternomasotid and may be helpful when trying to identify the jugular venous pressure
What does a painful tug test indicate?
acute otitis externa: inflammation of the ear canal, but not in otitis media (inflammation of the middle ear)
Patient presents with tenderness behind the ear, diagnosis?
otitis media
Patient presents with nontender nodular swelling covered by normal skin deep in th ear canal, diagnosis?
exostoses - nonmalignant overgrowths, which may obscure the drum
Patient presents with the skin of the canal as thickened, red, and itchy, diagnosis?
chronic otitis externa
Patient presents with red buldging drum, diagnosis?
acute purulent otitis media
what does air conduction analyze?
normal conductive phase, the first portion of the hearing pathway
what does bone conduction analyze?
bypasses the external and middle ear
what does the nasolacrimal duct drain into?
the inferior meatus
What do the paranasal sinuses drain into?
the middle meatus
Where are the "great vessels found" ?
- carotid artery
-internal jugular vein
- both run deep to the sternomastoids

-external jugular vein
- passes diagnoally over the surface of the sternomasotid and may be helpful when trying to identify the jugular venous pressure
What does a painful tug test indicate?
acute otitis externa: inflammation of the ear canal, but not in otitis media (inflammation of the middle ear)
Patient presents with tenderness behind the ear, diagnosis?
otitis media
Patient presents with nontender nodular swelling covered by normal skin deep in th ear canal, diagnosis?
exostoses - nonmalignant overgrowths, which may obscure the drum
Patient presents with the skin of the canal as thickened, red, and itchy, diagnosis?
chronic otitis externa
Patient presents with red buldging drum, diagnosis?
acute purulent otitis media
Patient presents with amber drum, diagnosis?
serous effusion
patient presents with unusually prominent short process and a prominent handle that looks more horizontal, diagnosis?
retracted drum
What range tunning fork can we use for hearing exam?
512 or possibly 1024, 512 prefered
What is the range of human speech?
300 - 3000
What does the weber test analyze?
lateralization
Which side does unilateral conductive hearing loss, sound laterlize to during the weber test?
sound is heard, lateralized to, the impaired ear
Which side does unilateral sensorineural hearing loss, lateralize to?
sound is heard in the good ear,
What does the Rinne test analyze?
compares air conduction and bone conduction
If sound is heard through bone as long as air conduction, what is the diagnosis?
conductive hearing loss, air should be louder than bone
What are the results of sensorineural hearing loss in the Rinne test?
air conduction is louder than bone conduction
Patient presents with red nasal mucosa, and swollen, diagnosis?
viral rhinitis
Patient presents with pale, bluish, nasal mucosa, diagnosis?
allergic rhinitis
Patient presents with semitranslucent mass from the middle meatus, diagnosis?
nasal polyp
Patient presents with bright red edematous mucosa underneath a denture, diagnosis?
denture sore mouth, with/without ulcers or papillary granulation tissue
patient presents with black line on the gums, diagnosis?
lead poisoning
torus palatinus -
midline lump
patient presents with asymmetric protrusion of the tongue suggesting?
cranial nerve XII, deviating towards the side of damage
Patient presents with an asymmetrical rise of the uvula, diagnosis?
cranial nerve X paralysis, deviates to the opposite side of damage
Patient presents with enlargement of a supraclavicular node, on the left, diagnosis?
possible metastasis from a thoracic or an abdominal malignancy
Patient presents with diffuse lymphadenopathy, suspicion?
HIV or AIDS
Patients presents with tracheal deviation, diagnosis?
masses in the neck, mediastinal mass, atelectasis, or a large pneumothorax
Patient presents with painful hemorrhagic vesicles that appear on the tympanic membrane and the ear canal, diagnosis?
bullous myringitis, possibly caused by mycoplasma
What can cause a serous effusion?
viral upper respiratory infections: otitis media, or a sudden changes in atmospheric pressure as from flying or diving : otitic barotrauma
Patient presents with air bubbles seen behind the tympanic membrane, diagnosis?
otitic barotrauma,
What does otosclerosis of the ossicles cause?
conductive hearing loss
patient presents iwth a large chalky white patch with irregular margins, in the tympanic membrane, diagnosis?
tympanosclerosis
Patient presents with exudateive tonsillitis, enlarged anterior cervical nodes, diagnosis?
group A streptococcal infection
Patient presents with exudative tonsillitis, enlarged posterior cervical nodes, diagnosis?
infectious mononucleosis
patient presents with dull red throat and gray exudate (pseudomembrane) is present on the uvula, pharynx, and tongue, diagnosis?
diphtheria, caused by corynebacterium diphtheriae, and airway may become obstructes
Patient has thick, white plaques on palate of mouth and history of prolonged antibiotics, diagnosis?
thrush: candidiasis, can also be caused by corticosterioids, and AIDS
patient presents with deep purple color of lesions, flat, along the palate, diagnosis?
kaposi's sarcoma in AIDS patient
What is a torus palatinus?
a midline bony growth in the hard palate that is fairly common in adults,
Patient presents with small yellowish spots in the buccal mucosa or on lips, diagnosis?
fordyce spots: normal sebaceous glands
Patient presents with small white specks that resemble grain of salt on a red background along the buccal mucosa, near the first and second molars, what are these spots called and what is diagnosis?
Koplik's Spots, early sign of measles : rubeola
adolescent patient presents with fever, malaise, and enlarged lymph nodes, with gingivitis, diagnosis?
acute necrotizing ulcerative gingivitis, ulcers develop in the interdental papillae, then destructive process spreads along the gum margins, grayish pseudomembrane develops here, gums bleed easily and breath is foul
What can cause gingival hyperplasia?
dilantin therapy, puberty, pregnancy, and leukemia
What is a epulis, pyogenic granuloma?
pregnancy tumor, gingival enlargement, localized, usually originates in an interdental papilla
what is attrition -
chewing surfaces of the teeth have been worn down from repetition, yellow-brown dentin becomes exposed,
What can cause erosion of the teeth?
recurrent regurgitation of stomach contents as in bulimia
Patient presents with smaler and more widely spaced teeth, that are notched on their biting surfaces, while the sides of their teeth taper towards the biting edges, diagnosis?
Hutchinson's teeth
Patient presents with biting surface of the teeth abraded, or notched, with sides of the teeth normal contours, and normal spacing, diagnosis?
abrasion of teeth with nothcing - repetitive trauma, bobby-pin
What causes hutchinson's teeth?
congenital syphilis
Patient with hisotry of antibiotis therapy, presents with yellowish to brown or black elongated papillae on the tongue's dorsum, diagnosis?
hairy tongue
what is another name for scrotal tongue?
fissured tongue
patient presetns with a smooth and often sore tongue, that has lost its papillae, diagnosis?
deficiency in riboflavin, niacin, folic acid, vitamin B12, pyridoxine or iron, or treatment with chemotherapy
How can you tell the difference between hairy leukoplakia and candidiasis?
unlike candidiasis, hairy leukoplakia cannot be scraped off and usually occurs on the sides of the tongue of HIV and AIDS patients
patient presents with a painful, round or oval ulcer that is white or yellowish gray and surrounded by a halo of reddened mucosa, diagnosis?
aphthous ulcer: canker sore
patient presents with painless lesion on tongue, slightly raised, oval, and covered by a grayish membrane, diagnosis?
mucous path of secondary stage of syphilis --> highly infectious
What are tori mandibulares?
rounded bony growths on the inner surfaces of the mandible are typically bilateral, asymptomatic, and harmless