H Ent Clinical Exam 4

Front 1

Classification of headaches with no identifiable cause

Back 1

primary headaches

Front 2

Classification of HA caused by other conditions

Back 2

secondary HA

Front 3

HA that is severe and sudden onset

Back 3

subarachnoid hemorrhage or meningitis

Front 4

Types of headaches that peak over several hours

Back 4

migraine and tension headaches

Front 5

New and persisting progressively severe HA

Back 5

tumor, abscess, or mass lesion

Front 6

Unilateral HA types

Back 6

migraine and cluster HA

Front 7

Tension HA arises in

Back 7

temporal areas

Front 8

Cluster HA arise in

Back 8

retro-orbital areas

Front 9

Nausea and vomiting common in what HA

Back 9

migraine, also occur with brain tumors and subarachnoid hemorrhage

Front 10

HA is common in what % of population?

Back 10

30%

Front 11

Patients have what with migraine prior to onset?

Back 11

60-70% Prodrome; 20% aura with photophobia scintillating scotoma, or reversible visual and sensory systems

Front 12

Coughing or sneezing can increase pain from what?

Back 12

Pain from brain tumor and acute sinusitis

Front 13

Pts having chronic daily HA taking medications more than 2 days

Back 13

medication overuse

Front 14

Conductive hearing loss

Back 14

Problems in external or middle ear

Front 15

Sensorineural hearing loss

Back 15

Problems in inner ear, cochlear nerve, or central connections in brain

Front 16

Trouble understanding speech, noisy environments make it worse

Back 16

Sensorineural hearing loss

Front 17

Hearing loss that is better in noisy environments

Back 17

Conductive hearing loss

Front 18

Medications that affect hearing

Back 18

aminoglycosides, asprin, NSAIDs, quinine, furosemide

Front 19

Pain in external ear

Back 19

otitis externa

Front 20

Pain in ear associated with respiratory infections

Back 20

otitis media

Front 21

Unusually soft wax, debris from inflammation, rash in ear canal, discharge through perforated eardrum

Back 21

Secondary to acute or chronic otitis media

Front 22

Tinnitus

Back 22

Perceived sound that has no external stimulus

Front 23

Tinnitus with hearing loss and vertigo

Back 23

Meniere’s Disease

Front 24

Vertigo

Back 24

the perception that the environment is rotating or spinning

Front 25

Feeling unsteady, lightheaded, or dizzy in the legs

Back 25

cardiovascular problem

Front 26

Feeling of being pulled

Back 26

true vertigo from inner ear problem or central or peripheral lesion of CN VIII

Front 27

Rhinorrhea

Back 27

drainage from the nose

Front 28

Causes of nasal congestion

Back 28

allergic rhinitis, and vasomotor rhinitis; itching allergic

Front 29

Relation of congestion to seasons

Back 29

allergy

Front 30

Excessive use of decongestants causes

Back 30

worse symptoms, and rhinitis medicamentosa

Front 31

URI, pain on bending or maxillary toothache, fever, tenderness is what disease?

Back 31

acute bacterial sinusitis

Front 32

Drugs that cause stuffiness

Back 32

oral contraceptives, reserpine, guanethidine, alcohol

Front 33

Nasals congestion to one side

Back 33

deviated nasal septum, foreign body, tumor

Front 34

Epistaxis

Back 34

bleeding from the nose

Front 35

Causes of epistaxis

Back 35

trauma, inflammation, drying and crusting of the nasal mucosa, tumors and foreign bodies

Front 36

Fever, pharyngeal exudates, anterior lymphadenopathy, with no cough suggest

Back 36

streptococcal pharyngitis, strep throat

Front 37

sore tongue

Back 37

aphthous ulcers, sore smooth tongue of nutritional deficiency

Front 38

bleeding gums

Back 38

gingivitis

Front 39

hoarseness

Back 39

overuse of voice and acute infections

Front 40

chronic hoarseness

Back 40

smoking, allergy, voice abuse, hypothyroidism, chronic infections (tuberculosis) tumors

Front 41

enlarged tender lymph nodes

Back 41

pharyngitis

Front 42

intolerance to cold, preference to warm, decrease sweating

Back 42

hypothyroidism

Front 43

fine hair

Back 43

hyperthyroidism

Front 44

coarse hair

Back 44

hypothyroidism

Front 45

tiny white ovoid granules in hair

Back 45

eggs of lice (nits)

Front 46

enlarged skull

Back 46

hydrocephalus or Paget’s disease

Front 47

tenderness or step offs are common in what?

Back 47

common after trauma

Front 48

women with polycystic ovary syndrome may have

Back 48

hirsutism

Front 49

What surrounds the outer portion of the ear canal?

Back 49

Cartilage

Front 50

Umbo

Back 50

where eardrum meets malleus

Front 51

Pain with movement of the auricle and tragus

Back 51

otitis externa

Front 52

Tenderness behind the ear

Back 52

otitis media

Front 53

Nontender nodular swellings covered by normal skin in ear canal

Back 53

exostoses

Front 54

A narrowed, moist, pale, tender, and reddened canal

Back 54

otitis externa

Front 55

Skin of canal is thickened, red, and itchy

Back 55

chronic otitis externa

Front 56

Red bulging drum of acute purulent

Back 56

otitis media

Front 57

Amber drum

Back 57

serous effusion

Front 58

Unusually prominent short process and prominent handle of malleus

Back 58

retracted drum

Front 59

The pars flaccida is where?

Back 59

Superior on the eardrum

Front 60

Things that decrease eardrum mobility

Back 60

thickened drum, serous effusion, otitis media

Front 61

Sound is heard in which ear in unilateral conductive hearing loss

Back 61

the impaired ear

Front 62

Visible explanations of unilateral conductive

Back 62

acute otitis media, perforation of eardrum, obstruction of ear canal, as by cerumen

Front 63

Sound is heard through bone longer than it is through air

Back 63

conductive hearing loss

Front 64

Sound is heard longer through air than bone

Back 64

sensorineural hearing loss (or normal?)

Front 65

Nasolacrimal duct drains into the

Back 65

inferior meatus

Front 66

Tenderness of nasal tip or alae

Back 66

local infection such as furuncle

Front 67

Viral rhinitis the mucosa of the nose is

Back 67

reddened and swollen

Front 68

Allergic rhinitis the mucosa of the nose is what color?

Back 68

pale, bluish or red

Front 69

Causes of septal perforation

Back 69

trauma, surgery, and the intranasal use of cocaine

Front 70

Ulcers of the nasal septum

Back 70

cocaine

Front 71

Local tenderness of sinuses with pain, fever, nasal discharge

Back 71

acute sinusitis

Front 72

Bright red edematous mucosa underneath a denture

Back 72

denture sore mouth; may be ulcers

Front 73

Black line in gums

Back 73

lead poisoning

Front 74

Swollen interdental papillae

Back 74

gingivitis

Front 75

Persistent nodule or ulcer, red or white on tongue

Back 75

tongue cancer

Front 76

Cancer of the tongue occurs most often at

Back 76

the sides of the tongue, then the base

Front 77

Enlargement of supraclavicular node

Back 77

possible metastasis from thoracic or abdominal malignancy

Front 78

Tender nodes

Back 78

inflammation

Front 79

Hard nodes

Back 79

malignancy

Front 80

Diffuse lymphadenopathy

Back 80

HIV or AIDS

Front 81

Tracheal deviation

Back 81

mediastinal mass, atelectasis, large pneumothorax

Front 82

Goiter is a

Back 82

enlarged thyroid gland

Front 83

Soft thyroid gland

Back 83

grave’s disease

Front 84

Firm thyroid gland

Back 84

Hashimoto’s thyroiditis, malignancy

Front 85

Localized or systolic bruit

Back 85

hyperthyroidism