NSG 6020 APEA EXAM HEENT QUESTIONS AND ANSWERS/ GRADED A
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NSG 6020
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NSG 6020
NSG 6020 APEA HEENT
Drooping of the upper eyelid is termed
8-year-old c/o itching in the right ear & increased in pain when the pinna is pulled, or the tragus is palpated. Exam reveals slight redness in the ear canal w/a clear odorless fluid. This could be suggestive of:
A localized staphyloco...
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NSG 6020 APEA EXAM HEENT
1. Drooping of the upper eyelid is termed: ptosis
2. 8-year-old c/o itching in the right ear & increased in pain when the pinna is pulled, or the
tragus is palpated. Exam reveals slight redness in the ear canal w/a clear odorless fluid.
This could be suggestive of: otitis externa.
3. A localized staphylococcal infection of the hair follicles at the lid margin is suggestive of:
a hordeolum
4. What connects the middle ear to the nasopharynx? The proximal end of the eustachian
tube
5. When a light beam shines into one pupil causing pupillary constriction in that eye, the
term used is: direct reaction to light
6. A Pt is able to recognize distant objects but has difficulty reading a book’s small print.
This describes: hyperopia
7. A Pt is able to read a magazine w/o difficulty but cannot distinguish distant objects. This
describes: myopia
8. A child presents w/a c/o left earache that worsens w/ head movement. Findings on exam
include temp of 102F, cellulitis behind the left ear. These findings are consistent w/:
mastoiditis
9. The gradual loss of vision w/a change in color and size of the optic disc is referred to as:
glaucoma
10. A nodular protuberance that points backward over the entrance to the ear canal is called
the: Tragus
11. Which disorder of the eye can be detected w/the cover-uncover and the Hirschberg test?
Strabismus
12. The mouth of a ten-month-old infant has white patches on the mucosa that cannot be
removed. These patches are consistent w/: thrush
13. A condition of the sclera that appears as localized ocular inflammation of the episcleral
vessels is most likely: episcleritis
14. In order to exam the tongue, ask the Pt to stick out his tongue & w/the examiner’s right
hand: grasp the tip of the tongue gently pull it to the left side, and inspect the side of the
tongue
, 15. Person’s eye gaze included both eyes moving in the same direction simultaneously:
conjugate gaze
16. 35-year-old Pt c/o vertigo accompanied by nausea and vomiting. Exam reveals bilateral
diplopia and an unsteady gait. These symptoms could be suggestive of: a neurological
condition
17. An example of a cause of conductive hearing loss in children would be: the presence of a
peanut in the ear for three weeks
18. Ophthalmoscopic exam of the retina reveals a normal arteriovenous crossing. This
appears as if the: vein crosses beneath the artery
19. 50-year-old Pt presents w/ c/o seeing double bilaterally. Exam reveals a vertical diplopia.
This maybe suggestive of a: palsy of cranial nerve III or IV
20. Ophthalmoscopic exam of the retina reveals AV tapering. This appears as if the: vein
“wind” down on either side of the artery
21. A condition that involves optic nerve damage and visual field changes is termed:
glaucoma
22. The most common cause of bacterial pharyngeal infection in children is: group A beta-
hemolytic streptococcus
23. Janeway lesions of the palms and soles appear as: small, nontender, erythematous
nodules
24. A softening of the skin at the angles of the mouth which maybe due to nutritional
deficiency is commonly referred to as: angular cheilitis
25. The maxillary sinuses: surround the nasal cavity
26. Sudden bilateral and painful visual loss is rare but can be associated w/: radiation
exposure
27. Eversion of the upper eyelid can be performed by placing the cotton applicator on the
upper lid above the level of the internal tarsal plates and then: gently push down w/the
stick and left the lashes up & flip the lid inside out
28. On Ophthalmoscopic exam of a 70-year-old, a thin grayish white arc is noted on the
lower end of the cornea. This appearance is referred to as a: corneal arcus
29. 50-year-old Pt c/o being unable to read the hymnal at church. This describes: presbyopia
30. The ossicles are located in the: middle ear
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