CMN- 568 REVIEW TEST QUESTIONS WITH ALL ANSWERS UPDATED
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Course
CMN- 568
Institution
CMN- 568
CMN- 568 REVIEW TEST QUESTIONS WITH ALL ANSWERS UPDATED
Lacerations of Lid, Cornea, or Sclera - Answer-Refer immedetly. Keep Minimal movement. eye is bandaged lightly and covered with metal shield.
Malignant External Otitis - Answer-presistent external otitis may evolve into osteomyelitis of t...
CMN- 568 REVIEW TEST QUESTIONS
WITH ALL ANSWERS UPDATED
Lacerations of Lid, Cornea, or Sclera - Answer-Refer immedetly. Keep Minimal
movement. eye is bandaged lightly and covered with metal shield.
Malignant External Otitis - Answer-presistent external otitis may evolve into
osteomyelitis of the skull base is DM or immunocompromised pts. usually presents with
foul discharge, granulation of the ear canal, extreme ear pain, and cranial nerve palsies.
get CT scan. Usually from pseudomons Treat with IV Cipro, often for several months.
bone debridment may also be required.
Chronic Otitis Media - Answer-from recurrent AOM. Perforated TM is usually present
with purulent drainage. usually fomr S. aureus, P aeurginosa, or mixed. Treat with Cipro
drops and sx repair of TM
Complications of OM - Answer-Infection spread to CNS, sigmoid sinus thrombosis,
facial paralysis, petrous apicitis, mastoiditis, and cholesteatoma
Earache is Adults - Answer-Usually external otitis and acute otitis media. could also be
herpes zoster of the ear, osteomyelitis, TMJ dysfunction cervical nerve dsyfunction,
dental problems, or cancers of the aerodigestive tract
Tinnitus - Answer-"ringing in the ear". Indicates sensory hearing loss. avoid excessive
noise, ototoxic agents, and cochlear damage. antidepressants are most effective.
*pulsatle tinnitus may be a symptmo of a more serious condition such as tumor, sinus
stenosis, AV malformation, or aneurysm. need MRI.
*clicking tinnitus may be a result of middle ear muscle spasm associated with palatal
myoclonus
Vertigo - Answer-a sensation of motion when there is no motion or an axaggerated
response of movement. Perioheral (sudden onset with hearing loss) or central (gradual
with no hearing loss). assess ears, Cranial nerves, eye motion, and Rhomberg test.
Order ENG, VNG, & MRI.
Central vertigo involves the 8th CN, brainstem vascular Dx, MS, or tumors of the
brainstem or cerebellum
Periferal vertigo is due to Meniere Syndrome, Labyinthitis, traumatic vertigo, cervial
vertigo, semicircular canal dehiscence, vestibular neuronitis, etc.
Fungal Sinusitis - Answer-Rare and usually only in immunocompromised pts. usually
mucormycosis or aspergillus. look for black eschar on the middle turbinate (other
symptoms are similar to bacterial rhinosinusitis). nasal biopsy with debridment is
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