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ACNP – EENT: Questions With Complete Solutions
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ACNP – EENT: Questions With Complete Solutions
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ACNP – EENT: Questions With Complete SolutionsOn examination of the pupils, both are round but right pupil appears larger
than the left and reacts much slower to light. This condition may be indicative
of: Right Ans - a tonic pupil.
When the pupil is large, regular, and usually unilateral and the reaction to
light is severely reduced and slowed, or even absent, this condition is referred
to as a tonic pupil or Adele's pupil.
When a light beam shines into one pupil causing pupillary constriction in that
eye, the term used is: Right Ans - direct reaction to light.
The pupils of both eyes respond identically to a light stimulus regardless of
which eye has been stimulated. The direct response describes light entering
one eye that produces constriction of the pupil of that eye.
A 60-year-old patient presents with severe, deep left eye pain. Findings reveal
dilated and fixed left pupil and the cornea is cloudy. There is no ocular
discharge noted. These findings are most likely consistent with: Right Ans -
acute angle closure glaucoma.
With AACG, the pain is described as severe, aching, and deep. The pupils are
dilated and fixed and the cornea appears steamy or cloudy. If an increase in
IOP is present, this would be an emergency situation.
When the corneal reflex is stimulated by shining the light in the right eye, the
right eye blinks. The left eye: Right Ans - blinks.
The corneal reflex is the blink reflex and is an involuntary blinking of the
eyelids. When the corneal reflex is stimulated, stimulation should elicit both a
direct and indirect consensual response of the opposite eye.
Causes of sensorineural hearing loss include all of the following except:
Right Ans - Perforated tympanic membrane.
A perforated tympanic membrane is an example of a cause of conductive
hearing loss.
, What visual acuity constitutes legal blindness? Right Ans - Visual acuity of
20/200 or worse in the better eye with corrected lenses.
One is also considered legally blind if visual acuity is 20 degrees or less in the
better eye and the vision is constricted.
When a person shifts gaze from a near object to a far object, the pupils:
Right Ans - dilate.
When shifting gaze from a near object to a far object the pupils dilate to allow
more light to enter. If this does not occur, there could be damage to the
oculomotor nerve (CN III).
The Rinne hearing test allows the examiner to screen for: Right Ans -
conductive hearing loss.
Rinne test is used primarily for evaluating hearing in one ear compared to the
other. It compares the perception of sound transmitted by air conduction to
those sounds transmitted by bone conduction through the mastoid.
Ophthalmoscopic examination of the fundus reveals small, rounded, slightly
irregular red spots embedded in the retina. These findings are consistent
with: Right Ans - deep retinal hemorrhage.
Sometimes called dot or blot hemorrhages. They occur in a deeper layer of the
retina than flame-shaped superficial hemorrhages. Diabetes is a common
cause.
Ectropion is defined as: Right Ans - an outward turning of the lower eyelid.
Ectropion exhibits an outward turning of the lower eyelid exposing the
palpebral conjunctiva. More common in the elderly.
An eight-year-old complains of itching in the right ear and an increase in pain
when the pinna is pulled or the tragus is palpated. Examination reveals slight
redness in the ear canal with a clear odorless fluid. This could be suggestive
of: Right Ans - otitis externa.
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