University of Cincinnati
Cincinnati, Ohio
APEA - Advanced Practice Education Associates
3P Pharmacotherapeutics, Pathophysiology and Physical
Assessment Exam
Examination
180 minutes
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APEA - Advanced Practice Education Associates 2024-
2025
Nurse Practitioner NP APEA – 3P Pathophysiology HEENT
Head, Eyes, Ears, Nose & Throat Exam Questions with
Correct Answers | 100% Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
auricular hematoma - Answer>> bleeding in the
auricular cartilege
cause: direct, blunt trauma commonly seen in
wrestlers, boxers, MMA fighters
tx: hematoma needs drained or it can result in
cauliflower ear
avulsed tooth - Answer>> considered a dental
emergency for permanent teeth
the sooner the avulsed tooth is reimplanted, the better
the outcome
tx:
-avoid touching the root, handle only the crown
-rinse tooth in normal saline, irrigate the socket with
normal saline
-reimplant the tooth
-have the pt bite down on gauze and refer to dentist as
soon as possible
-store the tooth in cold milk or saline or store inside the
cheek (buccal sulcus) if unable to reimplant
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basilar skull fracture - Answer>> temporal bone is
commonly fractured - linear fracture is most common
followed by depressed and basilar skull fractures
causes: falls, assaults, car collisions, penetrating
missiles
s/s: periorbital ecchymosis (raccoon eyes), mastoid
ecchymosis (Battle sign) appear in 1-3 days following
trauma; physical exam does not show these signs
immediately
assessment:
-clear rhinorrhea or otorrhea (discharge from ear or
nose suggesting CSF leak)
-hemotympanum (blue-purple color of tympanic
membrane [TM]) caused by blood accumulation in the
middle ear
tx: refer to ED
cholesteatoma - Answer>> collection of skin cells and
cholesterol in a sac within the middle ear
s/s: can be asymptomatic; may complain of hearing
loss and intermittent otorrhea from one ear that is
purulent and foul smelling
on exam, there is perforation of the TM on the superior
quadrant and a cauliflower-like or pearly-white mass.
another presentation is an intact TM with missing
landmarks and white mass visible behind the TM.
risks: hx of chronic or recurrent otitis media infection.
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