Question 1

When you ask the patient to identify smells, you are assessing which cranial nerve?

Accepted Answer

A) I 
B) II 
C) III 
D) IV 
E) VIII 
A) I 
B) II 
C) III 
D) IV 
E) VIII A

Question 2

Normal tympanic membrane color is

Accepted Answer

A) amber. 
B) chalky white. 
C) greenish. 
D) pearly gray. 
E) red. 
A) amber. 
B) chalky white. 
C) greenish. 
D) pearly gray. 
E) red. D

Question 3

Severe vertigo, tinnitus, and progressive hearing loss are characteristic of

Accepted Answer

A) cholesteatoma. 
B) Ménière disease. 
C) otosclerosis. 
D) cocaine abuse. 
E) labyrinthitis. 
A) cholesteatoma. 
B) Ménière disease. 
C) otosclerosis. 
D) cocaine abuse. 
E) labyrinthitis. B

Question 4

The pregnant woman can expect to experience

Accepted Answer

A) more nasal stuffiness. 
B) a sensitive sense of smell. 
C) drooling. 
D) enhanced hearing. 
E) decreased vascularity of the gums. 
A) more nasal stuffiness. 
B) a sensitive sense of smell. 
C) drooling. 
D) enhanced hearing. 
E) decreased vascularity of the gums.

Question 5

Pallor of the lips and mucous membranes is one sign of

Accepted Answer

A) anemia. 
B) hyperbilirubinemia. 
C) liver problems. 
D) carbon monoxide poisoning. 
E) Peutz-Jeghers syndrome. 
A) anemia. 
B) hyperbilirubinemia. 
C) liver problems. 
D) carbon monoxide poisoning. 
E) Peutz-Jeghers syndrome.

Question 6

The middle ear is normally filled with

Accepted Answer

A) mucous collections. 
B) blood. 
C) serous fluid. 
D) cerebrospinal fluid. 
E) air. 
A) mucous collections. 
B) blood. 
C) serous fluid. 
D) cerebrospinal fluid. 
E) air.

Question 7

Which of the following illicit drugs is commonly associated with nasal septum perforation?

Accepted Answer

A) Heroin 
B) Marijuana 
C) PCP 
D) Ecstasy 
E) Cocaine 
A) Heroin 
B) Marijuana 
C) PCP 
D) Ecstasy 
E) Cocaine

Question 8

You are using a pneumonic attachment on the otoscope while assessing tympanic membrane movement. You gently squeeze the bulb but see no movement of the membrane. Your next action should be to

Accepted Answer

A) remove all cerumen from the canal. 
B) make sure the speculum is sealed form outside air. 
C) squeeze the bulb with more force. 
D) insert the speculum to depth of 2 cm. 
E) use a smaller plastic speculum. 
A) remove all cerumen from the canal. 
B) make sure the speculum is sealed form outside air. 
C) squeeze the bulb with more force. 
D) insert the speculum to depth of 2 cm. 
E) use a smaller plastic speculum.

Question 9

A 30-year-old woman presents with rapid swelling beneath her jaw that suddenly appears while she is eating. The swelling is mildly painful but is not hot or red. You suspect Wharton salivary duct stones and proceed to palpate

Accepted Answer

A) bilaterally along the buccal mucosa. 
B) under the tongue, along each side of the frenulum. 
C) dorsum of the tongue. 
D) beside the gingivae near each molar. 
E) along the roof of the mouth. 
A) bilaterally along the buccal mucosa. 
B) under the tongue, along each side of the frenulum. 
C) dorsum of the tongue. 
D) beside the gingivae near each molar. 
E) along the roof of the mouth.

Question 10

For best results, an otoscopic and oral examination in a child should be

Accepted Answer

A) conducted at the beginning of the assessment. 
B) done after inspection. 
C) performed at the end of the examination. 
D) performed before palpation. 
E) deferred until they can fully cooperate. 
A) conducted at the beginning of the assessment. 
B) done after inspection. 
C) performed at the end of the examination. 
D) performed before palpation. 
E) deferred until they can fully cooperate.

Question 11

You are interviewing a parent whose child has a fever, is batting at her right ear, and is irritable. You ask the parent about the child's appetite and find that the child has a decreased appetite. This additional finding is most suggestive of

Accepted Answer

A) acute otitis media. 
B) otitis externa. 
C) serous otitis media. 
D) middle ear effusion. 
E) cerumen impaction. 
A) acute otitis media. 
B) otitis externa. 
C) serous otitis media. 
D) middle ear effusion. 
E) cerumen impaction.

Question 12

Which of the following is associated with age-related hearing loss?

Accepted Answer

A) Degeneration of the hair cells of the organ of Corti 
B) Excess resorption of bone cells of the ossicle chain 
C) Increased pliability of the tympanic membrane 
D) More serous cerumen 
E) Proliferation of the stria vascularis 
A) Degeneration of the hair cells of the organ of Corti 
B) Excess resorption of bone cells of the ossicle chain 
C) Increased pliability of the tympanic membrane 
D) More serous cerumen 
E) Proliferation of the stria vascularis

Question 13

You are performing Weber and Rinne hearing tests. For the Weber test, the sound lateralized to the unaffected ear; for the Rinne test, the air conduction to bone conduction-to-ratio was less than 2:1. You interpret these findings as suggestive of

Accepted Answer

A) a defect in the inner ear. 
B) a defect in the middle ear. 
C) otitis externa. 
D) impacted cerumen. 
E) serous otitis. 
A) a defect in the inner ear. 
B) a defect in the middle ear. 
C) otitis externa. 
D) impacted cerumen. 
E) serous otitis.

Question 14

To approximate vocal frequencies, which tuning fork should be used to assess hearing?

Accepted Answer

A) 100 to 300 Hz 
B) 200 to 400 Hz 
C) 500 to 1000 Hz 
D) 1500 to 2000 Hz 
E) Greater than 2000 Hz 
A) 100 to 300 Hz 
B) 200 to 400 Hz 
C) 500 to 1000 Hz 
D) 1500 to 2000 Hz 
E) Greater than 2000 Hz

Question 15

An ear auricle with a low-set or unusual angle may indicate chromosomal aberration or

Accepted Answer

A) digestive disorder. 
B) skeletal anomaly. 
C) renal disorder. 
D) Ménière disease. 
E) heart defect. 
A) digestive disorder. 
B) skeletal anomaly. 
C) renal disorder. 
D) Ménière disease. 
E) heart defect.

Question 16

Expected physical changes associated with older adults include

Accepted Answer

A) shiny buccal mucosa. 
B) teeth appear shorter. 
C) wetter nasal mucosa. 
D) bristly hairs in the vestibule. 
E) smoothing of the tongue. 
A) shiny buccal mucosa. 
B) teeth appear shorter. 
C) wetter nasal mucosa. 
D) bristly hairs in the vestibule. 
E) smoothing of the tongue.

Question 17

When examining an infant's middle ear, the practitioner should use one hand to stabilize the otoscope against the head while using the other hand to

Accepted Answer

A) pull the auricle down and back. 
B) hold the speculum in the canal. 
C) distract the infant. 
D) stabilize the chest. 
E) pull the auricle up. 
A) pull the auricle down and back. 
B) hold the speculum in the canal. 
C) distract the infant. 
D) stabilize the chest. 
E) pull the auricle up.

Question 18

Evidence-based practice suggests that the strongest predictor of sinusitis is

Accepted Answer

A) a maxillary toothache. 
B) dull or opaque sinus transilluminations. 
C) ineffective decongestants and colored nasal drainage. 
D) purulent nasal secretions. 
E) any combination of the above. 
A) a maxillary toothache. 
B) dull or opaque sinus transilluminations. 
C) ineffective decongestants and colored nasal drainage. 
D) purulent nasal secretions. 
E) any combination of the above.

Question 19

To inspect the lateral borders of the tongue, you should

Accepted Answer

A) ask the patient to extend the tongue outward. 
B) insert the tongue blade obliquely against the tongue. 
C) lift the tongue upward with gloved fingers. 
D) pull the gauze-wrapped tongue to each side. 
E) ask the patient to lift the tongue upward. 
A) ask the patient to extend the tongue outward. 
B) insert the tongue blade obliquely against the tongue. 
C) lift the tongue upward with gloved fingers. 
D) pull the gauze-wrapped tongue to each side. 
E) ask the patient to lift the tongue upward.

Question 20

To perform the Rinne test, place the tuning fork on the

Accepted Answer

A) top of the head. 
B) mastoid bone. 
C) forehead. 
D) preauricular area. 
E) occiput. 
A) top of the head. 
B) mastoid bone. 
C) forehead. 
D) preauricular area. 
E) occiput.

Exam 12: Ears, Nose, and Throat

When you ask the patient to identify smells, you are assessing which cranial nerve?

Normal tympanic membrane color is

Severe vertigo, tinnitus, and progressive hearing loss are characteristic of

The pregnant woman can expect to experience

Pallor of the lips and mucous membranes is one sign of

The middle ear is normally filled with

Which of the following illicit drugs is commonly associated with nasal septum perforation?

You are using a pneumonic attachment on the otoscope while assessing tympanic membrane movement. You gently squeeze the bulb but see no movement of the membrane. Your next action should be to

A 30-year-old woman presents with rapid swelling beneath her jaw that suddenly appears while she is eating. The swelling is mildly painful but is not hot or red. You suspect Wharton salivary duct stones and proceed to palpate

For best results, an otoscopic and oral examination in a child should be

You are interviewing a parent whose child has a fever, is batting at her right ear, and is irritable. You ask the parent about the child's appetite and find that the child has a decreased appetite. This additional finding is most suggestive of

Which of the following is associated with age-related hearing loss?

You are performing Weber and Rinne hearing tests. For the Weber test, the sound lateralized to the unaffected ear; for the Rinne test, the air conduction to bone conduction-to-ratio was less than 2:1. You interpret these findings as suggestive of

To approximate vocal frequencies, which tuning fork should be used to assess hearing?

An ear auricle with a low-set or unusual angle may indicate chromosomal aberration or

Expected physical changes associated with older adults include

When examining an infant's middle ear, the practitioner should use one hand to stabilize the otoscope against the head while using the other hand to

Evidence-based practice suggests that the strongest predictor of sinusitis is

To inspect the lateral borders of the tongue, you should

To perform the Rinne test, place the tuning fork on the

The History and Interviewing Process

Cultural Competency

Examination Techniques and Equipment

Vital Signs and Pain Assessment

Mental Status

Growth and Measurement

Nutrition

Skin, Hair, and Nails

Lymphatic System

Head and Neck

Eyes

Chest and Lungs

Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting It All Together

Taking the Next Steps: Critical Thinking

Recording Information

Emergency or Life-Threatening Situations

Filters