NU551 FNP I Midterm (Dunphy Ch. 21-27, ENT) || || || || || || || ||
Exam with accurate detailed solutions || || || ||
When otalgia is presented as unilateral, and chronic, in addition to weight loss, the nurse
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practitioner may suspect what diagnosis? - ✔✔Head or neck CA
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Hoarseness (dysphonia) is a hallmark sign of ? - ✔✔Laryngeal CA
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Most common bacterial cause of sore throat: - ✔✔Strep. pyogenes
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Epistaxis most commonly occurs in which area of the nasal septum? - ✔✔Little's area (anterior)
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Woodruff's plexus (posterior) || ||
-more difficult o control
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Hearing loss is defined as a decrease in the hearing threshold of ____ in both ears - ✔✔< 25 dB or
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more
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The most common cause of conductive hearing loss complaint is? - ✔✔Cerumen impaction,
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assess for need to irrigate!
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Children= AOM ||
Most common cause of sensorineural hearing loss? - ✔✔Presbycusis (age-related hearing loss)
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The gold-standard test for hearing loss? - ✔✔Pure tone audiometry with speech testing, as well as
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impedance
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, 2
Hearing loss: Diagnosis - ✔✔Weber
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SNHL: Sound heard louder in unaffected ear
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CHL: Sound louder in affected ear
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Rhinne
SNHL: AC=BC ||
CHL: BC>AC
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Hearing Loss: Management - ✔✔Treat the underlying cause!
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-Audiologists referral ||
-1:1 3% Hydrogen peroxide and warm mineral oil
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-6.5% carbamide peroxide (Debrox)
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-Trauma: Cortisporin Otic QID x5-7 days
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(*NOT if TM rupture!!*)
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-Prednisone 60 mg qd x10-14 days || || || || ||
Tinnitus: Diagnosis - ✔✔-CBC || || ||
-B12, zinc
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-Thyroid/Lipid panel ||
-Electrolytes
-CT/MRE