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Terms in this set (51)
Which of the following are normal Answer: C
findings in a Weber test?
Explanation: A normal Weber test means there is
A. The tympanic membrane is no lateralization of sound perception when a
movable with pneumatic otoscopy. vibrating tuning fork is placed on the mid
B. The tympanic membrane is pearly forehead. A movable tympanic membrane
gray with a sharp cone of light with indicates there is no effusion, and is not the Weber
apex at the umbo. test. The tympanic membrane is evaluated by direct
C. Sound is heard equally in both observation with an otoscope, and is not the
ears when a vibrating tuning fork is Weber test. A normal Rinne test means that tuning
placed on the mid forehead. fork vibration is heard longer through the air than
D. Air conduction is greater than the bone.
bone conduction when a vibrating
tuning fork is moved from the
mastoid bone to close to the ear
canal.
,Which of the following is diagnosed Answer: B
by use of the cover/uncover test?
Explanation: The cover/uncover test is used to
A. Adie's pupil diagnose strabismus. Adie's pupil is a sluggish
B. Strabismus pupil reaction to light and accommodation,
C. Glaucoma evaluated by papillary reaction to light. Tonometry
D. Myopia is used to measure intraocular pressure to evaluate
for glaucoma. Myopia is evaluated by using a
Snellen chart.
A 32 year-old carpenter complains Answer: B
of right eye irritation all day after
driving a metal stake into the ground Explanation: Orbital x-rays or CT scan will be most
with his hammer. He states that helpful in identifying an intraocular metallic foreign
"something flew into my eye." Visual body. MRI should never be used when there is
acuity is 20/20. Pupils are equal, suspicion of an iron-containing intraocular foreign
round, reactive to light and body. Tonometry is used to evaluate intraocular
accommodation. Extraocular pressure, but not the presence of intraocular
movements are intact. There is foreign bodies. Fluorescein angiography is used to
minimal right corneal injection. No evaluate vessels of the eye, not intraocular foreign
foreign body is noted with lid bodies.
eversion. Fluorescein stain reveals a
tiny pinpoint uptake in the area of the
corneal injection. Which of the
following is the most appropriate
diagnostic test at this stage?
A. MRI
B. X-ray orbits
C. Applanation tonometry
D. Fluorescein angiography
, A 45 year-old male complains of loss Answer: B
of hearing in his left ear. He also
complains of ringing in the ear, and Explanation: MRI has replaced auditory brainstem
has had occasional dizziness. On evoked response and acoustic reflex testing in the
exam, there is unilateral left- sided evaluation of patients for acoustic neuromas.
sensorineural hearing loss and a
diminished corneal reflex. Neuro
exam is otherwise normal. TMs are
normal, and canals are clear. Neck is
supple, without adenopathy.
Oropharynx is normal. Of the
following, the best diagnostic study
to identify the cause of this patient's
complaints is what?
A. Auditory brainstem evoked
response
B. Gadolinium-enhanced MRI
C. Acoustic reflex testing
D. Vestibular testing