NUR 621 FINAL REVIEW QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS); ALREADY GRADED A+
Acoustic Neuroma (Vestibular Schwannoma) - correct
answer- unilateral sensorineural hearing loss
• Tumor affecting CN VIlI
• Rare
• Usually facial weakness, taste change, dysphagia
• UNILATERAL
angular cheilitis - correct answer- inflammation
of the corners of the mouth
Allergic:
Makeup, chapstick
Lip licking
* maybe fungal tx: hydrocortisone/iodoquinol (Vytone)
,Benign Paroxysmal Positional Vertigo - correct
answer- *ALWAYS consider posterior stroke
- changes in position or rolling over causes
dizziness/nausea/vomiting
- Dix Hallpike Maneuver (will elicit crystals in lymph canal
and nystagmus)
- Epley Manuever (attempts to realign the crystals out of
endolymph canal)
cerumen impaction treatment - correct answer-
-olive oil drops/ flush with peroxide
- flush toward canal, not TM
- Debrox daily times 1 week
conductive hearing loss - correct answer- •
sound waves interrupted
- cerumen, Otitis, perforation of TM, temporal bone fx,
hematoma
, -reversible
-sound lateralizes to affected side
-BC>AC
dysphonia - correct answer- • Epidemiology
and Causes
• Affects approximately 20 million people in the United
States
• One in three people will become hoarse in their
lifetimes
• Frequently results from viral infection of the larynx
• Affects individuals 18 to 40 years
• Pathophysiology
• Infectious process (usually viral)
• Vocal cord inflammation and edema
• Phagocytosis: vocal folds become more edematous and
vibration is adversely affected
• Diagnostic Tests
• Culture and sensitivity of oral or otologic discharge
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS); ALREADY GRADED A+
Acoustic Neuroma (Vestibular Schwannoma) - correct
answer- unilateral sensorineural hearing loss
• Tumor affecting CN VIlI
• Rare
• Usually facial weakness, taste change, dysphagia
• UNILATERAL
angular cheilitis - correct answer- inflammation
of the corners of the mouth
Allergic:
Makeup, chapstick
Lip licking
* maybe fungal tx: hydrocortisone/iodoquinol (Vytone)
,Benign Paroxysmal Positional Vertigo - correct
answer- *ALWAYS consider posterior stroke
- changes in position or rolling over causes
dizziness/nausea/vomiting
- Dix Hallpike Maneuver (will elicit crystals in lymph canal
and nystagmus)
- Epley Manuever (attempts to realign the crystals out of
endolymph canal)
cerumen impaction treatment - correct answer-
-olive oil drops/ flush with peroxide
- flush toward canal, not TM
- Debrox daily times 1 week
conductive hearing loss - correct answer- •
sound waves interrupted
- cerumen, Otitis, perforation of TM, temporal bone fx,
hematoma
, -reversible
-sound lateralizes to affected side
-BC>AC
dysphonia - correct answer- • Epidemiology
and Causes
• Affects approximately 20 million people in the United
States
• One in three people will become hoarse in their
lifetimes
• Frequently results from viral infection of the larynx
• Affects individuals 18 to 40 years
• Pathophysiology
• Infectious process (usually viral)
• Vocal cord inflammation and edema
• Phagocytosis: vocal folds become more edematous and
vibration is adversely affected
• Diagnostic Tests
• Culture and sensitivity of oral or otologic discharge
