AGNP BOARD EYE, EAR, NOSE AND THROAT
ASSESSMENT WITH EXPLANATIONS
Question:
A buildup of excess fluid around the periphery of the eye orbits is known
as: episcleritis.
pinguecula.
ptosis.
periorbital edema. Correct
Explanation:
An accumulation of fluid around the periphery of the eye orbits is known as periorbital edema.
Question:
A child presents with a complaint of a left earache that worsens with head movement. Findings
on examination include temperature of 102 °F, cellulitis behind the left ear. These findings are
consistent with:
otitis externa.
, AGNP BOARD EYE, EAR, NOSE AND THROAT
ASSESSMENT WITH EXPLANATIONS
otitis media.
mastoiditis. Correct
otosclerosis.
Explanation:
Mastoiditis is an infection of the mastoid process (temporal bone adjacent to the middle ear) and
generally results from inadequately treated otitis media. The mastoid bone fills with infected
materials and its honeycomb-like structure may deteriorate. Symptoms include: fever, malaise,
possible tinnitus. Otitis externa is an infection of the external canal. Otitis media is a middle ear
infection. Otosclerosis is an abnormal bone growth around the ossicles resulting in a conductive
hearing loss because the stapes cannot vibrate.
Question:
On ophthalmoscopic examination of a 70-year-old, a thin grayish white arc is noted on the lower
end of the cornea. This appearance is referred to as a:
corneal arcus. Correct
corneal scar.
pterygium.
cataract.
Explanation:
Corneal arcus is characterized by the presence of a thin grayish-white arc noted on the lower end
of the cornea. This is common during normal aging, but can be seen in younger people and may
be suggestive of dyslipidemia. A corneal scar presents as a superficial grayish-white opacity in
the cornea. Pterygium is a triangular thickening of the bulbar conjunctiva that grows slowly
across the outer surface of the cornea. A cataract is an opacity of the lens visible through the
pupil.
Question:
Ophthalmoscopic examination of the retina reveals a normal arteriovenous crossing. This
appears as if the:
vein tapers down on either side of the artery.
vein is twisted on the distal side of the
artery. vein crosses beneath the artery.
, AGNP BOARD EYE, EAR, NOSE AND THROAT
ASSESSMENT WITH EXPLANATIONS
Correct
vein stops abruptly on either side of the artery.
, AGNP BOARD EYE, EAR, NOSE AND THROAT
ASSESSMENT WITH EXPLANATIONS
Explanation:
In the normal eye, the vein appears to cross beneath the artery. When the arterial walls lose their
transparency, changes appear in the arteriovenous crossings. Decreased transparency of the
retina probably contributes to AV nicking and AV tapering. In AV nicking, the vein appears to
stop abruptly on either side of the artery. In tapering, the vein appears to taper down either side
of the artery. With banking, the vein appears to be twisted on the distal side of the artery and
forms a dark wide knuckle appearance.
Question:
In order to examine the tongue, ask the patient to stick out his tongue and with the examiner's
right hand:
stimulate the patient to cough.
pull the tongue downward and push down with the finger on the left hand to elicit the gag
reflex.
grasp the tip of the tongue, gently pull it to the left side , and inspect the side of the
tongue. Correct
inspect it for symmetry.
Explanation:
In order to examine the tongue, ask the patient stick out his the tongue and with the examiner's
right hand, grasp the tip of the tongue with a gauze and gently pull it to the patient's left. Inspect
the side of the tongue, then palpate it with the left hand, feeling for any induration. Reverse the
procedure for the other side. Inspecting for tongue symmetry checks function of cranial nerve
XII, hypoglossal. Stimulating the patient to cough and eliciting the gag reflex do not have
anything to do with the tongue examination.
Question:
Most of the paranasal sinuses drain into the:
inferior meatus.
middle meatus. Correct
superior meatus.
vestibule.
Explanation:
ASSESSMENT WITH EXPLANATIONS
Question:
A buildup of excess fluid around the periphery of the eye orbits is known
as: episcleritis.
pinguecula.
ptosis.
periorbital edema. Correct
Explanation:
An accumulation of fluid around the periphery of the eye orbits is known as periorbital edema.
Question:
A child presents with a complaint of a left earache that worsens with head movement. Findings
on examination include temperature of 102 °F, cellulitis behind the left ear. These findings are
consistent with:
otitis externa.
, AGNP BOARD EYE, EAR, NOSE AND THROAT
ASSESSMENT WITH EXPLANATIONS
otitis media.
mastoiditis. Correct
otosclerosis.
Explanation:
Mastoiditis is an infection of the mastoid process (temporal bone adjacent to the middle ear) and
generally results from inadequately treated otitis media. The mastoid bone fills with infected
materials and its honeycomb-like structure may deteriorate. Symptoms include: fever, malaise,
possible tinnitus. Otitis externa is an infection of the external canal. Otitis media is a middle ear
infection. Otosclerosis is an abnormal bone growth around the ossicles resulting in a conductive
hearing loss because the stapes cannot vibrate.
Question:
On ophthalmoscopic examination of a 70-year-old, a thin grayish white arc is noted on the lower
end of the cornea. This appearance is referred to as a:
corneal arcus. Correct
corneal scar.
pterygium.
cataract.
Explanation:
Corneal arcus is characterized by the presence of a thin grayish-white arc noted on the lower end
of the cornea. This is common during normal aging, but can be seen in younger people and may
be suggestive of dyslipidemia. A corneal scar presents as a superficial grayish-white opacity in
the cornea. Pterygium is a triangular thickening of the bulbar conjunctiva that grows slowly
across the outer surface of the cornea. A cataract is an opacity of the lens visible through the
pupil.
Question:
Ophthalmoscopic examination of the retina reveals a normal arteriovenous crossing. This
appears as if the:
vein tapers down on either side of the artery.
vein is twisted on the distal side of the
artery. vein crosses beneath the artery.
, AGNP BOARD EYE, EAR, NOSE AND THROAT
ASSESSMENT WITH EXPLANATIONS
Correct
vein stops abruptly on either side of the artery.
, AGNP BOARD EYE, EAR, NOSE AND THROAT
ASSESSMENT WITH EXPLANATIONS
Explanation:
In the normal eye, the vein appears to cross beneath the artery. When the arterial walls lose their
transparency, changes appear in the arteriovenous crossings. Decreased transparency of the
retina probably contributes to AV nicking and AV tapering. In AV nicking, the vein appears to
stop abruptly on either side of the artery. In tapering, the vein appears to taper down either side
of the artery. With banking, the vein appears to be twisted on the distal side of the artery and
forms a dark wide knuckle appearance.
Question:
In order to examine the tongue, ask the patient to stick out his tongue and with the examiner's
right hand:
stimulate the patient to cough.
pull the tongue downward and push down with the finger on the left hand to elicit the gag
reflex.
grasp the tip of the tongue, gently pull it to the left side , and inspect the side of the
tongue. Correct
inspect it for symmetry.
Explanation:
In order to examine the tongue, ask the patient stick out his the tongue and with the examiner's
right hand, grasp the tip of the tongue with a gauze and gently pull it to the patient's left. Inspect
the side of the tongue, then palpate it with the left hand, feeling for any induration. Reverse the
procedure for the other side. Inspecting for tongue symmetry checks function of cranial nerve
XII, hypoglossal. Stimulating the patient to cough and eliciting the gag reflex do not have
anything to do with the tongue examination.
Question:
Most of the paranasal sinuses drain into the:
inferior meatus.
middle meatus. Correct
superior meatus.
vestibule.
Explanation:
