NR 509 APEA HEENT with Explanation
NR 509 Advanced physical assessment
,NR 509 APEA HEENT with
Explanation
Question:
The function of the auditory ossicles is to:
transmit the light reflex to the light cone.transform sound vibrations into
mechanical waves for the inner ear. Correctto capture sound waves
from the external ear for transmission into the middle ear.to separate the
inner ear from the middle ear.
Explanation:
The function of the auditory ossicles is to transform sound vibrations
into mechanical waves for the inner ear
Question:
A 35-year-old patient complains of vertigo accompanied by nausea and
vomiting. Examination reveals bilateral diplopia and an unsteady gait.
These symptoms could be suggestive of:
anarrhythmia.a neurological condition. Correctan inner ear
infection. Incorrectorthostatic hypotension.
,Explanation:
Vertigo symptoms associated with neurologic conditions include: ataxia,
diplopia, and dysarthria. Symptoms associated with cardiovascular
conditions and vertigo include arrhythmias, orthostatic hypotension,
vasovagal stimulation, lightheadedness, weakness, or presyncope.
Question:
A 60-year-old was concerned about a yellowish colored lesion above her
right eyelid. Findings revealed a slightly raised yellowish, well
circumscribed plaque along the nasal area of her right eyelid. This
finding is most consistent with:
apinguecula.achalazion.episcleritis.xanthelasma. Correct
Explanation:
Slightly raised, yellowish, well-circumscribed plaques appearing along
the nasal area of one or both eyelids are consistent with lipid disorders
and called xanthelasma. Pinguecula refer to harmless, yellowish,
triangular nodules in the bulbar conjunctiva on either side of the iris. A
chalazion is a nontender nodule usually on the underside of the eyelid.
Episcleritis is an ocular inflammation of the episcleral vessels.
Question:
Assessment of a patient's visual acuity resulted in 20/200 using the
Snellen eye chart. This means that:
, at 200 feet the patient can read printed information that a person with
normal vision could read at 20 feet.at 20 feet the patient can read printed
information that a person with normal vision could read at 200
feet. Correctthe patient has normal visual acuity.the patient may not be
able to read so he should be tested with the picture or "E" eye charts.
Explanation:
Visual acuity that is corrected to 20/200 constitutes legal blindness. The
larger the number under 20, the worse the visual acuity. If this is a new
finding, the patient needs ophthalmologic evaluation.
Question:
Findings following assessment of a person's left eye gaze include
impaired movements when attempting to look upward, downward, or
inward. This condition is most consistent with:
a conjugate gaze.left cranial nerve III (oculomotor) paralysis
Correctcranial nerve IV (trochlear) paralysis.cranial nerve VI (abducens)
paralysis.
Explanation:
With a left cranial nerve III paralysis, upward, downward, or inward
movements are impaired. In conjugate or normal gaze, the normal
movement of the two eyes appears simultaneously in the same direction
to bring something into view. With a left cranial nerve VI paralysis, a
person's gaze would include eyes conjugate when looking to the right,
esotropia (one or both eyes turn inward) appears in the left eye when
NR 509 Advanced physical assessment
,NR 509 APEA HEENT with
Explanation
Question:
The function of the auditory ossicles is to:
transmit the light reflex to the light cone.transform sound vibrations into
mechanical waves for the inner ear. Correctto capture sound waves
from the external ear for transmission into the middle ear.to separate the
inner ear from the middle ear.
Explanation:
The function of the auditory ossicles is to transform sound vibrations
into mechanical waves for the inner ear
Question:
A 35-year-old patient complains of vertigo accompanied by nausea and
vomiting. Examination reveals bilateral diplopia and an unsteady gait.
These symptoms could be suggestive of:
anarrhythmia.a neurological condition. Correctan inner ear
infection. Incorrectorthostatic hypotension.
,Explanation:
Vertigo symptoms associated with neurologic conditions include: ataxia,
diplopia, and dysarthria. Symptoms associated with cardiovascular
conditions and vertigo include arrhythmias, orthostatic hypotension,
vasovagal stimulation, lightheadedness, weakness, or presyncope.
Question:
A 60-year-old was concerned about a yellowish colored lesion above her
right eyelid. Findings revealed a slightly raised yellowish, well
circumscribed plaque along the nasal area of her right eyelid. This
finding is most consistent with:
apinguecula.achalazion.episcleritis.xanthelasma. Correct
Explanation:
Slightly raised, yellowish, well-circumscribed plaques appearing along
the nasal area of one or both eyelids are consistent with lipid disorders
and called xanthelasma. Pinguecula refer to harmless, yellowish,
triangular nodules in the bulbar conjunctiva on either side of the iris. A
chalazion is a nontender nodule usually on the underside of the eyelid.
Episcleritis is an ocular inflammation of the episcleral vessels.
Question:
Assessment of a patient's visual acuity resulted in 20/200 using the
Snellen eye chart. This means that:
, at 200 feet the patient can read printed information that a person with
normal vision could read at 20 feet.at 20 feet the patient can read printed
information that a person with normal vision could read at 200
feet. Correctthe patient has normal visual acuity.the patient may not be
able to read so he should be tested with the picture or "E" eye charts.
Explanation:
Visual acuity that is corrected to 20/200 constitutes legal blindness. The
larger the number under 20, the worse the visual acuity. If this is a new
finding, the patient needs ophthalmologic evaluation.
Question:
Findings following assessment of a person's left eye gaze include
impaired movements when attempting to look upward, downward, or
inward. This condition is most consistent with:
a conjugate gaze.left cranial nerve III (oculomotor) paralysis
Correctcranial nerve IV (trochlear) paralysis.cranial nerve VI (abducens)
paralysis.
Explanation:
With a left cranial nerve III paralysis, upward, downward, or inward
movements are impaired. In conjugate or normal gaze, the normal
movement of the two eyes appears simultaneously in the same direction
to bring something into view. With a left cranial nerve VI paralysis, a
person's gaze would include eyes conjugate when looking to the right,
esotropia (one or both eyes turn inward) appears in the left eye when
