MARYVILLE 612 EXAM 1 2024 WITH
100% CORRECT ANSWERS
What is S4 indicative of? - correct answer✔✔ In the 2nd phase of ventricular filling, vibration in the
valves, papillae, and ventricular walls produce S4. When there is increased resistance to filling because
ventricular walls have lost compliance. HTN, CAD or increased stroke volume high output, anemia,
pregnancy, and thyrotoxicosis. A loud S4 suggest pathology and deserves additional evaluation.
State the order of the abdominal exam? - correct answer✔✔ Inspect, auscultate, percuss, and palpate
The tonsil assessment, state how tonsils are graded, and the exam documented? - correct answer✔✔
Grade +1-+4. 1+ visible, 2+ halfway between tonsillar pillars and the uvula, 3+ nearly touching the uvula,
4+ touching each other.
Sinuses- How do you assess the sinuses? Anatomical location of the sinuses on the face. Name the sinus
cavities. - correct answer✔✔ Assessment: inspect for swelling, tenderness, and pain by palpating,
frontal with thumbs, and either side of the nose, zygomatic processes, and maxillary sinus, with thumbs
or index finger-positive findings indicate obstruction or infection.
Frontal, ethmoid, sphenoid, and maxillary
All in relation to the nasal cavity. Frontal is above, maxillary is along the lateral wall, ethmoid sinuses lie
behind frontal sinuses near superior portion of nasal cavity, sphenoid sinuses are deep in the skull
behind the ethmoid sinuses.
Know the oral cancer assessment, screening. - correct answer✔✔ Inspecting the oral cavity, have pt lift
tongue, move side to side, up and stick out, palpate with gloved hand.
What is the most common site of oral cancer? - correct answer✔✔ Vermilion border of the lips (line
that goes around the outside of the lips).
What are the steps of the hearing exam with the tuning fork? - correct answer✔✔ Weber test- used
with a tuning fork for you to compare hearing by bone conduction with that by air conduction. You're
going to strike the tuning fork and you're going to put that at the top of the patient's head and the ask
, them to tell you whether or not there is sound from the vibration both ears equally or dose it lateralize
to the affected side.
Rhinne Test- Assesses and compares patient's ability to hear both through bone and air conduction.
Again, you strike the tuning fork and you actually place it on the mastoid bone behind the patients ear
one at a time and when the patient can no longer hear the vibration, you move the tuning fork to place
it next to the ear, laterally to the ear and then ask the patient to tell you when the sound stops. You're
going to compare the air conduction with the bone conduction and the actual air conduction is
supposed to be more than bone conduction, which is normal, ac is more than bc.
What do both of the hearing tests meanin reference to length of sound and fork positions? - correct
answer✔✔ Weber- should hear vibration bilaterally. Rhinne- 2:1 air to bone, air should be twice as long.
What are the anatomical parts of the ear? - correct answer✔✔ Helix, triangular fossa, antihelix,
antitraugus, traugus, lobule, and external auditory meatus.
What are the anatomical parts of the ear drum? - correct answer✔✔ Malleus, incus, semicircular canals,
cochlea, oval window, round window, eustation tube, stapes, and footplate.
What are the different parts of the tympanic membrane? - correct answer✔✔ Para tensa, para flaccida,
light reflex, surrounded by the annulus, its concave shaped or umbo.
Assessment and dx of otitis media? - correct answer✔✔ Middle ear with fluid or pus, red, bulging
tympanic membrane, loss of red reflex, inability to visualize bone structures, conductive hearing loss,
pain, loud abnormal sounds, rupture, foul smelling drainage. Otitis media with effusion-fluid in ear.
Acute otitis media fluid becomes infected, pus.
Ear congestion assessment and dx: - correct answer✔✔ Assessment: examine the external ear
structures. Manipulate the external ear to identify any tenderness before inserting the otoscope.
Examine the canal for masses or swelling. Observe the TM for dullness, decreased light reflect, bulging,
retraction, or inflammation, which may indicate fluid or infection.
Dx: Meniere's dx (AOM, otitis externa), OM with effusion, allergies, cerumen impaction of foreign body.
Eustachian tube malfunction assessment and diagnosis: - correct answer✔✔ The Eustachian tub drain
into the posterior aspect of the inferior turbinate of the nose. The tubes help the ears drain fluid. They
also keep air pressure in the ears at the right level. When you swallow or yawn, the tubes open briefly to
100% CORRECT ANSWERS
What is S4 indicative of? - correct answer✔✔ In the 2nd phase of ventricular filling, vibration in the
valves, papillae, and ventricular walls produce S4. When there is increased resistance to filling because
ventricular walls have lost compliance. HTN, CAD or increased stroke volume high output, anemia,
pregnancy, and thyrotoxicosis. A loud S4 suggest pathology and deserves additional evaluation.
State the order of the abdominal exam? - correct answer✔✔ Inspect, auscultate, percuss, and palpate
The tonsil assessment, state how tonsils are graded, and the exam documented? - correct answer✔✔
Grade +1-+4. 1+ visible, 2+ halfway between tonsillar pillars and the uvula, 3+ nearly touching the uvula,
4+ touching each other.
Sinuses- How do you assess the sinuses? Anatomical location of the sinuses on the face. Name the sinus
cavities. - correct answer✔✔ Assessment: inspect for swelling, tenderness, and pain by palpating,
frontal with thumbs, and either side of the nose, zygomatic processes, and maxillary sinus, with thumbs
or index finger-positive findings indicate obstruction or infection.
Frontal, ethmoid, sphenoid, and maxillary
All in relation to the nasal cavity. Frontal is above, maxillary is along the lateral wall, ethmoid sinuses lie
behind frontal sinuses near superior portion of nasal cavity, sphenoid sinuses are deep in the skull
behind the ethmoid sinuses.
Know the oral cancer assessment, screening. - correct answer✔✔ Inspecting the oral cavity, have pt lift
tongue, move side to side, up and stick out, palpate with gloved hand.
What is the most common site of oral cancer? - correct answer✔✔ Vermilion border of the lips (line
that goes around the outside of the lips).
What are the steps of the hearing exam with the tuning fork? - correct answer✔✔ Weber test- used
with a tuning fork for you to compare hearing by bone conduction with that by air conduction. You're
going to strike the tuning fork and you're going to put that at the top of the patient's head and the ask
, them to tell you whether or not there is sound from the vibration both ears equally or dose it lateralize
to the affected side.
Rhinne Test- Assesses and compares patient's ability to hear both through bone and air conduction.
Again, you strike the tuning fork and you actually place it on the mastoid bone behind the patients ear
one at a time and when the patient can no longer hear the vibration, you move the tuning fork to place
it next to the ear, laterally to the ear and then ask the patient to tell you when the sound stops. You're
going to compare the air conduction with the bone conduction and the actual air conduction is
supposed to be more than bone conduction, which is normal, ac is more than bc.
What do both of the hearing tests meanin reference to length of sound and fork positions? - correct
answer✔✔ Weber- should hear vibration bilaterally. Rhinne- 2:1 air to bone, air should be twice as long.
What are the anatomical parts of the ear? - correct answer✔✔ Helix, triangular fossa, antihelix,
antitraugus, traugus, lobule, and external auditory meatus.
What are the anatomical parts of the ear drum? - correct answer✔✔ Malleus, incus, semicircular canals,
cochlea, oval window, round window, eustation tube, stapes, and footplate.
What are the different parts of the tympanic membrane? - correct answer✔✔ Para tensa, para flaccida,
light reflex, surrounded by the annulus, its concave shaped or umbo.
Assessment and dx of otitis media? - correct answer✔✔ Middle ear with fluid or pus, red, bulging
tympanic membrane, loss of red reflex, inability to visualize bone structures, conductive hearing loss,
pain, loud abnormal sounds, rupture, foul smelling drainage. Otitis media with effusion-fluid in ear.
Acute otitis media fluid becomes infected, pus.
Ear congestion assessment and dx: - correct answer✔✔ Assessment: examine the external ear
structures. Manipulate the external ear to identify any tenderness before inserting the otoscope.
Examine the canal for masses or swelling. Observe the TM for dullness, decreased light reflect, bulging,
retraction, or inflammation, which may indicate fluid or infection.
Dx: Meniere's dx (AOM, otitis externa), OM with effusion, allergies, cerumen impaction of foreign body.
Eustachian tube malfunction assessment and diagnosis: - correct answer✔✔ The Eustachian tub drain
into the posterior aspect of the inferior turbinate of the nose. The tubes help the ears drain fluid. They
also keep air pressure in the ears at the right level. When you swallow or yawn, the tubes open briefly to
