3/23/25, 8:56 ACNP - EENT Flashcards |
AM
ACNP – EENT EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Terms in this set (53)
a tonic pupil.
On examination of the pupils, both are
round but right pupil appears larger than
When the pupil is large, regular, and usually unilateral and the reaction to light is
the left and reacts much slower to light.
severely reduced and slowed, or even absent, this condition is referred to as a tonic
This condition may be indicative of:
pupil or Adele's pupil.
direct reaction to light.
When a light beam shines into one pupil
causing pupillary constriction in that eye, The pupils of both eyes respond identically to a light stimulus regardless of which
the term used is: eye has been stimulated. The direct response describes light entering one eye that
produces constriction of the pupil of that eye.
A 60-year-old patient presents with severe, acute angle closure glaucoma.
deep left eye pain. Findings reveal
dilated and fixed left pupil and the With AACG, the pain is described as severe, aching, and deep. The pupils are
cornea is dilated and fixed and the cornea appears steamy or cloudy. If an increase in IOP is
cloudy. There is no ocular discharge noted. present, this would be an emergency situation.
These findings are most likely
consistent
with:
blinks.
When the corneal reflex is stimulated by
shining the light in the right eye, the right The corneal reflex is the blink reflex and is an involuntary blinking of the eyelids.
eye blinks. The left eye: When the corneal reflex is stimulated, stimulation should elicit both a direct
and indirect consensual response of the opposite eye.
Perforated tympanic membrane.
Causes of sensorineural hearing loss
include all of the following except: A perforated tympanic membrane is an example of a cause of conductive hearing
loss.
Visual acuity of 20/200 or worse in the better eye with corrected lenses.
What visual acuity constitutes legal
blindness? One is also considered legally blind if visual acuity is 20 degrees or less in the better
eye and the vision is constricted.
dilate.
When a person shifts gaze from a near
When shifting gaze from a near object to a far object the pupils dilate to allow more
object to a far object, the pupils:
light to enter. If this does not occur, there could be damage to the oculomotor nerve
(CN III).
conductive hearing loss.
The Rinne hearing test allows the
Rinne test is used primarily for evaluating hearing in one ear compared to the
examiner to screen for:
other. It compares the perception of sound transmitted by air conduction to those
sounds transmitted by bone conduction through the mastoid.
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6
, 3/23/25, 8:56 ACNP - EENT Flashcards |
AM
Ophthalmoscopic examination of the deep retinal hemorrhage.
fundus reveals small, rounded, slightly
irregular red spots embedded in the retina. Sometimes called dot or blot hemorrhages. They occur in a deeper layer of the
These findings are consistent with: retina than flame-shaped superficial hemorrhages. Diabetes is a common cause.
an outward turning of the lower eyelid.
Ectropion is defined as:
Ectropion exhibits an outward turning of the lower eyelid exposing the palpebral
conjunctiva. More common in the elderly.
An eight-year-old complains of itching in otitis externa.
the right ear and an increase in pain when
the pinna is pulled or the tragus is "Swimmers ear" is an infection or inflammation of the external ear or ear canal.
palpated. Examination reveals slight
redness in the ear canal with a clear
odorless fluid. This could be suggestive of:
at 20 feet the patient can read printed information that a person with normal vision
Assessment of a patient's visual acuity
could read at 200 feet.
resulted in 20/200 using the Snellen eye
chart. This means that:
the larger the number under 20, the worse the visual acuity.
Weber test.
Which of the following screening tests
for hearing loss can detect both The Weber hearing screening test can detect unilateral conductive hearing loss
sensorineural and conductive hearing (middle ear hearing loss) and unilateral sensorineural hearing loss (inner ear
loss? hearing loss).
vagus nerve lesion.
A deviated uvula without swelling may be
suggestive of a: A deviated uvula with no evidence of swelling may be due to a vagus nerve (CN X)
lesion. CN X innervates the uvula.
A patient presents with findings of pain, dacryocystitis.
warmth, redness, and swelling below the
inner canthus toward the nose. Tearing is Dacryocystitis is an infection and blockage of the lacrimal sac and duct. S/s listed
present and when pressure is applied to are typical.
the lacrimal sac, purulent discharge from
the puncta is noted. This is suggestive of:
drooping of the eyelid.
Ptosis is defined as:
Ptosis presents as drooping of the eyelid caused by damage to the oculomotor
nerve, myasthenia gravis, or damage to the sympathetic nervous system.
Episcleritis.
A condition of the sclera that appears as
A condition of the sclera when the vessels appear movable over the scleral surface
localized ocular inflammation of the
is termed episcleritis. The appearance may be nodular or show only redness
episcleral vessels is most likely:
and
dilated vessels. Can be seen in rheumatoid arthritis, Sjogrens syndrome, and herpes
zoster.
Strabismus.
Which disorder of the eye can be detected
with the cover-uncover and the Hirschberg Strabismus is a misalignment of the eyes and can be assessed using these tests. With
test? the cover-uncover test, eye muscle weakness is seen as eye deviation when the
eye is uncovered. With Hirschbergs test, an asymmetric light reflex indicates a
deviation.
2/
6
AM
ACNP – EENT EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Terms in this set (53)
a tonic pupil.
On examination of the pupils, both are
round but right pupil appears larger than
When the pupil is large, regular, and usually unilateral and the reaction to light is
the left and reacts much slower to light.
severely reduced and slowed, or even absent, this condition is referred to as a tonic
This condition may be indicative of:
pupil or Adele's pupil.
direct reaction to light.
When a light beam shines into one pupil
causing pupillary constriction in that eye, The pupils of both eyes respond identically to a light stimulus regardless of which
the term used is: eye has been stimulated. The direct response describes light entering one eye that
produces constriction of the pupil of that eye.
A 60-year-old patient presents with severe, acute angle closure glaucoma.
deep left eye pain. Findings reveal
dilated and fixed left pupil and the With AACG, the pain is described as severe, aching, and deep. The pupils are
cornea is dilated and fixed and the cornea appears steamy or cloudy. If an increase in IOP is
cloudy. There is no ocular discharge noted. present, this would be an emergency situation.
These findings are most likely
consistent
with:
blinks.
When the corneal reflex is stimulated by
shining the light in the right eye, the right The corneal reflex is the blink reflex and is an involuntary blinking of the eyelids.
eye blinks. The left eye: When the corneal reflex is stimulated, stimulation should elicit both a direct
and indirect consensual response of the opposite eye.
Perforated tympanic membrane.
Causes of sensorineural hearing loss
include all of the following except: A perforated tympanic membrane is an example of a cause of conductive hearing
loss.
Visual acuity of 20/200 or worse in the better eye with corrected lenses.
What visual acuity constitutes legal
blindness? One is also considered legally blind if visual acuity is 20 degrees or less in the better
eye and the vision is constricted.
dilate.
When a person shifts gaze from a near
When shifting gaze from a near object to a far object the pupils dilate to allow more
object to a far object, the pupils:
light to enter. If this does not occur, there could be damage to the oculomotor nerve
(CN III).
conductive hearing loss.
The Rinne hearing test allows the
Rinne test is used primarily for evaluating hearing in one ear compared to the
examiner to screen for:
other. It compares the perception of sound transmitted by air conduction to those
sounds transmitted by bone conduction through the mastoid.
1/
6
, 3/23/25, 8:56 ACNP - EENT Flashcards |
AM
Ophthalmoscopic examination of the deep retinal hemorrhage.
fundus reveals small, rounded, slightly
irregular red spots embedded in the retina. Sometimes called dot or blot hemorrhages. They occur in a deeper layer of the
These findings are consistent with: retina than flame-shaped superficial hemorrhages. Diabetes is a common cause.
an outward turning of the lower eyelid.
Ectropion is defined as:
Ectropion exhibits an outward turning of the lower eyelid exposing the palpebral
conjunctiva. More common in the elderly.
An eight-year-old complains of itching in otitis externa.
the right ear and an increase in pain when
the pinna is pulled or the tragus is "Swimmers ear" is an infection or inflammation of the external ear or ear canal.
palpated. Examination reveals slight
redness in the ear canal with a clear
odorless fluid. This could be suggestive of:
at 20 feet the patient can read printed information that a person with normal vision
Assessment of a patient's visual acuity
could read at 200 feet.
resulted in 20/200 using the Snellen eye
chart. This means that:
the larger the number under 20, the worse the visual acuity.
Weber test.
Which of the following screening tests
for hearing loss can detect both The Weber hearing screening test can detect unilateral conductive hearing loss
sensorineural and conductive hearing (middle ear hearing loss) and unilateral sensorineural hearing loss (inner ear
loss? hearing loss).
vagus nerve lesion.
A deviated uvula without swelling may be
suggestive of a: A deviated uvula with no evidence of swelling may be due to a vagus nerve (CN X)
lesion. CN X innervates the uvula.
A patient presents with findings of pain, dacryocystitis.
warmth, redness, and swelling below the
inner canthus toward the nose. Tearing is Dacryocystitis is an infection and blockage of the lacrimal sac and duct. S/s listed
present and when pressure is applied to are typical.
the lacrimal sac, purulent discharge from
the puncta is noted. This is suggestive of:
drooping of the eyelid.
Ptosis is defined as:
Ptosis presents as drooping of the eyelid caused by damage to the oculomotor
nerve, myasthenia gravis, or damage to the sympathetic nervous system.
Episcleritis.
A condition of the sclera that appears as
A condition of the sclera when the vessels appear movable over the scleral surface
localized ocular inflammation of the
is termed episcleritis. The appearance may be nodular or show only redness
episcleral vessels is most likely:
and
dilated vessels. Can be seen in rheumatoid arthritis, Sjogrens syndrome, and herpes
zoster.
Strabismus.
Which disorder of the eye can be detected
with the cover-uncover and the Hirschberg Strabismus is a misalignment of the eyes and can be assessed using these tests. With
test? the cover-uncover test, eye muscle weakness is seen as eye deviation when the
eye is uncovered. With Hirschbergs test, an asymmetric light reflex indicates a
deviation.
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6
