PNCB Prep MANAGEMENT -
Procedures Comprehensive
Questions (Frequently Tested)
with Verified Answers Graded
A+
Removal of cerumen is ONLY indicated when.... - Answer: Visualization of the External Auditory
Canal and Tympanic Membrane is necessary.
Cerumen can be removed by... - Answer: - Mechanically
- Gentle Irrigation
- Ceruminolytic
- Combination of irrigation followed by ceruminolytic instillation (PRODUCES BEST RESULTS)
Best results for cerumen removal are produced when.... - Answer: Irrigation with water
following instillation of a ceruminolytic agent
Common ceruminolytic agents include: - Answer: - Docusate sodium
- mineral oil
- olive oil
- mixture: baking soda and water
, Water based ceruminolytics.... - Answer: Disintegrate wax
Oil-based ceruminolytics... - Answer: Soften wax
Irrigation is contraindicated and should not be attempted if... - Answer: - If the tympanic
membrane is possibly perforated
OR
- If there are pressure-equalizing tubes in place
What anticipatory guidance is important for the provider to share with the parent prior to
removing cerumen? - Answer: Carefully explain the procedure to parents and inform them that
the ear canal is extremely sensitive and fragile and bleeds easily when touched.
- this may prevent an adverse parent reaction when there is blood on the curette or in the ear
canal
Fluorescein Staining is used to determine and evaluate: - Answer: Corneal abrasions; the extent
and damage to the cornea or conjunctival epithelium as a result of trauma, infection, or
exposure to foreign body.
What is nursemaid's elbow? - Answer: Annular ligament displacement or subluxation of the
radial head
What is the cause of nursemaid's elbow? - Answer: Traction - applied to the arm
Procedures Comprehensive
Questions (Frequently Tested)
with Verified Answers Graded
A+
Removal of cerumen is ONLY indicated when.... - Answer: Visualization of the External Auditory
Canal and Tympanic Membrane is necessary.
Cerumen can be removed by... - Answer: - Mechanically
- Gentle Irrigation
- Ceruminolytic
- Combination of irrigation followed by ceruminolytic instillation (PRODUCES BEST RESULTS)
Best results for cerumen removal are produced when.... - Answer: Irrigation with water
following instillation of a ceruminolytic agent
Common ceruminolytic agents include: - Answer: - Docusate sodium
- mineral oil
- olive oil
- mixture: baking soda and water
, Water based ceruminolytics.... - Answer: Disintegrate wax
Oil-based ceruminolytics... - Answer: Soften wax
Irrigation is contraindicated and should not be attempted if... - Answer: - If the tympanic
membrane is possibly perforated
OR
- If there are pressure-equalizing tubes in place
What anticipatory guidance is important for the provider to share with the parent prior to
removing cerumen? - Answer: Carefully explain the procedure to parents and inform them that
the ear canal is extremely sensitive and fragile and bleeds easily when touched.
- this may prevent an adverse parent reaction when there is blood on the curette or in the ear
canal
Fluorescein Staining is used to determine and evaluate: - Answer: Corneal abrasions; the extent
and damage to the cornea or conjunctival epithelium as a result of trauma, infection, or
exposure to foreign body.
What is nursemaid's elbow? - Answer: Annular ligament displacement or subluxation of the
radial head
What is the cause of nursemaid's elbow? - Answer: Traction - applied to the arm
