Chapter 12 Diseases of the Eyes, Ears, Nose, and Throat

Chapter 12 Diseases of the Eyes, Ears, Nose, and Throat 1) All of the following are symptoms of otitis media EXCEPT: A) pain. B) pressure. C) sinus infection. D) fever. Answer: C Diff: 2 Page Ref: 474 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 4 2) A chronic disease of the inner ear marked by a recurring syndrome of vertigo, dizziness, and progressive hearing loss is called: A) cholesteatoma. B) Ménière's disease. C) otosclerosis. D) mastoiditis. Answer: B Diff: 2 Page Ref: 475 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 4 3) An inflammation of the membrane covering and protecting the exposed surface of the eye results in: A) cornea abrasion. B) lens distortion. C) choroiditis. D) conjunctivitis. Answer: D Diff: 1 Page Ref: 467, 468 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 4 210 4) A patient complaining of eye pain informs you that he was diagnosed with a corneal abrasion three days ago. He called 911 today because the discomfort has not yet gone away and he desires medical attention. Based on this information, which of the following is TRUE? A) Fluid is leaking from the posterior chamber. B) The transparent structure that covers the pupil has been damaged. C) The sclera must be infected. D) The lens of the eye has been abraded. Answer: B Diff: 2 Page Ref: 467 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 3, 4 5) The ________ of the eye controls the size of the pupil. A) lens B) iris C) eyelid D) cornea Answer: B Diff: 2 Page Ref: 467 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 6) Light passes to the eye through what opening? A) Iris B) Eyeball C) Cornea D) Lens Answer: C Diff: 1 Page Ref: 467 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 7) Which of the following is NOT associated with the retina? A) Lens B) Photopigments C) Rods D) Cones Answer: A Diff: 2 Page Ref: 467, 468 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 211 8) A defect of the ________ results in difficulty in visual detection of color and bright light. A) lens B) cones and rods C) rods D) cones Answer: D Diff: 2 Page Ref: 467-468 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 9) The sensor receptive cells in the retina that function best in dim light and do not perceive color is/are the: A) iris. B) cones. C) pupil. D) rods. Answer: D Diff: 2 Page Ref: 467-468 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 10) If left untreated, glaucoma can lead to what? A) Presbyopia B) Hyperopia C) Myopia D) Blindness Answer: D Diff: 1 Page Ref: 470 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2, 4 11) A frantic mother dialed 911 for her three-year-old daughter, who stuck a small dried bean into her ear. Assessment shows the bean to be lodged firmly in the ear canal. When treating this patient, the paramedic would (Select all that apply): A) reassure the mother and transport the patient. B) make one attempt to remove the bean with tweezers. C) have the patient follow up with her family physician. D) gently flush the ear canal with sterile water until the bean is dislodged. Answer: B, D Diff: 2 Page Ref: 473 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 5, 6 212 12) The external ear ends at the: A) auricle. B) external auditory canal. C) tympanic membrane. D) tragus. Answer: C Diff: 2 Page Ref: 472 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 13) What are the three tiny bones located in the middle ear? A) Pinnas B) Cerumen C) Cochleae D) Ossicles Answer: D Diff: 1 Page Ref: 473 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 14) The ________ contain sensors that detect rotation of the head. A) vestibule B) semicircular canals C) incus D) cochlea Answer: B Diff: 1 Page Ref: 473 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 15) The "bony labyrinth" protects the: A) outer ear. B) auditory nerve. C) middle ear. D) inner ear. Answer: D Diff: 1 Page Ref: 473 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 213 16) Which of the following is NOT a bone of the middle ear? A) Malleus B) Stapes C) Cochlea D) Incus Answer: C Diff: 1 Page Ref: 473 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 17) Which of the following structures in the inner ear is the organ of hearing? A) Semicircular canal B) Cochlea C) Vestibule D) Bony labyrinth Answer: B Diff: 2 Page Ref: 473 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 18) Swimmer's ear is also known as: A) otitis media. B) otitis externa. C) otitis interna. D) none of the above. Answer: B Diff: 1 Page Ref: 473-474 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 4 19) A feeling of dizziness or an illusion of rotary motion is called: A) purulence. B) vertigo. C) eczema. D) tinnitus. Answer: B Diff: 2 Page Ref: 475 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 4 214 20) A three-year-old-has stuck a crayon in his nose. Assessment reveals the crayon to be deeply embedded in the right nostril with some irritation and swelling noted. His vital signs are pulse 124, respiration 20, and SpO2 100%. Which of the following would be most appropriate when caring for this child? A) Nonemergent transport to the hospital B) Place a warm pack to the bridge of the nose C) Attempt removal of the crayon with forceps D) Oxygen via a nonrebreather at 5 liters/minute Answer: C Diff: 3 Page Ref: 476 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 3, 5 21) Oral candidiasis, commonly called thrush, is a ________ infection of the mouth. A) bacterial B) viral C) fungal D) protozoan Answer: C Diff: 1 Page Ref: 480 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 4 22) The structures that protect the eyes are known as: A) sockets. B) ocular orbits. C) zygomatic bones. D) maxilla. Answer: B Diff: 1 Page Ref: 467 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 23) Vitreous humor is: A) a clear, jellylike fluid that fills the vitreous cavity. B) the sclera. C) behind the cones. D) behind the rods. Answer: A Diff: 1 Page Ref: 467 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 2 215 24) You are called to a patient complaining of drainage and erythema from the right eye. You suspect: A) iritis. B) pterygium. C) conjunctivitis. D) herpes zoster ophthalmicus. Answer: C Diff: 1 Page Ref: 468 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 4, 5 25) You are caring for a patient with known sickle cell disease. You would also examine this patient for the presence of: A) glaucoma. B) atraumatic hyphema. C) cataract. D) papilledema. Answer: B Diff: 1 Page Ref: 470 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 5, 6 26) In a patient experiencing otitis media, you should expect to find: A) tympanic membrane redness and distention. B) perforated membrane. C) cochlear fluid. D) infection at the base of the ear. Answer: A Diff: 1 Page Ref: 474 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 4, 5 27) Ménière's disease affects: A) balance and hearing. B) balance and depth perception. C) olfactory senses. D) the tympanic membrane. Answer: A Diff: 1 Page Ref: 475 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 4 216 28) Posterior epistaxis can arise from conditions such as: A) intracranial pressure. B) diabetic ketoacidosis. C) hypertension. D) insulin-dependent diabetes mellitus. Answer: C Diff: 1 Page Ref: 476 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 4 29) You respond to a patient with a report of a mouth infection. Upon arrival, you find a thin man with a prominent fungal infection in his mouth. He denies any history of diabetes mellitus. You should strongly suspect: A) thrush commonly seen in AIDS patients. B) thrush commonly seen in patients who overdose. C) dentalgia. D) temporomandibular joint disorder. Answer: A Diff: 2 Page Ref: 480-481 Standard: Medicine (Diseases of the Eyes, Ears, Nose, and Throat) Objective: 4, 5, 6 217