You are performing Weber and Rinne hearing tests. For the Weber test, the sound lateralized to the unaffected ear; for the Rinne test, air conduction–to–bone conduction ratio is less than 2:1. You interpret these findings as suggestive of:
a. a defect in the inner ear.
b. a defect in the middle ear.
c. otitis externa.
d. impacted cerumen.
You are performing hearing screening tests. Who would be expected to find difficulty in hearing the highest frequencies?
Which abnormality is common during pregnancy?
a. Eruption of additional molars
b. Hypertrophy of the gums
c. Otitis externa
d. Otitis media
You are using a pneumatic attachment on the otoscope while assessing tympanic membrane movement. You gently squeeze the bulb but see no movement of the membrane. Your next action should be to:
a. remove all cerumen from the canal.
b. make sure the speculum is sealed form outside air.
c. squeeze the bulb with more force.
d. insert the speculum to depth of 2 cm.
Which of the following is an expected change in the assessment of the thyroid during pregnancy?
a. Palpation of the gland becomes difficult.
b. A bruit is auscultated.
c. Inspection reveals a goiter.
d. The gland is tender on palpation
Which type of headache usually occurs at night, is precipitated by alcohol consumption, and occurs more often in men than in women?
a. Classic migraine
b. Temporal arteritis
Which of the following is true regarding caput succedaneum?
a. It is a subperiosteal collection of blood.
b. It is firm and its edges are well defined.
c. It develops several days after delivery.
d. It is seen over the presenting part of thehead
You are palpating a patient’s thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left.These data would indicate:
a. a congenital anomaly.
b. a normal thyroid gland.
c. a multinodular goiter.
Which of the following findings would be consistent with fetal alcohol syndrome (FAS)?
a. Corneal clouding
b. Eye slanting
c. Mild ptosis
d. Symmetric, bulging fontanels
Which of the following is a chronic autoimmune disorder?
d. myasthenia gravis
Which cranial nerves innervate the face?
a. II and V
b. III and VI
c. V and VII
d. VIII and IX
You are examining Ms. L, age 78 years. You find a sunken appearance of her eyes, cheeks, and temporal areas. Her skin is dry, and her nose appears sharp. This description of Ms. L’s facies is associated with:
a. cutis laxa syndrome.
b. Hurler syndrome.
c. old age.
d. terminal illness.
Which of the following is true regarding a cephalohematoma?
a. It is bound by suture lines.
b. The affected part feels soft.
c. It is obvious at birth.
d. The margins are poorly defined
Which is the best way to position a patient’s neck for palpation of the thyroid?
a. Flexed away from the side being examined
b. Flexed directly forward
c. Flexed toward the side being examined
d. Hyperextended directly backward
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