Medical Quiz on Dermatology and Otology
45 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following is a hallmark feature of a venous lake?

  • Compression collapses lesions (correct)
  • Soft compressible
  • Single, firm 2 to 6 mm painful, red to white nodule
  • Pedunculated or projectile
  • What is the most common location for sebaceous hyperplasia to occur?

  • Neck, axillary, groin, eyelids
  • Vermillion border of lip, ear
  • Lateral surface of the helix, antihelix
  • Face - glabella (correct)
  • What is the differential diagnosis for a sebaceous hyperplasia?

  • Basal cell carcinoma, HSV, Molluscum (correct)
  • Actinic keratosis, keratoacanthoma
  • Blue nevus, malignant melanoma, tattoo
  • Seborrheic keratosis, dermal nevi, warts
  • What condition is characterized by a white or gray ring at the corneal margin, commonly seen in older adults?

    <p>Arcus senilis (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of an ocular emergency?

    <p>Pain (C)</p> Signup and view all the answers

    What is a positive result for the tuning fork test?

    <p>Air conduction is longer than bone conduction. (C)</p> Signup and view all the answers

    What type of hearing loss is indicated when bone conduction is longer than air conduction?

    <p>Conductive hearing loss (D)</p> Signup and view all the answers

    Which of the following cranial nerves are associated with otalgia (ear pain)?

    <p>V, VII, IX, X (D)</p> Signup and view all the answers

    When examining the ear of a child under the age of 3, what direction should the ear be pulled?

    <p>Downward, outward, and backward (C)</p> Signup and view all the answers

    In the Romberg test, what does the patient's ability to maintain balance without swaying indicate?

    <p>Normal inner ear organ function (D)</p> Signup and view all the answers

    What is the normal result for the whisper test?

    <p>50% or more of words correct (C)</p> Signup and view all the answers

    Where should the tympanic membrane light reflex be seen?

    <p>Anterior inferior quadrant (D)</p> Signup and view all the answers

    What is the main function of the inner ear?

    <p>Hearing and balance (B)</p> Signup and view all the answers

    What is the most prevalent cause of itchiness in elderly individuals?

    <p>Xerosis (C)</p> Signup and view all the answers

    What is a characteristic feature of stasis dermatitis?

    <p>Dry, itchy skin on the lower extremities with possible edema and pressure (C)</p> Signup and view all the answers

    In a Corneal Light Reflex test, what is the expected finding when the light source is shone into the eyes?

    <p>Symmetrical reflection in both pupils (D)</p> Signup and view all the answers

    Which skin condition is often overlooked in geriatric ocular examinations?

    <p>Ocular Rosacea (A)</p> Signup and view all the answers

    What is the proper technique for examining the ears of a child under the age of three?

    <p>Pull the earlobe downward and backward (C)</p> Signup and view all the answers

    Which of the following is a hallmark feature of seborrheic keratosis?

    <p>A stuck-on appearance with varying color and dryness, waxy with pebbly or verrucous surface (E)</p> Signup and view all the answers

    A yellow tinged tympanic membrane is a sign of what?

    <p>Infection with pus (D)</p> Signup and view all the answers

    What is the most common location for cherry angiomas?

    <p>Trunk (C)</p> Signup and view all the answers

    Which of the following could cause conductive hearing loss?

    <p>A lack of tympanic membrane flexibility (B)</p> Signup and view all the answers

    Which of the following acronyms encompasses all components of a client's subjective experience?

    <p>CLIENT OUTCOMES (C)</p> Signup and view all the answers

    What does the Weber test assess?

    <p>Bone conduction only (C)</p> Signup and view all the answers

    Which of these is an example of objective data in SOAP documentation?

    <p>Patient's vital signs: temperature 98.6 degrees F, blood pressure 120/80 mmHg (E)</p> Signup and view all the answers

    Which of the following is considered part of a patient's past medical history?

    <p>Patient's history of a previous heart attack (B)</p> Signup and view all the answers

    In a Rinne test, what does it indicate if the patient hears the sound longer through air conduction than through bone conduction?

    <p>Normal hearing (B)</p> Signup and view all the answers

    What is the primary function of the middle ear?

    <p>Sound amplification (C)</p> Signup and view all the answers

    Which of the following is NOT a possible cause of otalgia?

    <p>Damage to the cochlear organs (D)</p> Signup and view all the answers

    A patient reports that they have been experiencing a gradual decline in hearing over the past few years. This is most likely due to:

    <p>Presbycusis (A)</p> Signup and view all the answers

    During a Weber test, a patient reports hearing a tone louder in their left ear. This indicates:

    <p>Conductive hearing loss in the right ear (A)</p> Signup and view all the answers

    A patient has a yellow tinged tympanic membrane. What is a likely diagnosis?

    <p>Otitis media with pus (A)</p> Signup and view all the answers

    A patient's tympanic membrane appears opaque. What is the most likely cause?

    <p>Chronic otitis media or tympanosclerosis (A)</p> Signup and view all the answers

    During a Rinne test, a patient hears the tuning fork longer when it is placed on the mastoid process than when held near the ear. This indicates:

    <p>Conductive hearing loss (C)</p> Signup and view all the answers

    A patient's tympanic membrane appears to lack flexibility. This is most likely to cause:

    <p>Conductive hearing loss (B)</p> Signup and view all the answers

    During a whisper test, a patient correctly identifies less than 50% of the whispered words. What is the most likely explanation?

    <p>Conductive or sensorineural hearing loss (B)</p> Signup and view all the answers

    Which of the following is NOT a common cause of hearing loss?

    <p>Air bubbles behind the tympanic membrane (A)</p> Signup and view all the answers

    What is the most common type of eyelid malignancy?

    <p>Basal Cell Carcinoma (A)</p> Signup and view all the answers

    What is the primary cause of a Chalazion?

    <p>Blocked meibomian gland (A)</p> Signup and view all the answers

    Which cranial nerve is responsible for transmitting visual images to the brain?

    <p>Cranial nerve II (Optic) (B)</p> Signup and view all the answers

    A patient presents with double vision when looking downward. Which cranial nerve is most likely affected?

    <p>Cranial nerve IV (Trochlear) (D)</p> Signup and view all the answers

    What does the second number in a visual acuity test represent?

    <p>Distance at which a normal eye can read print that the patient can read at 30 feet (A)</p> Signup and view all the answers

    Which of the following is NOT a symptom of a Hordeolum (Stye)?

    <p>Painless lump (C)</p> Signup and view all the answers

    What is the primary purpose of the Fluorescein Stain Technique?

    <p>To assess the integrity of the cornea (C)</p> Signup and view all the answers

    What is the primary purpose of eyelid eversion?

    <p>To assess for foreign bodies (A)</p> Signup and view all the answers

    Flashcards

    Endotropion

    Inward turning of the eyelid margin and lashes toward the eye surface.

    Exotropion

    Outward turning of the eyelid margin and lashes away from the eye.

    Hordeolum (Stye)

    A bacterial infection at the eyelash follicle causing tenderness and swelling.

    Chalazion

    A blocked oil gland on the eyelid, resulting in a firm, painless lump.

    Signup and view all the flashcards

    Cranial Nerve III

    The oculomotor nerve responsible for eye movement and visual information transmission.

    Signup and view all the flashcards

    Vertical Diplopia

    Double vision caused by an issue with Cranial Nerve IV (trochlear).

    Signup and view all the flashcards

    Fluorescein Stain Technique

    A method to inspect the cornea using a dye after applying anesthetic.

    Signup and view all the flashcards

    Corneal Reflex Test

    A test to check eyelid response by touching the cornea.

    Signup and view all the flashcards

    Acrochordon

    Soft, compressible skin tag located on neck, axillary, groin, or eyelids.

    Signup and view all the flashcards

    Venous lake

    A dark, compressible lesion typically located at the vermillion border of the lip or ear.

    Signup and view all the flashcards

    Sebaceous hyperplasia

    Soft, dome-shaped lesions with umbilication, found on the face, especially glabella.

    Signup and view all the flashcards

    Chondrodermatitis nodularis chronica helicis

    A painful nodule 2-6 mm in size found on the outer ear's helix, red to white in color.

    Signup and view all the flashcards

    RSVP mnemonic for eye exams

    Redness, Sensitivity, Vision Loss, Pain - signs for urgent eye care consultation.

    Signup and view all the flashcards

    SOAP

    A documentation method including subjective, objective, assessment, and plan.

    Signup and view all the flashcards

    HPI

    History of Present Illness; details about the patient's current medical condition.

    Signup and view all the flashcards

    Old CARTS

    An acronym for gathering patient symptoms: onset, location, duration, characteristics, alleviating, aggravating factors, radiation or relieving pain, timing, severity.

    Signup and view all the flashcards

    Rash Causes in Elderly

    Common causes of skin issues in older adults include Xerosis and Stasis Dermatitis.

    Signup and view all the flashcards

    Xerosis

    Impaired skin condition causing dryness and itch, common in the elderly.

    Signup and view all the flashcards

    Rosacea

    A chronic inflammatory skin condition characterized by redness and visible blood vessels.

    Signup and view all the flashcards

    Seborrheic Keratosis

    A benign skin tumor appearing as a stuck-on, waxy growth, common in older adults.

    Signup and view all the flashcards

    Cherry Angioma

    Harmless skin growth, usually red, smooth, and increases with age.

    Signup and view all the flashcards

    Air Conduction vs. Bone Conduction

    A test comparing hearing via air conduction (AC) and bone conduction (BC). AC should be longer than BC for a positive result.

    Signup and view all the flashcards

    Positive Test Result

    A situation where air conduction is longer, indicating normal hearing when AC > BC.

    Signup and view all the flashcards

    Conductive Hearing Loss

    Occurs when BC is longer than AC during a hearing test.

    Signup and view all the flashcards

    Sensorineural Hearing Loss

    Occurs when AC is equal to or less than half of BC in hearing tests.

    Signup and view all the flashcards

    Whisper Test

    A test for hearing acuity using whispered words from 2 feet away; 50% correct is normal.

    Signup and view all the flashcards

    Romberg Test

    A balance test where patient stands still with eyes closed; swaying indicates possible issues.

    Signup and view all the flashcards

    Ear Anatomy

    Outer ear (pinna & canal), middle ear (tympanic membrane), and inner ear (inner organs).

    Signup and view all the flashcards

    Tympanic Membrane Light Reflex

    Normal reflection seen at specific angles: left at 7 o'clock, right at 5 o'clock.

    Signup and view all the flashcards

    Opaque Tympanic Membrane

    Can indicate chronic otitis, repeated perforation, or tympanosclerosis.

    Signup and view all the flashcards

    Air Bubbles Behind Tympanic Membrane

    Indicates acute otitis media or serous otitis.

    Signup and view all the flashcards

    Lack of Tympanic Membrane Flexibility

    Can lead to conductive hearing loss.

    Signup and view all the flashcards

    Weber Test

    Tests bone conduction; sound should be equal in both ears.

    Signup and view all the flashcards

    Rinne Test

    Compares air conduction to bone conduction for one ear at a time.

    Signup and view all the flashcards

    Presbycusis

    Gradual hearing loss due to nerve degeneration in adults.

    Signup and view all the flashcards

    Corneal Abrasion

    A scratch on the surface of the cornea causing pain and discomfort.

    Signup and view all the flashcards

    Corneal Light Reflex Test

    A test assessing symmetry of light reflection in both pupils.

    Signup and view all the flashcards

    Cover/Uncover Test

    A test to determine the weaker eye based on movement when cover is removed.

    Signup and view all the flashcards

    Otalgia

    Ear pain that can originate from infections or other conditions.

    Signup and view all the flashcards

    Tympanic Membrane (TM) Reflex

    Reflected light seen in the tympanic membrane, indicating health.

    Signup and view all the flashcards

    Symptoms of Otitis Media

    Signs include opaque TM, air bubbles, and yellow tinging indicating infection.

    Signup and view all the flashcards

    Study Notes

    Health History and SOAP Documentation

    • SOAP stands for subjective, objective, assessment, plan
    • Old carts (onset, location, duration, characteristics, alleviating/aggravating factors, radiation or relieving pain, timing, severity)
    • HPI (history of present illness)
    • PQRST (precipitation, quality, radiation, severity, timing) for remembering components
    • Client outcomes (character, location, impact, expectation, neglect, timing, other, understanding/beliefs, treatment, complementary options, modulating, exposure, spirituality)
    • Subjective data from the patient includes review of systems(ROS)
    • Objective data (assessment) is taken by the practitioner
    • Past medical history is not relevant to the current visit, even if the patient has a comorbidity

    Common Geriatric Skin Lesions

    • Xerosis: abnormal epidermal cell turnover, most common cause of itching in elders
    • Stasis dermatitis: dry, itchy skin of lower extremities; related to superficial varicose veins and vascular impediments; resulting in edema and pressure manifest as eruptions. The inflamed skin might be ulcerated and accompanied by chronic changes.

    Common Geriatric Skin Tumors

    • Seborrheic Keratosis: stuck-on appearance, varying color and dryness; waxy with pebbly or verrucous surface
    • Differential Diagnosis: pigmented basal cell and squamous cell carcinomas, malignant melanoma, lentigo, wart, actinic keratosis
    • Cherry angioma (senile angioma): smooth, firm, deep red; increasing with age
    • Differential Diagnosis: petechiae
    • Acrochordon (skin tag): soft, compressible, pedunculated, or projectile
    • Differential Diagnosis: seborrheic keratosis, dermal nevi, warts
    • Venous lake: vermillion border of lip, ear; compression collapses lesions; Differential diagnosis: blue nevus, malignant melanoma, tattoo

    Eye Exam

    • Eye Assessment; RSVP (Redness, Sensitivity to light, Vision loss, Pain)
    • Any sudden vision loss is a medical emergency
    • Arcus senilis: white or gray ring at corneal margin; common in older adults due to fat deposits in the cornea or hyaline degeneration
    • Pterygium: wedge-shaped, raised conjunctival growth often extending from the nasal side; usually related to chronic irritation
    • Endotropion: inward turning of the lid margin and lashes towards the eye surface; more common with advancing age
    • Exotropion: outward turning of the lid margin and lashes away from the eye; more common with advancing age
    • Hordeolum (Stye): infection at the root of an eyelash follicle or oil gland of the eyelid, characterized by tenderness and swelling; treatment: spontaneous drainage, warm compresses
    • Chalazion: a blocked oil gland; characterized by a firm, painless lump; treatment: warm compresses, antibiotic eye drops, or surgery

    Cranial Nerves

    • Cranial nerve III (oculomotor), IV (trochlear), and VI (abducens): responsible for eye movements
    • Vertical diplopia is related to cranial nerve IV
    • Horizontal diplopia is related to cranial nerve VI

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Health Assessment Exam 1 PDF

    Description

    Test your knowledge on various aspects of dermatology and otology with this quiz. Explore topics such as venous lakes, sebaceous hyperplasia, ocular emergencies, and auditory assessments. Perfect for medical students and healthcare professionals.

    More Like This

    Dermatology Chapter 7 Flashcards
    29 questions
    Dermatology Vocabulary Quiz
    17 questions
    Dermatology Tech Certification Flashcards
    33 questions
    Drug Classifications in Dermatology
    32 questions
    Use Quizgecko on...
    Browser
    Browser