HEAD
NECK
EAR
EYE
POTPOURRI
100

Joe's head is normocephalic. What does this mean?

Head is normal to inspection and palpation

100

Mrs. Thornton has a left carotid bruit on auscultation. What does this mean?

There is the sound of abnormal turbulent blood flow in the carotid.

100

What does the "Tug test" indicate?

Tug test elicits pain associated with external otitis.

100

What distance from the patient should a Rosenbaum Eye Chart be held?

14 inches

100

Name the facial sinuses.

Frontal

Maxillary

Ethmoid

200

What are "shotty" lymph nodes?

 Small, mobile, discrete, nontender nodes, sometimes termed “shotty,” are frequently found in normal people.

200

Where is the sternal notch?

The suprasternal notch, also known as the fossa jugularis sternalis, or jugular notch, or Plender gap is a large, visible dip in between the neck in humans, between the clavicles, and above the manubrium of the sternum.

200

In normal hearing, which transmits sound better? Bone conduction or air condiuction?

Air conduction.

200

What is the "red reflex"?

The red reflex refers to the reddish-orange reflection of light from the back of the eye, or fundus, observed when using an ophthalmoscope.

200

Loss of spontaneous venous pulsation on ophthamoscopic examination suggests what?

Increased intracranial pressure.

300

Where are deep cervical nodes located?

 

Deep cervical chain—deep in the SCM muscle and often inaccessible to examination. Hook your thumb and fingers around either side of the SCM muscle to find them.

300

What structure(s) lies between the two heads of the sternocleidomastoid muscle?

  • the common carotid artery (medial)
  • the internal jugular vein (lateral)
  • the vagus nerve (dorsal)
  • the cervical ansa ( loop of nerves that are part of the cervical plexus. It lies superficial to the internal jugular vein in the carotid triangle. Its name means "handle of the neck" in Latin.)
300

In a senrorineural hearing deficit, what are the results of the Rinne test in each ear?

Air is better than bone in both but the normal ear will perceive the sound longer and louder that the abnormal ear:

Normal ear A>B  (air better than bone)

Abnormal ear a>b (air better than bone but not as good as the normal ear.

300

A patient has 20/60 vision in her left eye. What does this mean?

The patient sees at 20 feet what a person with normal vision can see at 60 feet.

300

Where is the opening of Stenson's duct?

2nd upper molar

400
Name the lymph nodes around the mandible.

Tonsillar

Submandibular

Submental

400

Where is the isthmus of the thyroid located?

Below the cricoid cartilage.

400

If the Weber test laterializes to the right ear, what does this indicate?

The patient has EITHER a conduction deficit on the right or a neurosensory deficit on the left.

400

What is the accepted medical abbreviation for "both eyes"?

OU -  OS is an abbreviation for the Latin phrase Oculus Sinister, meaning left eye. “oculus uterque,” Latin for “both eyes.

OD - OD is an abbreviation for Oculus Dexter which is the Latin term for right eye. 

OS - OS is an abbreviation for the Latin phrase Oculus Sinister, meaning left eye.


400

There is perforation of the nares on physical examination. What history should you elicit from the patient?

Illicit drug use, viz., cocaine

500

Who was Virchow of Virchow's node?


Rudolf Ludwig Carl Virchow was a German physician, anthropologist, pathologist, prehistorian, biologist, writer, editor, and politician. He is known as "the father of modern pathology" and as the founder of social medicine, and to his colleagues, the "Pope of medicine". 
Born: October 13, 1821, Swidwin, Poland
Died: September 5, 1902, Berlin, Germany


500

Where is the preferred location in the neck to establish an emergency airway?

Cricothyroid membrane

500

Who was Weber and Rinne?

The Rinne test was named after German otologist Heinrich Adolf Rinne (1819–1868),a German otologist born in Vlotho an der Weser and practiced medicine in the city of Göttingen

The Weber test was named after Ernst Heinrich Weber (1795–1878), a German physician who is considered one of the founders of experimental psychology.

500

Who was Marcus Gunn?


Robert Marcus Gunn was a Scottish ophthalmologist remembered for Gunn's sign and the Marcus Gunn pupil. 
Born: 1850, Dunnet, United Kingdom
Died: November 29, 1909, Hindhead, United Kingdom
Education: The University of Edinburgh, University of St Andrews


500

What is the proper medical name for a Marcus Gunn pupil?

Relative afferent pupillary defect

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