Tina Jones HEENT Review Questions
Let’s say you noticed that Tina’s pupils reacted to light from both directions but were not the same size. What might this suggest?
Correct: Anisocoria is a condition where one pupil is a different size than the other. It can happen to about 20% of people without any other issues.
Uneven vision
Inflammation of the optic nerve
Pressure inside the eye
Anisocoria (Correct Answer)
Now, imagine during Tina’s check-up, you felt a swollen lymph node on her left side, just above her collarbone. What could this mean?
Correct: When cancers from the pelvis or abdomen spread, they often reach the left supraclavicular lymph node, also called Virchow’s node.
It’s normal, doesn’t mean anything
Something serious might be going on (Correct Answer)
A past throat infection
A current throat infection
If you noticed AV nicking while looking at Tina’s retina, what would it indicate?
Correct: AV nicking is when a vein gets squished by a stiffened artery, making it look like it stops on either side of the artery. This often happens because of long-term high blood pressure.
Clear walls around the artery
Darkened walls around the artery
Twisted veins and arteries
The vein appears to stop on both sides of the artery (Correct Answer)
Suppose you felt a click when examining Tina’s jaw joint. What could be causing it?
Student Answer: xx
Model Explanation: Crunching sounds, trouble moving the jaw, and jaw pain might mean Tina has temporomandibular joint (TMJ) syndrome. The clicking sound probably comes from the cushioning disc between the jawbone and the skull getting out of place.
If Tina complained of new ear pain, what would be a helpful sign to check for an ear infection?
Student Answer: xx
Model Explanation: If the eardrum doesn’t move much when air is pushed into the ear, it could mean there’s extra pressure from fluid or infection in the middle ear, often because the Eustachian tube isn’t working right.
Let’s say you checked Tina’s throat and saw her tonsils touching each other. How would you rate them?
Student Answer: xxx
Model Explanation: According to the standard scale for tonsil size, if the tonsils touch and fill over 75% of the space at the back of the throat, they would be graded as 4+.
Tina Jones HEENT Review Questions
Suppose you had found that Tina’s pupils were reactive to both direct and consensual light, yet unequal in size. Which condition would you suspect?
- Unequal visual acuity
- Optic neuritis
- Glaucoma
- Anisocoria (Correct Response)
Imagine that, during your physical exam with Tina, you had palpated an enlarged left supraclavicular lymph node. What would this finding have indicated?
- Nothing, because this is a normal variant
- A serious pathology (Correct Response)
- A previous infection of the throat
- An active infection of the throat
If you had observed Arteriovenous (AV) nicking during the retinal exam on Tina, what would you have seen?
- Transparent arterial walls
- Opaque arterial walls
- Tortuous arteries and veins
- Vein stops on either side of the artery (Correct Response)
Suppose that you had detected a click while palpating Tina’s temporomandibular joint (TMJ). What could have been the cause?
If Tina had reported new onset ear pain, what would have been the most useful finding to determine otitis media?
Imagine that you inspected Tina’s throat and noted that her tonsils touched each other. How would you grade her tonsils on the tonsillar hypertrophy grading scale?
