Tina Jones HEENT Review Questions

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 Mental Health Shadow Health Review Questions

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?

 Correct: Anisocoria is condition in which the pupils are unequal in size. Anisocoria can be found in about 20% of normal individuals.
  • 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?

 Correct: Malignancies originating in the pelvis or abdomen are likely to metastasize to the left supraclavicular lymph node, also known as Virchow’s node.
  • 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?

Correct: AV nicking is the compression of the vein at arteriovenous crossings due to arterial stiffening. This results in bulging of the vein on either side of the artery making the vein appear to stop on either side of the artery. AV nicking is usually a result of chronic hypertension.
  • 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?

Student Response: xxModel Note: Crepitus, limited mobility, and pain in the jaw are probable indicators of temporomandibular joint dysfunction (TMJ syndrome). The clicking noises are most likely caused by displacement of the disc between the condyle and fossa (ball and socket) at the temporomandibular joint.

If Tina had reported new onset ear pain, what would have been the most useful finding to determine otitis media?

Student Response: xxModel Note: A useful diagnostic finding that suggests otitis media is the lack of mobility of the tympanic membrane during insufflation. This immobility is caused by increased pressure of the middle ear when air or fluid is trapped due to infection and impairment of the Eustachian tube.

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?

Student Response:xxxModel Note: Using the standardized tonsillar hypertrophy grading scale, the tonsils are graded 4+ because they touch one another and, therefore, occupy more than 75% of the space between the posterior pillars of the throat.