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Chapter 19
Medical: Ears, Eyes, Nose and Throat
221
Medical
Not Applicable
09/03/2016

Additional Medical Flashcards

 


 

Cards

Term
What secretes and drains tears from the eyes
Definition
Lacrimal Apparatus
Term
What is a specialized connective tissue within the pulp cavity of a tooth?
Definition
Pulp
Term
Spherical structure measuring about 1 inch in diameter that is housed within the eye socket, or orbit?
Definition
Globe or eyeball
Term
What provides the sense of vision?
Definition
Optic nerve (II)
Term
If __ ___ is lost, it cannot be replenished, and blindness may result
Definition
Vitreous Humor
Term
What is often the cause of epiglottitis?
Definition
H influenza Type B virus
Term
What is the top portion of the tooth, external to the gum?
Definition
Crown
Term
Eye lubricants are available for protecting eyes that do not produce tears as a result of damage to what nerve?
Definition
Seventh
Term
How much does burns to the eye account for in eye injuries?
Definition

Between 7-15%

 

Term
What is the circular adjustable opening within the iris through which light passes to the lens?
Definition

Pupil

 

Term
What is commonly known as the eardrum
Definition
Tympanic Membrane
Term
What is a painless condition that produces flashing lights, specks or "floaters" in the field of vision and a cloud or shade over the pt's vision?
Definition
Retinal Detachment
Term
What can burst the eardrum?
Definition
Blast Pressure Waves
Term
What is the leading cause of new cases of blindness in adults according to the CDC?
Definition
Diabetes
Term
What are particular inflammatory becuase they cause a "rust ring" after 24 hours, which must be removed in the hospital?
Definition
Metal Filings
Term
What enables visualization of lateral objects while a person is looking forward
Definition
Peripheral Vision
Term
What results from swelling or inflammation of the optic nerve at the rear part of the eye
Definition
Papilledema
Term
What are layers of bones within each nasal chamber and are covered with a moist lining
Definition
Turbinates
Term
What is a group of conditions that lead to increased intraocular pressure, causing damage to the optic nerve and is a leading cause of blindness?
Definition
Glaucoma
Term
What is also known as preseptal cellulitis or eyelid cellulitis
Definition
Periorbital Cellulitis
Term
What consists of the cochlea and semicircular canals?
Definition
Inner ear
Term
What facilitates visualization of objects directly infront of you and is processed by the macula, the central position of the retina?
Definition
Central Vision
Term
Swelling and inflammation of the tonsils
Definition
Tonsillitis
Term
What is the separation between the nostrils and is located midline?
Definition
Nasal Septum
Term
What is an infection that results from bacterial growth in the ear canal
Definition
Otitis
Term
Inflammation of the iris
Definition
Iritis
Term
What is a bacterial infection of the trachea and is caused by the bacterium Staphylocococcus Aureus?
Definition
Tracheitis
Term
What is the vascular membrane that nourishes the retina?
Definition
Choroid
Term
Decreased sense of smell?
Definition
Hyposmia
Term
What is a tooth ache?
Definition
Dentalgia
Term
What is a tumor that grows on the eighth cranial nerve and can affect the inner ear and balance?
Definition
Acoustic Neuroma
Term
What releases sulfur compounds that account for the foul smell in bad breath?
Definition
Bacteria
Term
What is a transparent structure that can alter its thickness to focus light on the retina at the back of the eye
Definition
Lens
Term
When irrigating eyes, what is proper method of flushing?
Definition
Inside corner to the outside of the eye
Term
What is a condition where the conjunctiva becomes inflamed and red?
Definition
Conjunctivitis or Pink Eye
Term
What does the optic nerve transmit images to the brain, and it converted into conscious images?
Definition
Visual Cortex
Term
What are symptoms that may indicate a serious ocular condition?
Definition
Vision loss, Double vision, Severe eye pain, Foreign body sensation
Term
What innervates the muscles that cause motion of the eyeballs and upper eyelids; also carries parasympathetic nerve fibers that cause constriction of the pupil and accomodation of the lens?
Definition
Oculomotor Nerve (III)
Term
What is a tough, fibrous coat that helps maintain the shape of the eye and protect the contents of the eye?
Definition
Sclera
Term
What is the white of the eye?
Definition
Sclera
Term
What is the transparent anterior portion of the eye that overlies the iris and pupil?              
Definition
Cornea
Term
What is clouding of the cornea during aging?
Definition
Cataract
Term
What is a delicate mucous membrane that covers the sclera and internal surfaces of the eyelid but not the iris?
Definition
Conjunctiva
Term
What is the pigmented part of the eye that surrounds the pupil?              
Definition
Iris
Term
What consists of muscles and blood vessels that contract and expand to regulate the size of pupils?
Definition
Iris
Term
What is behind the pupil and iris?
Definition
Lens
Term
What lies in the posterior aspect of the interior globe, is a delicate, 10-layered structure of nervous tissue that extends from the optic nerve?
Definition
Retina
Term
What receives light impulses and converts them to nerve signals that are conducted to the brain by the optic nerve and interpreted as vision?
Definition
Retina
Term
What it the portion of the globe between the lens and the cornea?              
Definition
Anterior Chamber
Term
What is a clear watery fluid that fills the anterior chamber?
Definition
Aqueous Humor
Term
What is the portion of the globe between the iris and lens that is filled with vitreous humor?              
Definition
Posterior Chamber
Term
What is a jellylike substance that fills the posterior chamber and maintains the shape of the globe?              
Definition
Vitreous Humor
Term
If ______ _______ is lost through a penetrating injury to the eye, it will gradually be replenished.              
Definition
Aqueous Humor
Term
What are the two types of vision?
Definition
Central and Peripheral
Term
What is the passage through which tears drain from the lacrimal sacs into the nasal cavity?              
Definition
Nasolacrimal Duct
Term
What is a condition associated with diabetes, in which small blood vessels of the retina are affected and can eventually lead to blindness?              
Definition
Diabetic Retinopathy
Term
How many diabetic adults older than 40 years have diabetic retinopathy?              
Definition
1 in 3
Term
How many adults have diabetic retinopathy?
Definition
42 Million
Term
How many adults that have diabetic retinopathy have vision alterations?              
Definition
655,000
Term
What is paralysis of gaze or lack of coordination between the movements of the two eyes?
Definition
Dysconjugate Gaze
Term
What is a condition in which pupils are not of equal size?              
Definition
Anisocoria
Term
How many people have anisocoria?
Definition

20%

 

Term
What is the surrounding structures and accessories of an organ?              
Definition
Adnexa
Term
What occurs when a patient is burned in the face during a fire, although the eyes usually close rapidly because of the heat?              
Definition
Thermal Burns
Term
What kind of burns of the eye results from ultraviolet rays from an arc welding unit, prolonged exposure to a sunlamp, or reflected light from a bright snow-covered area (snow blindness)?              
Definition
Superficial Burns
Term
What can cause significant damage to the sensory cells of the eye when rays of light become focused on the retina?              
Definition
Infrared Rays, Eclipse Light, and Laser Burns
Term
What happened if the patient has looked directly at the sun?  

 

Definition
Eclipse Light
Term
When full examination is possible of the eye, what should you check?
Definition
6 Cardinal Positions of Gaze
Term
What are the 6 positions of cardinal gaze?
Definition
Right, Right up, Right Down, Left, Left Up, and Left Down
Term
What pattern should you follow when performing the 6 positions of cardinal gaze?
Definition
H or Z Pattern
Term
What is an eye irrigation device?
Definition
Morgan Lens
Term
What condition most often starts in one eye and spreads to the other eye?
Definition
Conjunctivitis
Term
What is a thin layer that lines the inside of the eyelids and the white part of the eye?
Definition
Conjunctiva
Term
What kind of conjunctivitis is highly contagious and can become an epidemic?
Definition
Viral or bacterial
Term
What accounts for the most absences in daycare or school settings according to the CDC?
Definition
Conjunctivitis
Term
What are the most common eye injury seen in emergency departments?              
Definition
Corneal Abrasions
Term
What is sensitivity to light?
Definition

Photophobia

 

Term
What is a topical anesthetic that can relieve some symptoms of an eye injury?
Definition
Tetracaine
Term
What is the movement of both eyes in unison?
Definition
Sympathetic Eye Movement
Term

What is a small, swollen bump or pustule on the external eyelid, resulting when the eyelid's oil glands or ducts become blocked?              

Definition
Chalazion
Term
What is a red tender lump in the eyelid or at the lid margin?              
Definition
Hordeolum or Stye
Term
What is bleeding into the anterior chamber of the eye that obscures vision, partially or completely?              
Definition
Hyphema
Term
Approximately how many hyphemas are associated with globe injuries?
Definition
25%
Term
What is another term for iritis?
Definition
Anterior Uveitis
Term
What is the third leading preventable cause of blindness?              
Definition
Uveitis
Term
What presents as a red area surrounding the iris, cloudy vision, or an unusually shaped pupil?
Definition
Iritis
Term
What is separation of the inner layers from the underlying choroid?
Definition
Retinal Detachment
Term
What is often seen in sports injuries, especially boxing?
Definition
Retinal Detachment
Term
What are both most commonly caused by staphylococcus and streptococcus bacterial infections?          
Definition
Periorbital and Orbital Cellulitis
Term
What is an infection of the eyelid?
Definition
Periorbital Cellulitis
Term
What is an infection within the eye socket and is considered a medical emergency because it can lead to permanent vision problems and blindness?
Definition
Orbital Cellulitis
Term
What is a large health problem for adults, most likely associated with occupational noise injury?
Definition
Loss of hearing
Term
What are the 3 anatomic parts of the ear?
Definition
External, Middle and Inner
Term
What consists of the pinna, external auditory canal, and the exterior portion of the tympanic membrane?
Definition
External Ear
Term
What consists of the inner portion of the tympanic membrane and the ossicles?
Definition
Middle Ear
Term
What is the large outside portion of the ear through which sound waves enter the ear?
Definition
Auricle or Pinna
Term
What is the area which sound waves are received from the auricle (pinna) before they travel to the eardrum?
Definition
External Auditory Canal or Ear Drum
Term
What are the 3 small bones on the inner side of the tympanic membrane?
Definition
Ossicles
Term
What is a canal within the cochlea that receives vibrations from the ossicles?
Definition
Cochlear Duct
Term
What is the opening between the middle ear and the vestibule?
Definition
Oval Window
Term
What is a shell-shaped structure in the inner ear?
Definition
Cochlea
Term
What is a structure located in the cochlea that contains hairs that are stimulated by vibrations to form nerve impulses that travel to the brain and are perceived as sound?
Definition
Organ of Corti
Term
When this moves it causes fluid with the cochlea
Definition
Oval Window
Term
What can cause excessive pressures behind the eardrum?
Definition
Inner Ear Infections
Term
What is ringing in the ears?
Definition
Tinnitus
Term
What is bruising over the mastoid bone behind the ear commonly seen following a basilar skull fracture?
Definition
Battle Sign
Term
What is also called retroauricular ecchymosis?
Definition
Battle Sign
Term
What in the ear are most likely to be seen in the pediatric population?
Definition
Foreign Bodies
Term
What is ear wax?
Definition
Cerumen
Term
What is the yellowish oily substance found in the outer ear canal?
Definition
Cerumen
Term
What helps prevent dirt and water from entering the middle ear canal and may protect the ear from bacteria or fungus?
Definition
Cerumen
Term
What occurs when too much cerumen builds up and gets stuck in the outer ear canal?
Definition
Impaction
Term
What is a disease that causes more production of cerumen?
Definition
Keratosis
Term
What is most recognized as the feeling of vertigo or loss of balance after an ear infection or upper respiratory infection?
Definition
Labyrinthitis
Term
What is dizziness
Definition
Vertigo
Term
What is perception of sound in the inner ear with no external environment cause?
Definition
Tinnitus
Term
What is draining of the middle ear by needle aspiration?
Definition
Tympanocentesis
Term
What is perforation of the tympanic membrane?
Definition
Ruptured Eardrum
Term
What is the total loss of smell?              
Definition
Anosmia
Term
What is a distorted sense of smell in which the person perceives unpleasant odors when the odors do not exist?
Definition
Dysosmia
Term
What is increased sensitivity to smell?
Definition
Hyperosmia
Term
What is the loss of smell from normal aging?
Definition
Presbyosmia
Term
What are hollowed sections of bone in the front of the head, that are lined with mucous membrane and drain into the nasal cavity?
Definition
Paranasal Sinuses
Term
What is a nosebleed?
Definition
Epitaxis
Term
What is one of the most common causes of nosebleeds?          
Definition
Digital Trauma
Term
What is cerebrospinal fluid drainage from the nose?
Definition
Cerebrospinal Rhinorrhea
Term
What is nose picking?
Definition
Rhinotillexomania
Term
What is a nasal disorder generally caused by allergens, which, once inhaled, result in production of chemicals that can cause inflammation?
Definition
Rhinitis
Term
How many people does sinusitis affect each year?
Definition
31 Million
Term
What is an infection of the sinuses, characterized by thick nasal discharge, sinus and facial pressure, headache, and fever?
Definition
Sinusitis
Term
What cranial nerves all play a role in swallowing?
Definition
VI, VII, IX, and XII
Term
What is swallowing problems?
Definition
Dysphagia
Term
What are points at the top of a tooth?
Definition
Cusps
Term
What is the principal mass of the tooth, which is made up of a material that is much more dense and stronger than bone?
Definition
Dentin
Term
What fills the center of the tooth and contains blood vessels, nerves, and specialized connective tissue?              
Definition
Pulp Cavity
Term
What are the bony sockets for the teeth that reside in the mandible and maxilla?
Definition
Alveoli
Term
What are the ridges between the teeth, which are covered with thickened connective tissue and epithelium?
Definition
Alveolar Ridges
Term
What attaches teeth to the alveolar bone?

 

 

Definition
Periodontal Membrane
Term
What is the chewing of food by the teeth?
Definition
Mastication
Term
What is attached at the mandible and hyoid bone, is covered by a mucous membrane, and extends from the back of the mouth upward and forward to the lips?
Definition
Tongue
Term
What provides motor function to the muscles of the tongue?
Definition
Hypoglossal Nerve XII
Term
What provides taste sensation to the posterior portions of the tongue and carries parasympathetic fibers to the salivary glands on each side of the face?
Definition
Glossopharyngeal Nerve IX
Term
What provides motor innervation to the muscles of mastication?
Definition
Trigeminal Nerve V
Term
What provides the sense of taste to the anterior two thirds of the tongue and cutaneous sensations to the tongue and palate?
Definition
Facial Nerve VII
Term
What are the major arteries of the neck that supply oxygenated blood directly to the brain?
Definition
Carotid and Vertebral Arteries
Term
What occurs when the bacteria growth spreads directly from the cavity into the gums, facial tissue, bones, and/or neck?

 

 

Definition
Dental Abscess
Term
What has been linked to heart disease, stroke, diabetes, osteoporosis, and low birth weight babies?
Definition
Gum Disease
Term
What affects the lining of the heart and heart valves and can be linked directly to tooth infection and gum disease?
Definition
Infective Endocarditis
Term
What are painful sores on the lips and around the mouth caused by a type of herpes virus?
Definition
Cold Sores
Term
What are painful sores in the mouth or on the gums caused by bacteria or virus?
Definition
Canker sores
Term
What is a yeast infection that causes white patches in the mouth or on the tongue?
Definition
Thrush
Term
What is a smoker's disease that causes excess cell growth in the mouth, cheek, or gums and presents as white patches?

 

 

Definition
Leukoplakia
Term
What are red swollen gums that bleed easily during brushing?              
Definition
Gingivitis
Term
What is usually linked to impacted plaque and poor oral hygiene?
Definition
Bad Breath
Term
What is a condition that presents as white lesions on the tongue and inner checks, caused by the fungus Candida albicans?
Definition
Oral Candidiasis or Thrush
Term
What is a type of cellulitis that occurs on the floor of the mouth under the tongue; caused by bacteria from an infected tooth root (tooth abscess) or mouth injury?
Definition
Ludwig Angina
Term
What is painful swallowing?
Definition
Dysphagia
Term
What is swelling and inflammation of the larynx that is associated with hoarseness or loss of voice?
Definition
Laryngitis
Term
What is the cause of the most common form of laryngitis?              
Definition
Virus
Term
What is the length-based tape measurement of the child?
Definition
Broselow
Term
What is an inflammation of the pharynx, which is the back of the throat between the tonsils and the larynx?
Definition
Pharyngitis
Term
What is a collection of infected material around the tonsils?
Definition
Peritonsillar Abscess
Term
What is a collection of disorders that present with jaw pain, and which occur when the connection between the temporal bone and the temporomandibular joint erodes or moves out of proper alignment?
Definition
Temporomandibular Joint Disorders
Term
Patients with a corneal abrasion may present with all of the following, EXCEPT:
Definition
hyphema
Term
Alkali or strong acid burns to the eye should be irrigated for at least ____ minutes
Definition
20
Term
A distorted sense of smell in which a person perceives unpleasant odors when the odors do not exist is called:
Definition
dysosmia
Term
Mastication is defined as:
Definition
chewing
Term
Hyphema is defined as:
Definition
blood in the anterior chamber of the eye
Term
Patients with glaucoma often complain of:
Definition
a blind spot toward the center of vision
Term
A young female presents with a headache, severe aching around her right ear, and difficulty chewing. Assessment and treatment for her should focus on:
Definition
analgesia as needed and transport
Term
Glaucoma is a condition caused by:
Definition
increased intraocular pressure
Term
Which of the following statements regarding anisocoria is correct?
Definition
Anisocoria is a condition in which the pupils are unequal
Term
Within the cochlea, at the ______________, vibration stimulates hair movements that form nerve impulses that travel to the brain via the auditory nerve
Definition
organ of corti
Term
Paralysis of cranial nerve ____ can cause unilateral facial and gag reflex paralysis
Definition
VII
Term
What part of the eye is MOST commonly injured following a thermal burn?
Definition
Eyelids
Term
The ONLY indication for removing contact lenses in the prehospital setting is:
Definition
chemical eye burns
Term
In contrast to the oculomotor nerve, the optic nerve:
Definition
is the second cranial nerve and provides the sense of vision
Term
Which of the following is NOT an inner ear structure?
Definition
Eustachian tube
Term
Which cranial nerve innervates the muscles that cause motion of the eyeballs and upper eyelids?
Definition
Oculomotor
Term
Which of the following is a complication associated with dysfunction of cranial nerves VI, VII, IX, and XII?
Definition
Aspiration pneumonia
Term
The anterior chamber is the portion of the globe between the _____ and the _____, and is filled with _____ humor.
Definition
lens, cornea, aqueous
Term
Signs and symptoms of a ruptured tympanic membrane include:
Definition
hearing loss and blood drainage from the ear.
Term
Which cranial nerve provides taste sensation to the posterior portions of the tongue and carries parasympathetic fibers to the salivary glands?
Definition
Glossopharyngeal
Term
A patient with a dysconjugate gaze following an ocular injury:
Definition
has discoordination between the movements of both eyes
Term
Cardiac monitoring is recommended when caring for a patient with an eye-related emergency because:
Definition
ocular pressure can stimulate the vagus nerve and cause bradycardia.
Term
A yeast infection that causes white patches in the mouth or on the tongue is called:
Definition
thrush
Term
You are assessing an unresponsive patient and note the presence of a hyphema to his left eye. This is evidence of:
Definition
blunt force trauma to the eye
Term
A 4-year-old child presents with a deep "croup-like" cough, difficulty breathing, and a high fever. You should suspect:
Definition
tracheitis
Term
A chemistry student accidentally splashed a strong acid chemical into his eyes. He wears rigid gas-permeable contact lenses and is experiencing intense pain. You should:
Definition
carefully remove his contact lenses and flush his eyes for at least 20 minutes.
Term
A man who was using an arc welder without eye protection presents with bilateral eye pain and diminished vision. He is conscious and alert, has a patent airway, and has stable vital signs. Treatment should include:
Definition
covering his eyes with sterile, moist dressings; applying cool compresses lightly over his eyes; and placing him in a supine position.
Term
A ruptured tympanic membrane:
Definition
is extremely painful but typically heals spontaneously
Term
Aqueous humor
Definition
is contained in the anterior chamber of the eye
Term
Cataracts are caused by clouding of the:
Definition
cornea
Term
Causes of rhinitis may include all of the following, EXCEPT
Definition
high humidity
Term
Central vision is processed by the ________, which is the ________.
Definition
macula, central portion of the retina
Term
Icteric sclera are:
Definition
yellow
Term
In dark-skinned patients, cyanosis can be detected in the:
Definition
conjunctiva
Term
In which of the following situations is the Morgan lens NOT appropriate to use?
Definition
an object impaled in the eye
Term
Leukoplakia
Definition
is a smoker's disease that causes excess cell growth in the mouth
Term
Movement of both of the eyes in unison is called:
Definition
sympathetic eye movement
Term
Patients with epiglottitis present with:
Definition
dysphagia
Term
Retinal detachment is especially common in:
Definition
boxing
Term
Retinal injuries that are caused by exposure to extremely bright light:
Definition
are generally not painful but may result in permanent damage
Term
Signs or symptoms of otitis media include:
Definition
bulging tympanic membrane
Term
Systemic signs of a dental abscess include:
Definition
fever and chills
Term
The bony sockets for the teeth that reside in the mandible and maxilla are called:
Definition
alveoli
Term
The large cartilaginous external portion of the ear is called the:
Definition
auricle
Term
The middle ear consists of the:
Definition
inner portion of the tympanic membrane and the ossicles.








Term
The __________ are cone-shaped fossae that enclose and protect the eyes.
Definition
orbits
Term
The ___________ nerve provides motor function to the muscles of the tongue
Definition
hypoglossal
Term
The ______________ decrease(s) the weight of the skull and provide(s) resonance for the voice.
Definition
paranasal sinuses
Term
The ________________ secretes and drains tears from the eye.
Definition
nasolacrimal apparatus
Term
Treatment for Meniere disease includes:
Definition
diuretics and antiemetics
Term
Which of the following has the greatest potential for causing an airway problem?
Definition
Ludwig angina
Term
Which of the following statements regarding conjunctivitis is correct?
Definition
Conjunctivitis usually spreads to the opposite eye.
Term
Which of the following statements regarding vitreous humor is correct?
Definition
Vitreous humor fills the posterior chamber and maintains the shape of the globe.
Term
Which of the following structures receives light impulses and converts them to nerve signals that are conducted to the brain by the optic nerve and interpreted as vision?
Definition
Retina
Term
You are assessing a man who was boxing with his friend. He complains of seeing flashing lights and "floaters" in his field of vision. The MOST important intervention is?
Definition
immediate transport
Term
You are assessing an elderly man who has asthma and uses an inhaled corticosteroid on a regular basis. He has white patches on his tongue and the inside of his mouth. He is conscious and alert and his airway is patent. You should?
Definition
provide supportive care and transport
Term
You would MOST likely encounter oral candidiasis in a patient:
Definition
who is immunocompromised
Term
_________ forms the principal mass of the tooth and is much denser and stronger than bone.
Definition
dentin
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