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94 Cards in this Set
- Front
- Back
The 4 areas to consider during the general survey are: |
Physical appearance, body structure, mobility and behaviour.
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During the general survey part of the exam, gait is assessed. When walking, the base is usually how wide?
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as wide as the shoulder width.
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During the 8th and 9th decades of life, physical changes occur. How do Height and weight change?
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both decrease.
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During an initial home visit, the patient's temperature is noted to be 97.4* F. What other information do you need in order to assess if this temperature is normal?
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Patient's age.
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How long should you routinely count to accuratly assess a patient's pulse.
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Count for 30 seconds.
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Select the best description of an accurate assessment of a patient's respirations.
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Cound for 30 seconds following pulse assessment.
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Pulse pressure is:
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the difference between the systolic and diastolic pressure.
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The examiner is going to assess for coarchtation of the aorta. In an individual with coarctation the thigh pressure would be:
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lower than the arm.
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Mean arterial pressure is:
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diastolic pressure plus one third pulse pressure.
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The part of the hand used for the assessment of vibration is (are) the:
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the ulnar surface of the hand
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When performing indirect percussion, where is the stationary finger struck?
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at the distal interphalangeal joint
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The best description of the pitch of a sound wave obtained by percussion is:
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the number of vibrations per second.
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The bell of the stethoscope is used for what pitch of sounds?
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Soft-low pitched sounds
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The ophthalmoscope has 5 apertures. Which size would be used to assess the eyes of a patient with undilated pupils?
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small
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At the conclusion of the examination, the examiner should always do this for the patient:
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Summarize the findings for the patient
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When reading a medical record you see the following notation: Patient states, I have had a cold for about a week, and now I am having difficulty breathing." This is an example of:
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a reason for seeking care.
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You have reason to question the reliability of the information being provided by a patient. One way to verify the reliability within the context of the interview is to:
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rephrase the same question later in the interview.
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The statement "Reason for seeking care" has replace the "chief complaint." This change is significant because:
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the newer term incorporates wellness needs.
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During an initial interview, the examiner askes, Mrs. J., "tell me what you do when you headaches occur." With this question, the examiner is seeking information about:
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aggravating or relieving factors.
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When recording a patient's perspective/report of pain descriptor, how do you document this?
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place the terms in " ".
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A genogram is useful in showing information concisely. It is used speifically for:
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family history
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Select the best description of review of systems as part of the health history.
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the evaluation of the past and present health state of each body system.
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Functional assessment measures how a person manages day-to-day activities. The impact of disease on the daily activities of older adults is referred to as:
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disease burden.
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When the begining the interview, include:
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your name, the purpose of the visit, approx. time, and assurance of confidentiality and any related costs.
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you have come into a patient's room to conduct an admission interiew. Because you are expecting a phone call, you stand near the door during the interiew. A more appropriate approach would be to:
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have someone else answer the phone so you can sit facing the patient.
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Students frequently ask teachers, May I ask you a question ?" This is an example of what kind of question?"
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a Closed question
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During a patient interview you recognize the need to use interpretation. This verbal response is:
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is based on the interviewer's inference from the data that have been presented.
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A good rule for an interviewer when balancing listening and speaking is to:
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spend more time listening to the tpatient than talking.
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What is included as examples of intimate-partner violence?
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An ex-boyfriend stalking his ex-girlfriend, marital rape, hitting a date
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Routine, universal screening for domestic violence means:
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asking all persons, who come into health care system if they are abused each time they come.
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Mental health problems associatied with intimate partner violence include:
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suicidality.
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Gynecological problems not associated with intimate partner violence include:
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ovarian cysts.
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Risk factors for intimate partner homicide include:
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abuse during pregnacy. |
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Elder abuse and neglect include:
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willful infliction of force, witholding prescription medication without medical orders, not replacing broken eyeglasses, threatening to place someone in a nursing home.
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The secretion from the eccrine glands is:
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dilute saline solution
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Nevus is the medical term for:
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a mole
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To assess for early jaundice, you will assess:
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sclera and hard palate
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Checking for skin temperature is base accomplished by using:
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the dorsal surface of the hand
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skin turgor is assessed by Picking up a large fold of skin on the anterior ches tunder the clavicle. This is done to determine:
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dehydration
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You note a lesion during an examination. What would be included in a complete description?
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Color, raised/flat, borders, location, size and drainage.
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You examine nail beds for clubbing. The normal angle between the nail base and the nails is:
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160*
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The capilary beds should refill after being depressed in:
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1-2 seconds
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During a routine visit, M., aged 78, askes about small, round, flat, brown macules on the hands. Your best response after examining the area is:
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These are the result of sun exposure and do not require treatment.""
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An area of thin, shiny skin with decreased visibility of normal skin marking is called:
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atrophy
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Flattening of the angle between the nail and its base is:
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clubbing
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The configuration for individual lesions arranged in circles or arcs, as occurs with ringworm is caled
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annular
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The A" in the ABCDE rule stands for:"
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asymmentry
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A risk factor for melanoma is:
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skin that frecles or burns before tanning
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Lyme disease in more prevalent:
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in May to September
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The secretion form the eccrine glands is
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dilute saline solution
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Nevus is the medical term for:
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a mole
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To assess for early jaundice, you will assess:
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sclera and hard palate
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Checking for skin temperature is base accomplished by using:
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the dorsal surface of the hand
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skin turgor is assessed by Picking up a large fold of skin on the anterior ches tunder the clavicle. This is done to determine:
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dehydration
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You note a lesion during an examination. What would be included in a complete description?
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Color, raised/flat, borders, location, size and drainage.
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You examine nail beds for clubbing. The normal angle between the nail base and the nails is:
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160*
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The capilary beds should refill after being depressed in:
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1-2 seconds
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During a routine visit, M., aged 78, askes about small, round, flat, brown macules on the hands. Your best response after examining the area is:
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These are the result of sun exposure and do not require treatment.""
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An area of thin, shiny skin with decreased visibility of normal skin marking is called:
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atrophy
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Flattening of the angle between the nail and its base is:
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clubbing
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The configuration for individual lesions arranged in circles or arcs, as occurs with ringworm is caled
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annular
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The A" in the ABCDE rule stands for:"
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asymmentry
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A risk factor for melanoma is:
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skin that frecles or burns before tanning
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Lyme disease in more prevalent:
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in May to September
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The Palpebral fissure is:
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the open space between the eyelids
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The corneal reflex is mediated by cranial nerves:
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5 and 7
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The retinal structures viewed throughthe opthalmoscope are:
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the optic disc, the retinal vessels, the gernal background, and the macula
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The examiner records positive consensual light reflex." This is:"
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the simultaneous constriction of the other pupil when one eye is exposed to bright light
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Several changes occur in the eye with the aging process. The thickening and yellowing of the lens is referred to as:
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senile cateract
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Symptoms that may constitute an eye emergency include:
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sudden onset of vision change
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Visual acuity is assessed with:
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the Snellen eye chart
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the cover test is used to assess for:
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muscle weakness
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When using the ophthalmoscope, you would:
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remove your own eye glasses and approach the patient's left eye with your left eye.
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The six muslces that control eye movement and are innervated by cranial nerves:
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3, 4, 6
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Conjuctivitis is always associated with:
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reddened conjuctiva
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A Patient has blurred peripheral vision. You suspect glaucoma, and test the visual fields. A person with normal vision would see your moving finger temporally at:
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90*
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A person is known to be blind in the left eye. What happens to the pupils when the right eye is illuminated by a penlight beam?
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Both pupils constrict
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Use of the ophthalmoscope: an interruption of the red relex occurs when:
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there is an opacity in the cornea or lens
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Once cause of visual impairment in aging adults is:
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stabismus - squint, crossed eye, disparity of ey axes
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Using the otoscope, the typmanic membrane is visualized. The color of a normal membrane is:
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pearly gray
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Sensorineural hearing loss may be related to:
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a gradual nerve degeneration
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Prior to examining the ear with the otoscope, what should be palpated for tenderness?
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pinna, tragus, and mastoid process
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While viewing with the otoscope,the examiner instructs the person to hold the nose and swallow. During this maneuver, the eardrum should:
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Flutter
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To diferentiate between air conduction and bone conduction hearing loss, the examiner would perform:
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Rinne test
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In examining the ear of an adult, the canal is straightened by pulling the auricle:
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up and back
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Darwin's tubercle is:
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a congentital, painless nodule at the helix
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When the ear is being examined with the otoscope, the patient's head should be:
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Tilted away from the examiner
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The hearing receptors are located in the:
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cochlea
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The sensation of vertigo is the result of:
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pathology in the semicircular canals
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A common cause of conductive hearing loss is:
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impacted cerumen
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In the Rinne test, the 2 to 1 ratio refers to:
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the lengths of time until the patient stops hearing the tone by air conduction and by bone conduction
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Upon examination of the tympanic membrane, visualizaiton of which of the following findings indicates the infection of acute purulent otitis media?
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absent light reflex, reddened drum, bulging drum
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In examining a young adult woman, you observe her tympanic membrane to be yellow in color. You suspect she has:
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serum in the middle ear.
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Risk reduction for acute otitis media includes:
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eliminating smoking in the house and car
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