CHAPTER 4: History & PE

Name: ______________________________________________ Score:___________________

1. The hard palate may have a bony outgrowth known as

a. Mandibular tori c. Frenulum

b. Torus palatinus d. Uncinate

2. A common cause for a foreign body sensation in the back of the throat

a. Fishbone c. Tonsilliths
b. Mass d. LPR

3. An enlarged tonsil with an atypical appearance denotes

a. Lymphoma c. Tonsilliths
b. Tonsillitis d. Tonsillar abscess

4. This PE finding in the posterior oropharynx indicates the presence of submucosal lymphoid hypertrophy and is
often seen in the setting of infection, allergic rhinitis, and reflux

a. Atrophy c. Erythema
b. Edema d. Cobblestoning of the mucosa

5. The subglottis generally is considered to begin

a. 0.5-1cm above the free edge of the true vocal cord
b. 0.5-1cm below the free edge of the true vocal fold
c. 5-10 cm above the free edge of the true vocal cord
d. 5-10 cm below the free edge of the true vocal fold
6. Reinke edema, an edema of the folds that extends for the entire fold length is frequently seen in

a. Alcohol users c. Tobacco users

b. Drug users d. Alcohol and drug users

7. In the examination of the neck, what is a good landmark used in “short-neck” individuals?

a. Clavicles c. Cricoid cartilage

b. Hyoid bone d. Thyroid cartilage

8. The most prominent structure in the anterior neck of children

a. Clavicles c. Cricoid cartilage

b. Hyoid bone d. Thyroid cartilage

9. What structure divides the neck into anterior and posterior triangle?

a. Sternocleidomastoid muscle c. Clavicle

b. Trapezius d. Digastric muscle

10. The thyroid gland is best examined by

a. Standing behind the patient and placing both hands in the paratracheal area near the cricoid cartilage
b. Standing behind the patient and placing both hands in the paratracheal area near the thyroid cartilage
cartilage
c. Standing in front of the patient and placing both hands in the paratracheal area near the cricoid cartilage
d. Standing in front of the patient and placing both hands in the paratracheal area near the thyroid
cartilage cartilage
11. The most common location for retraction pockets, debris, and cholesteatoma

a. Pars tensa c. Umbo

b. Pars flaccida d. Tympanic annulus

12. A trauma patient presents with facial asymmetry. Upon thorough physical examination, there is no movement
of the forehead on the right, incomplete right eye closure, and mouth asymmetric with maximum effort. What is
the grading of the patient’s facial nerve paralysis?

a. Grade III c. Grade V

b. Grade IV d. Grade VI

13. Weber lateralizes to the left; Rinne on the left bone >air

a. Left conductive hearing loss c. Right conductive hearing loss

b. Left sensorineural hearing loss d. Right sensorineural hearing loss

14. Weber lateralizes to the left; Rinne on the left air > bone bilaterally

a. Left conductive hearing loss c. Right conductive hearing loss

b. Left sensorineural hearing loss d. Right sensorineural hearing loss

15. Nasopharyngeal carcinoma most commonly presents in the

a. Uncinate process of the ethmoid c. Fossa of Rosenmuller

b. Posterosuperior wall of the d. Eustachian tube opening
nasopharynx

16. Nodes greater than 1cm in size are more likely to be

a. Pathologic in children c. Pathologic in children & adults

b. Pathologic in adults d. Nonpathologic in children & adults

17. This finding can indicate laryngeal fracture, and it can also be seen in the setting of air migrating upward from a
fresh tracheostomy site, esophageal rupture, or primary pneumomediastinum.

a. Tracheal deviation c. Subcutaneous emphysema

b. Hematoma formation d. soft tissue swelling

18. In testing for smell, the use of ammonia is discouraged because it may give a false positive result by stimulating
what cranial nerve

a. CN I c. CN VII
b. CN IV d. CN V

19. Tonsils are located just outside the fossa and occupy 25% of the total width of the oropharynx

a. Brodsky scale 0 c. Brodsky scale 2+

b. Brodsky scale 1+ d. Brodsky scale 3+

20. Small yellow spots in the buccal mucosa

a. Koplik spots c. Fordyce spots

b. Forchheimer spots d. Canker sore

21. Presence of adenoid tissues in adults may indicate

 a. Lymphoma c. EBV infection
b. Leukemia d. Normal finding

22. Cysts in the superior portion of the nasopharynx may represent

a. Malignant Tornwaldt cyst c. Polyposis

b. Malignant craniopharyngioma d. Normal finding

23. This structure is found in the hypopharynx and is often collapsed at rest

a. ventricles c. piriform sinus

b. vocal folds d. The arytenoids

24. This area of the hypopharynx may harbor tumors that often are detected only in advanced stages:

a. Aryepiglottic folds c. Posterior hypopharyngeal wall

b. Vallecula d. Postcricoid area

25. An erythematous and edematous epiglottis may signify,

a. Reflux laryngitis c. Rheumatoid arthritis

b. Epiglottitis d. Carcinoma