PCM

Question 1

Ear exam

Answer 1

1. Helix, tragus, cone of light, manubrium
2. Pull ear up and out
3. Erythema, which could be indicative of an infection

Question 2

Rinne and webber test

Answer 2

First, conduct the webber test to test for lateralization by vibrating the tune fork and placing it on the top of the patients head. Findings would be normal if the patient can hear the sound equally at between the two ears.

However if they can hear the sound stronger in another ear, it is abnormal and conduct the Rinne test on it.

To do so, set the tuning fork and place it behind ear on the mastoid process. When the patient stops hearing the sound, place bring it in front of the ear.

If the AC> BC, Webber was abnoral and Rinne was normal. patient has sensoryneural deficits in the opposite ear.

If the BC>AC, then the patient has conductive hearing loss the the same ear.

Question 3

Mouth exam

Answer 3

1. Open mouth and exam using the light and tongue depressor
2. Findings: uvula, hard and soft pallete, gingiva and tongue
3. Abormal: gingivitis- swelling of the gum

Question 4

nose

Answer 4

1. sniffling position
2. septum and vestibule
3. if a gentle pressure to the tip of the nose is tender, it can be indicative of a local infection

4.

Question 5

lymph

Answer 5

1. Pre-auricular
2. post-auricular
3. submental
4. submandibular
5. tonsilar
6. anterior cervical
7. posterior cervical
8. supraclavicular

Question 6

sinus

Answer 6

left frontal sinus

right frontal sinus

left maxillary

right maxillary

ethmoid sinus (middle of the nose)

If tender, infection