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NCBOHN Certified Otorhinolaryngology Nurse
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Question: 1
A patient presents with sudden onset of facial weakness on one side, difficulty closing the affected eye, and loss of taste sensation on the anterior two-thirds of the tongue. Which condition is the most likely cause of these symptoms?
1. Acoustic neuroma.
estibular neuronitis. holesteatoma.
wer: B
anation: Bell's palsy is a condition characterized by the sudden onset o paralysis or weakness, typically affecting one side of the face. Other
ptoms may include difficulty closing the affected eye and loss of taste ation on the anterior two-thirds of the tongue.
stion: 2
ch condition is a benign tumor that arises from the Schwann cells of th bulocochlear nerve?
asal cell carcinoma. lomus tumor.
Bell's palsy.
2. V
3. C
Ans
Expl f
facial sym sens
Que
Whi e
vesti
1. B
2. G
3. Cholesteatoma.
4. Acoustic neuroma. Answer: D
Explanation: Acoustic neuroma, also known as vestibular schwannoma, is a benign tumor that arises from the Schwann cells of the vestibulocochlear nerve
(cranial nerve VIII). It can cause symptoms such as hearing loss, tinnitus, and imbalance.
Question: 3
A patient presents with sudden hearing loss, tinnitus, and vertigo. Which condition is the most likely cause of these symptoms?
estibular neuronitis. enign paroxysmal vertigo. eniere's syndrome. coustic neuroma.
wer: C
anation: Meniere's syndrome is characterized by episodes of vertigo, orineural hearing loss, tinnitus, and aural fullness. The sudden onset of ng loss, tinnitus, and vertigo in this patient is consistent with Meniere rome.
stion: 4
tient complains of a persistent ringing sound in their ears. Which term ribes this symptom?
V
B
M
A
Ans Expl
sens
heari 's
synd
Que
A pa best
desc
1. Tinnitus.
2. Otosclerosis.
3. Otitis media.
4. Sensorineural hearing loss.
Explanation: Tinnitus refers to the perception of sound in the absence of an external stimulus. It is often described as a ringing, buzzing, or hissing sound in the ears.
Question: 5
often resulting from head trauma?
arotrauma
erebrospinal fluid leaks oreign bodies
emporal bone fractures wer: D
anation: Temporal bone fractures occur when there is a break or fract emporal bone, which is located on the sides and base of the skull. The ures are often associated with head trauma, such as from motor vehicl dents or falls. Temporal bone fractures can result in various symptoms ding hearing loss, ear bleeding, facial weakness, and balance problem trauma refers to injury caused by changes in pressure, cerebrospinal fl can occur due to skull fractures, and foreign bodies refer to objects t
odged in the ear or nose.
Which of the following conditions is characterized by a fracture of the temporal bone,
1. B
2. C
3. F
4. T
Ans
Expl ure in
the t se
fract e
acci ,
inclu s.
Baro uid
leaks hat
are l
Question: 6
Which condition is characterized by the inflammation of the external ear canal, often caused by bacterial or fungal infection?
1. Otitis media.
2. Cholesteatoma.
3. External otitis. Answer: D
al infection and presents with symptoms such as ear pain, itching, and harge.
stion: 7
ch of the following conditions is characterized by recurrent episodes o go, sensorineural hearing loss, tinnitus, and aural fullness?
estibular neuronitis ell's palsy
eniere's syndrome
enign paroxysmal vertigo
wer: C
anation: Meniere's syndrome is a disorder of the inner ear that typicall ents with recurrent episodes of vertigo (spinning sensation), sensorine
Explanation: External otitis, also known as swimmer's ear, is characterized by the inflammation of the external ear canal. It is often caused by bacterial or fung
disc
Que
Whi f
verti
1. V
2. B
3. M
4. B
Ans
Expl y
pres ural
hearing loss, tinnitus (ringing in the ear), and aural fullness (feeling of pressure or blockage in the ear). Bell's palsy is a condition affecting the facial nerve, vestibular neuronitis is an inflammation of the vestibular nerve, and benign paroxysmal vertigo is characterized by brief episodes of vertigo without hearing loss or tinnitus.
Which of the following conditions is characterized by the abnormal growth of bone in the middle ear, leading to conductive hearing loss?
1. Otitis media
2. Cholesteatoma
3. Otosclerosis
wer: C
anation: Otosclerosis is a condition in which there is abnormal bone th in the middle ear, specifically around the stapes bone. This can res ion of the stapes and conductive hearing loss. Otitis media refers to mmation of the middle ear, cholesteatoma is a noncancerous growth i le ear, and an acoustic neuroma is a tumor on the vestibular nerve.
stion: 9
ch type of hearing loss is characterized by a disruption in the conducti d waves to the inner ear?
ensorineural hearing loss. onductive hearing loss. tosclerosis.
Acoustic neuroma
Ans Expl
grow ult in
fixat
infla n the
midd
Que
Whi on of
soun
1. S
2. C
3. O
4. Acoustic neuroma.
Answer: B
Explanation: Conductive hearing loss occurs when there is a problem conducting sound waves through the outer or middle ear. It can be caused by
conditions such as earwax blockage, middle ear infections, or abnormalities of the middle ear bones.
Question: 10
Which of the following conditions is characterized by the abnormal growth of blood vessels in the nose?
asal cell carcinoma broma
arcinoma of the nasal sinuses emangioma
wer: D
anation: Hemangioma refers to the abnormal growth of blood vessels, it occurs in the nose, it can lead to symptoms such as nasal congestio axis (nosebleeds), and nasal deformity. Fibroma is a benign tumor posed of fibrous tissue, carcinoma of the nasal sinuses and basal cell noma are types of cancer that can affect the nasal area.
stion: 11
ch cranial nerve is responsible for the motor innervation of the muscle expression?
B
Fi
C
H
Ans
Expl and
when n,
epist com carci
Que
Whi s of
facial
1. Cranial nerve II.
2. Cranial nerve V.
3. Cranial nerve X.
4. Cranial nerve VII. Answer: D
Explanation: Cranial nerve VII, also known as the facial nerve, is responsible for the motor innervation of the muscles of facial expression. It also carries taste sensation from the anterior two-thirds of the tongue.
Question: 12
pistaxis hinitis nusitis olyps
wer: B
anation: Rhinitis refers to inflammation of the nasal mucosa, which c ed by various factors such as allergies, infections, or irritants. It is acterized by symptoms such as nasal congestion, sneezing, itching, an
discharge. Epistaxis is a nosebleed, sinusitis is inflammation of the es, and polyps are abnormal growths in the nasal cavity.
stion: 13
ch of the following conditions is characterized by inflammation of the
Which of the following conditions is characterized by inflammation of the nasal mucosa, causing nasal congestion, sneezing, and nasal discharge?
1. E
2. R
3. Si
4. P
Ans
Expl an be
caus
char d
nasal sinus
Que
Whi
external ear canal?
1. Cholesteatoma
2. External otitis
3. Barotrauma
4. Otitis media
Answer: B
stion: 14
tient presents with progressive hearing loss, especially in the low- uency range. Otoscopy reveals a reddish discoloration of the tympanic brane. Which condition is the most likely cause of these findings?
titis media. holesteatoma. coustic neuroma. tosclerosis.
wer: D
anation: Otosclerosis is a condition characterized by abnormal bone g middle ear, specifically in the area of the stapes footplate. It can cau
ressive conductive hearing loss, and the reddish discoloration of the anic membrane (Schwartze sign) may be observed.
Explanation: External otitis, also known as swimmer's ear, is characterized by inflammation of the external ear canal. It is commonly caused by bacterial or fungal infections and can result in symptoms such as ear pain, itching, and discharge. Cholesteatoma is a growth in the middle ear, otitis media is inflammation of the middle ear, and barotrauma refers to injury caused by changes in pressure (e.g., during scuba diving or flying).
Que
A pa freq mem
1. O
2. C
3. A
4. O
Ans
Expl rowth
in the se
prog tymp
Question: 15
Which of the following conditions is characterized by sudden, temporary paralysis of the muscles on one side of the face?
1. Meniere's syndrome
2. Glomus tumor
3. Bell's palsy Answer: D
own, but it is believed to be related to inflammation or viral infection ting the facial nerve. Meniere's syndrome is characterized by vertigo, ng loss, tinnitus, and aural fullness; glomus tumor is a type of tumor t ffect the middle ear or other structures; and an acoustic neuroma is a gn tumor on the vestibular nerve.
stion: 16
ch of the following conditions is characterized by a noncancerous gro iddle ear that can erode nearby structures?
holesteatomaC) Vestibular neuronitisD. Neuroma tosclerosis
wer: A
anation: Cholesteatoma is a noncancerous growth that can develop in le ear. It typically results from repeated middle ear infections or a tea
Explanation: Bell's palsy is a condition that causes sudden, temporary paralysis or weakness of the muscles on one side of the face. The exact cause is
unkn affec
heari hat
can a beni
Que
Whi wth in
the m
1. C
2. O
Ans
Expl the
midd r in
the eardrum. Over time, the cholesteatoma can enlarge and erode nearby structures, such as the ossicles (bones of the middle ear) and the mastoid bone. Otosclerosis is characterized by abnormal bone growth in the middle ear, vestibular neuronitis is inflammation of the vestibular nerve, and neuroma refers to a tumor arising from nerve tissue.
Which of the following conditions is characterized by the perception of sound in the absence of an external stimulus?
1. Rhinitis
2. Vertigo
3. Tinnitus
wer: C
anation: Tinnitus is the perception of sound, such as ringing, buzzing, ng, in the absence of an external sound source. It can be a symptom o us underlying conditions, including hearing loss, exposure to loud noi ertain medications. Vertigo refers to the sensation of spinning or
ness, while rhinitis and epistaxis are related to nasal conditions ammation and nosebleeds, respectively).
stion: 18
tient presents with recurrent episodes of nasal congestion, facial press urulent nasal discharge. Which condition is the most likely cause of t ptoms?
inusitis.
Epistaxis
Ans
Expl or
hissi f
vario se,
and c dizzi (infl
Que
A pa ure,
and p hese
sym
1. S
2. Rhinitis.
3. Epistaxis.
4. Nasal polyps.
Answer: A
Explanation: Sinusitis refers to the inflammation of the paranasal sinuses, often caused by infection. It can present with symptoms such as nasal congestion, facial pressure or pain, and purulent nasal discharge.

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