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Chapter 601 – 706



25. Topical cocaine is used to confirm a diagnosis of what ophthalmologic disease?

A. Aniridia

B. Horner syndrome

C. Marcus Gunn pupil

D. Congenital mydriasis

E. Tonic pupil

36. The most common presenting sign of retinoblastoma is:

A. Heterophoria

B. Hypopyon

C. Leukocoria

D. Coloboma

E. Red reflex

 

43. Which of the following statements regarding children with traumatic hyphemas is NOT correct?

A. It may occur with either blunt or penetrating injury to the eye

B. Most common presentation is painless vision loss

C. Children with sickle cell disease are at increased risk for loss of vision

D. Treatment measures are aimed at minimizing rebleeding and glaucoma

E. Patients with traumatic hyphema are at increased risk for glaucoma later in life

45. Vertigo in children is:

A. Frequently associated with otitis media

B. Usually related to motion sickness

C. Most likely to be related to Meniere disease

D. An uncommon symptom in children

E. Always associated with a hearing loss

50. In moderate to severe SNHL, hearing aids are:

A. Usually placed when the child starts kindergarten

B. Difficult for parents to deal with and require skilled nursing care

C. Not well tolerated and require surgical placement over the mastoid bone

D. Placed as early as age 2-3 mo when the deficit is diagnosed early

E. Used only if cochlear implantation cannot be performed

51. Cochlear implants may be associated with:

A. Pneumococcal meningitis

B. Sinusitis

C. Facial cellulitis

D. Septic jugular vein thrombosis

E. Brain abscess

52. A hearing deficit of moderate loss is associated with an average sound threshold of 30-50 dB in combination with:

A. Most speech sounds missed at normal conversational levels

B. Language retardation

C. Unvoiced consonant sounds missed

D. Inattention

E. All of the above

53. All of the following indicate the need for referral for audiologic assessment EXCEPT:

A. No differentiated babbling or vocal imitation at age 12 mo

B. No e of single words at age 18 mo

C. Single-word vocabulary of 10 words or fewer at age 24 mo

D. Less than a 100-word vocabulary, or no evidence of two-word combinations, at age 30 mo

E. All of these indicate the need for referral for audiologic assessment

54. A 4 yr old child who is new to your clinic has a small pitlike depression anterior to the helix and above the tragus. There are no symptoms. Which of the following is the recommended initial management?

A. Observation only

B. Exploration by probing

C. CT or MRI to evaluate for possible branchial cleft cyst

D. Referral for surgical excision

E. Referral for chromosome analysis

55. Otitis externa is:

A. Commonly related to swimming

B. Most commonly caused by Pseudomonas aeruginosa

C. Best treated with topical antibiotic drops

D. Treated with wick placement and drops if severe canal swelling is present

E. All of the above

63. A 15 yr old wrestler sustains a traumatic blow the left ear, resulting in a large hematoma. Appropriate treatment is:

A. Needle aspiration of the hematoma

B. Incision and drainage of the hematoma

C. Analgesics and avoidance of wrestling until healing occurs

D. Pressure dressing and analgesics

E. A or B

 



  

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