SOHN Nurse

Question of the Week

This Week’s Question:

True or false; The superior part of the tympanic membrane is known as the pars flaccida.

Answer: a. True

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Previous “Question of the Week” and answers:

02/01/2018:  Question: What are the names of the three middle ear bones?  Answer: Malleus, Incus and Stapes

02/08/2018:  Question: By 2020, the National Cancer Institute predicts that approximately how many people will have been diagnosed with head and neck cancer?  Answer: 300,000

02/16/2018:  Question: What are two major risk factors for head and neck cancer?  Answer: tobacco and alcohol use

02/22/2018:  Question: What is one of the most distressing side effects of treatment for patients with head and neck cancer? Answer: Oral Mucositis

03/01/2018:  Question: What does the acronym FESS stand for?  Answer: Functional Endoscopic Sinus Surgery

03/08/2018:  Question: Cancers of the Head and Neck amount for what percent of all cancers in the US?  Answer: 6%

03/15/2018:  Question: True or False? Human Papillomavirus (HPV) is responsible for the rise in cancers of the oropharynx (tonsil and base of tongue) in younger non-smokers and is related to oral sex. The more oral sex partners, the greater the risk of HPV cancer. Answer: True

03/22/2018:  Question: True or False? Cigarette smoking increases your risk of head and neck cancer by 15 times compared to a non-smoker.  Answer: True

03/29/2018: Question: How many billions of dollars are spent in the United States each year on the treatment of head and neck cancers? Answer: 3.2 Billion

04/05/2018:  Question: What percent of people with head and neck cancers have very advanced cases by the time they first see a doctor?  Answer:  50%

04/12/2018:  Question: Approximately how many patients are diagnosed with oral head and neck cancer each year in the United States? Answer: 11,000

04/19/2018:  Question: True or False?  Only 1 in 20 thyroid nodules are cancerous.  Answer: True

04/26/2018:  Question:  Who is diagnosed with head and neck cancer more: men, or women?  Answer:  Men are diagnosed with head and neck cancers about twice as often as women.

05/03/2018:  Question:  Cancers of the nose and sinuses are rare. Approximately how many people develop these cancers every year? Answer:  2000 people are diagnosed each year

05/10/2018: Question: Worldwide, how many new cases of oral head and neck cancer are diagnosed each year? Answer: >550,000

07/20/2018: Question: Voice problems affect one in how many adults on an annual basis?  Answer:1 in 13 Adults

07/27/2018: Question: What causes the majority of neck masses in children? Answer: Infections

08/02/2018: Question: A primary complaint of dizziness accounts for how many clinic visits each year in the United States?  Answer: 5.6 million

08/09/2018: Question: What is the name of the disorder of the inner ear characterized by reported episodes of positional vertigo? Answer: Benign Paroxysmal Positional Vertigo (BPPV)

08/16/2018: Question: What percentage of the adult population in the United States is affected by chronic rhinosinusitis? Answer: 12%

08/23,2018: Question: The incidence of head and neck squamous cell carcinoma of the oropharynx is increasing – partly as a consequence of infection with what? Answer:Human Papilloma Virus (HPV)

08/30/2018: Question: In what year did the United States Food and Drug Administration approve sinus ostial dilation for diagnostic and therapeutic approaches to the paranasal sinuses? Answer: 2005

09/14/2018: Question: Dysphonia (impaired voice production) affects approximately what portion of the population at some point in life? Answer: one-third

09/21/2018: Question: What type of hearing loss is caused by a cerumen impaction? Answer: Conductive Hearing Loss

09/28/2018: Question: To control epistaxis the FIRST action should be to?  Answer: Apply pressure by squeezing the nostrils together

10/11/2018: Question: What do the acronyms AOM and OME stand for? AnswerAcute Otitis Media and Otitis Media with Effusion

10/26/2018: Question: What are the two most common indications for tonsillectomy in children? Answer: Recurrent Throat Infections and SBD (Sleep Disordered Breathing)

11/01/2018: Question: True or False: Rhinoplasty is one of the most commonly performed cosmetic procedures in the US  Answer: True

11/08/2018: Question: What does the acronym TIPP stand for? AnswerTubes In Place and Patent

12/05/2018: Question: How many tonsillectomy procedures are performed annually on children younger than 15 years of age in the US? Answer: 530,000

12/20/2018: Question: How many infants are born in the U.S. each year with cleft lip/palate? Answer: 7000 or 1 in 600-700 live births

12/27/2018: Question: True or False: Acute Otitis Externa (AOE) is more common in regions with warmer climates, increased humidity, or increased water exposure from swimming. Answer: True

01/10/2019: Question: How many children younger than 15 years of age receive tympanostomy tubes each year? Answer: 667,000

01/22/2019: Question: True or False: By the age of 3 years old, 1 out of 15 children will have tympanostomy tubes. Answer: True

01/31/2019: Question: What is the number 1 cause of hearing loss: a. Chronic ear infections b. Genetic conditions c. Presbycusis d. Autoimmune disease  Answer: c. Prebycusis

02/14/2019: Question: When seeing a patient for sinus complaints, which symptom would you ask to justify antibiotic therapy? a. Duration of symptoms b. Color of nasal drainage c. Pain in the lower teeth or d. Progressive fatigue  Answer: a. Duration of symptoms

03/01/2019: Question: The most common location of a nose bleed is: a. Posterior nose  b. Anterior nose  c.Turbinate  d. Sinus  Answer:  b. Anterior nose

03/14/2019: Question: What are the most common sites of oral cancer? a. Lip and Tongue b. Tonsil and Tongue c. Gingiva and Tongue d. Buccal mucosa and Tongue Answer: a. Lip and Tongue

04/11/2019: Question: According to the 2nd Edition of the Core Curriculum for ORL and Head-Neck Nurses, the most frequent diagnosed thyroid cancer is: a. Papillary carcinoma b. Follicular carcinoma c. Medullary carcinoma d. Anapestic carcinoma  Answer: a. Papillary carcinoma

05/05/2019: Question: What is a cause of modifiable risk factor for epistaxis?a. Vascular abnormality b. Septal deviation c. Digital trauma d. Malignant process  Answer: c. Digital trauma

05/23/2019: Question: What is the physical exam finding of strep throat? a. Cryptic tonsils b. White exudate on tonsils c. Beefy red tongue d. Pharynx with cobble stoning  Answer: b. White exudate on tonsils

05/30/2019: Question: Which of the following is the most common sexually transmitted infection in the United States? a. Chlamydia b. Herpes c. HPV   d. Syphilis  Answer:  c. HPV

06/14/2019: Question: Head and Neck Cancer accounts for what percent of all cancers in the United States? a. 4% vb. 2% c. 7% d. 10% Answer: a. 4%

06/28/2019: Question: Several US presidents have had cancer, but only this president died from his cancer. a. Grover Cleveland b. Jimmy Carter c. Ulysses S Grant d. Woodrow Wilson Answer: Ulysses S Grant

07/03/2019: Question: HPV is thought to cause _____ of oropharyngeal cancers in the United States? a. 20% b. 35% c. 50% d. 70%  Answer:  d. 70%

07/11/2019: Question: Bell’s Palsy is more common in what age group? a. Under 5 years old b. 5-15 year olds c. 15-45 year olds d. 45-90 year olds Answer:  c. 15-45 year olds

07/18/2019: Question: Tinnitus affects approximately ____% of adults in the United States? a. 0-10% b. 10-15% c. 25-50% d. over 50%  Answer: b. 10-15%

08/08/2019: Question: True or False? Bell’s Palsy is an uncommon condition, but it is the most common facial nerve disorder.  Answer: True

08/15/2019: Question: Symptoms of earwax impaction may include: a. Ear Pain, itching, feeling of fullness b. Tinnitus, hearing loss, discharge from the ear c. Odor from the ear and cough d. All of the above Answer: d. 

08/23/2019: Question: The Eustachian tube connects what two parts of the body? a. eye to nose b. eye to middle ear c. middle ear to nose d. mouth to stomach  Answer: c

08/29/2019: Question: Which of the following would NOT be a contributing factor for obstructive sleep apnea? a. morbid obesity b. enlarged tonsils c. craniofacial abnormalities d. dislocated collarbone Answer: d. dislocated collarbone

09/05/2019: Question: Which of the following foods is a choking hazard for children under the age of two? a. hot dogs b. nuts c. popcorn d. grapes and raisins e. all of the above Answer: e. all of the above

09/26/2019: Question: True or False?Tinnitus can be caused by more unusual or serious conditions. Some of these rare conditions include tumors, heart problems, or blood vessel problems. Answer: True

10/03/2019: Question: According to the 2nd Edition of the Core Curriculum for ORL and Head-Neck Nurses, the most common complication of mumps is: a. Orchitis in adult males b. Permanent hearing loss c. Oophoritis d. Meningoencephalitis Answer: a. Orchitis in adult males

10/11/2019: Question: When caused by chemotherapy, mucositis is usually due to what? a. Low white blood cell count, b. High white blood cell count,  c. Low red blood cell count, d. Low platelet count Answer: a. Low white blood cell count

10/18/2019: Question: What is NOT an effective way to prevent swimmer’s ear (otitis externa)? a. Use cotton swab to vigorously clean the ears daily b. Dry the ear thoroughly after it gets wet c. Wear ear plugs when swimming or showering d. Use a mixture of rubbing alcohol/white vinegar after swimming  Answer: a. Use cotton swab to vigorously clean the ears daily

10/26/2019: Question: True or False? Obstructive eustachian tube dysfunction is a physiological disorder of the eustachian tube that results in the inability to appropriately equalize pressure between the middle ear and the environment. Answer: True

11/1/2019: Question: Which treatment regimen has been found to lead to the highest incidence of oral mucositis? a. Conventional radiation therapy b. Accelerated radiation therapy c. Chemoradiation d. All have similar incidence of oral mucositis Answer: b. Accelerated radiation therapy

11/15/2019: Question: According to the 2nd edition of Core Curriculum for Otorhinolaryngology and Head-Neck Nursing book, The most common cause of facial weakness or paralysis is A. Stroke B. Trauma C. Idiopathic palsy D. Ramsey Hunt syndrome Answer: C. Idiopathic palsy

11/30/2019: Question: According to the 2nd edition of Core Curriculum for Otorhinolaryngology and Head-Neck Nursing book, the most important treatment for facial nerve conditions is a. Protection of the eye b. Steroid prescriptions c. Facial physiotherapy d. Surgical intervention Answer: Protection of the eye

12/19/2019: Question: According to the 2nd edition of Core Curriculum for Otorhinolaryngology and Head-Neck Nursing book, Generally closed reduction for a nasal fracture should be performed between: a. 1 – 6 hrs of fracture b. 1-3 days of fracture c. 3-5 days of fracture or d. 5-7 days of fracture Answer: d. 5-7 days of fracture

02/06/2020: Question: A benign midline neck mass in children which is associated with the hyoid bone and moves with swallowing is A. thyroglossal duct cyst B. cystic hygroma C. thyroid mass D. infectious lesion Answer: A. thyroglossal duct cyst

02/14/2020: Question: The classic signs of deviated uvula, fullness of tonsillar pillar and “hot potato voice are indicative of A. peritonsillar abscess B. epiglottis C. tonsillitis D. adenoid hypertrophy Answer: A. peritonsillar abscess

02/21/2020: Question: The first NCBOHN examination for RN’s to be certified in ORL and Head-Neck Nursing was performed in what year?  A. 1995  B. 1992  C. 2000  D. 2005  Answer: B. 1992

02/28/2020: Question: SOHN’s first executive director was: A. Sandye Schwartz B. Anne Bigelow C. Linda Schuring D. Tina Mitschke Answer: A. Sandye Schwartz

03/05/2020: Question: Balance is affected by the following systems? a. ears b. eyes c. brain d. all of the above  Answer:  d. all of the above

03/20/2020: Question: What would the weber test reveal if there was a conductive hearing loss in the right ear? a. the sound would lateralize to the left ear b. the sound would lateralize to the right ear c. the sound would be midline and not lateralize d. the patient wouldn’t hear the sound in either ear Answer:  b. the sound would lateralize to the right ear

04/20/2020: Question: Cerumen Impactions composed of abnormal exfoliation of keratinocytes that were correlated with infection had the following most common isolated bacterium or fungus: a. Staphylococcus aureus b. Aspergillus terreus c. Tinea corporis  d. Both A and B e. All the above f. None of the above Answer: D

02/26/2021: Question: Opioid use disorder (OUD) has reached epidemic proportions in the United States. a. True b. False Answer: a. True

03/07/2021: Question: What is the most common cause of conductive hearing loss? a. Cerumen b. Otosclerosis c. Otalgia d. Meniere’s Disease. Answer: a. Cerumen

04/10/2021: Question: True or False: Most patients take all of the opioids they are prescribed after surgery. Answer: False

05/01/2021: Question: In a laryngectomy patient, what is an important thing for the nurse to know to ensure patient safety? 1.Patient cannot be orally intubated because there is no communication between the upper and lower airway. 2. Patient must have the head of the bed elevated to prevent aspiration when eating. 3.Patient must be evaluated by speech prior to using speaking valve for communication 4. Patient must have a laryngectomy tube or tracheostomy tube at all times to prevent closure of stoma. Answer: 1. Patient cannot be orally intubated because there is no communication between the upper and lower airway