Hns 402: Ent Question Paper

Hns 402: Ent

Course:Bachelor Of Science In Nursing And Public Health

Institution: Kenyatta University question papers

Exam Year:2009

KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2009/2010
SECOND SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR OF
SCIENCE (NURSING AND PUBLIC HEALTH)
HNS 402:
ENT
================================================================
DATE: WEDNESDAY 23RD DECEMBER 2009 TIME: 2.00 P.M. – 4.00 P.M.

INSTRUCTIONS:
i) Answer all Questions.
ii) Part I – MCQ Answer in the Question Paper
iii) Part II and III: Answer in the answer booklet provided

PART I MCQ

1.
Acute Pharyngitis is mostly caused by
a)
Epstein-Bar
virus
b)
Staph-aureus

c)
Group B beta-hemolytic streptococci

d)
Hemophilus influenza type A

2.
While providing health education to a patient after tonsillectomy, the nurse

should emphasize the importance of avoiding the following EXCEPT
a)
Sugary
foods
b)
Too
much
talking
c)
Spicy
foods
d)
Rough
foods
Page 1 of 6
3.
The differential diagnosis for sinusitis include;
a)
Rhinnitis
b)
Nasal
polyps
c)
Migraine
d)
sinonasal
malignancy

4.
In analyzing the complaint of nasal congestion from a patient, the nurse should

analyze associated manifestations which include;

a)
pain, itchy eyes, snoring
b)
pain,
fever,
snoring

c)
sneezing, fever, pain

d)
sneezing, pain, itchy eyes.

5.
If percussion of a sinus, elicits dullness, this may be a sign of:
a)
Rhinitis

b)
Congenital absence of a sinus

c)
Nasal septum deviation

d)
presence of nasal polyps

5.
The membranous labyrinth consist of

a)
The utricle, the saccule and the semicircular canals

b)
The utricle, the saccule and the semicircular ducts

c)
The utricle, the semi-circular canals and the semicircular ducts.

d)
The saccule, the semi-circular canals and the semi-circular ducts.

7.
Pitch is measured in:
a)
Decibels
b)
Watts
c)
Hertz
d)
Megabites

Page 2 of 6

8.
Intratemporal complications of chronic otitis media include;

a)
Labyrinthitis, facial nerve paralysis, Brain abscess

b)
Facial nerve paralysis, meningitis, extradural abscess
c)
Mastoiditis,
meningitis,
labyrinthitis
d)
Mastoiditis,
labyrinthis, facial nerve oparalysis

9.
The findings in a patient with otosclerosis include;

a)
Rinne test, air conduction is better than bone conduction

b)
Rinne test, bone conduction is better than air conduction

c)
On Weber test, there is lateralization to the better hearing ear.

d)
On Weber test, lateralization is the same to both ears.

10.
The most common middle ear mass is;
a)
Cholesteatoma
b)
Glomus
tympanicum

c)
Facial nerve neuroma

d)
Glomus jugulane tumor

11.
Antihistamines are indicated in the management of vertigo because they:

a)
Sedate the client

b)
Activate the vestibular system

c)
Suppress the vestibular system

d)
Suppress the cochlear system

12.
The Paranasal sinuses that can be assessed during physical examination are:
a)
Maxillary
and
ethmoidal

b)
Ethmoidal and frontal

c)
Frontal and sphenoidal

d)
Frontal and maxillary
Page 3 of 6

13.
The less frequent cause of tympanic membrane perforation include
a)
Trauma
b)
Infections

c)
Foreign objects pushed into the ear

d)
Fingers pushed into the ear

14. Gelle’s
test

a)
Examines the effect of occlusion of ear canal on hearing

b)
Bone conduction is compared with that of the examiner
c)
Air conduction is compared with bone conduction
d)
Examines the effect of increased air pressure in ear canal on hearing

15.
In conducting Romberg test, the patient should;

a)
Stand with feet together, arms by the sides and eyes closed

b)
Walk along a straight line with eyes closed

c)
Walk along a straight line with eyes open and then eyes closed

d)
Stand with feet together, arms by the sides and eyes opened.

16.
The following are types of sensori-neural hearing loss except
a)
Presbycusis
b)
Otosclerosis
c)
Idiopathic
d)
Congenital

For Question 17 and 18 indicate whether the statements are TRUE of FALSE.

17.
a)
A pale and edematous nasal mucosa indicates the presence of sinusitis
__________

b)
A red and swollen nasal mucosa with mucopurutent discharge indicates
bacterial
sinusitis
_____________

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