Question

which of the following is not an ear ossicle?
manubrium
malleus
incus
stapes
question 31 (mandatory) (2 points)
listen
during the routine eye examination you notice that both of your patients pupils are small, irregular, and fail to react when you shine your penlight into either pupil. with further examination you see the pupils constrict normally when the patient is looking at a near object. you decide to refer your patient for medical care because he may:
have a pancoast tumor which is causing these findings
have cataracts which need surgery
this is a normal finding - no referral is needed
be manifesting signs of neuro syphilis

Explanation:

• Ear ossicle question:
• The ear ossicles are the malleus, incus, and stapes. The manubrium is not an ear ossicle. It is part of the sternum.
• Eye examination question:
• Argyll - Robertson pupils (small, irregular pupils that do not react to light but react to accommodation) are a classic sign of neurosyphilis. A Pancoast tumor is related to Horner's syndrome (ptosis, miosis, anhidrosis). Cataracts affect the lens and do not cause this pupillary reaction. This is not a normal finding.

Answer:

• For the first question: The answer is manubrium.
• For the second question: The answer is be manifesting signs of neuro - syphilis.