Question

question 45 (mandatory) (2 points)
when performing an otoscopic examination on an adult, which of the following is true?
you pull the pinna up and back before inserting speculum
use the smallest speculum in order to decrease the amount of discomfort
once the speculum is in the ear you may release the traction
tilt the persons head toward you for easier speculum insertion
question 46 (mandatory) (2 points)
your patient is experiencing headache, nausea, vomiting, and visual disturbances. which of the following is the most likely cause?
cervicogenic headache
migraine headache
cluster headache
trigeminal neuralgia

Explanation:

Question 45

When performing an otoscopic examination on an adult, pulling the pinna up and back straightens the ear canal for better visualization. Using the smallest speculum may not provide the best view. Traction should be maintained during the exam. Tilting the head away (not toward) helps in insertion.

Migraine headache is often associated with headache, nausea, vomiting, and visual disturbances (aura). Cervicogenic headache is related to neck issues. Cluster headache has a different pattern (e.g., unilateral, periorbital). Trigeminal neuralgia is sudden, severe facial pain.

Answer:

You pull the pinna up and back before inserting speculum

Question 46