Chamberlain College of Nursing NR 509 APEA Test (HEENT) / NR 509 APEA Exam 2019 (HEENT): Advanced Physical Assessment- Questions and Answers with Explanations. (CORRECT ANSWERS ARE HIGHLIGHTED) Question 1 The function of the auditory ossicles is to: a.transmit the light reflex to the light cone. b.transform sound vibrations into mechanical waves for the inner ear. c.to capture sound waves from the external ear for transmission into the middle ear. d.to separate the inner ear from the middle ear. Explanation: The function of the auditory ossicles is to transform sound vibrations into mechanical waves for the inner ear Question 2 A 35-year-old patient complains of vertigo accompanied by nausea and vomiting. Examination reveals bilateral diplopia and an unsteady gait. These symptoms could be suggestive of: a.an arrhythmia.b.a neurological condition. c.an inner ear infection. d.orthostatic hypotension. Explanation: Vertigo symptoms associated with neurologic conditions include: ataxia, diplopia, and dysarthria. Symptoms associated with cardiovascular conditions and vertigo include arrhythmias, orthostatic hypotension, vasovagal stimulation, lightheadedness, weakness, or presyncope. Question 3: A 60-year-old was concerned about a yellowish colored lesion above her right eyelid. Findings revealed a slightly raised yellowish, well circumscribed plaque along the nasal area of her right eyelid. This finding is most