During an oral examination of a 4-year-old Native-American child, ...

[theo]

During an oral examination of a 4-year-old Native-American child, the nurse notices that her uvula is partially split. Which of these statements is accurate?
 
  a. This condition is a cleft palate and is common in Native Americans.
  b. A bifid uvula may occur in some Native-American groups.
  c. This condition is due to an injury and should be reported to the authorities.
  d. A bifid uvula is palatinus, which frequently occurs in Native Americans.

Question 2

A patient comes into the clinic complaining of facial pain, fever, and malaise. On examination, the nurse notes swollen turbinates and purulent discharge from the nose. The patient also complains of a dull, throbbing pain in his cheeks and
 
  teeth on the right side and pain when the nurse palpates the areas. The nurse recognizes that this patient has:
  a.
  Posterior epistaxis.
  b.
  Frontal sinusitis.
  c.
  Maxillary sinusitis.
  d.
  Nasal polyps.

[mcarey591]

Answer to Question 1

ANS: B
Bifid uvula, a condition in which the uvula is split either completely or partially, occurs in some Native-American groups.

Answer to Question 2

ANS: C
Signs of maxillary sinusitis include facial pain after upper respiratory infection, red swollen nasal mucosa, swollen turbinates, and purulent discharge. The person also has fever, chills, and malaise. With maxillary sinusitis, dull throbbing pain occurs in the cheeks and teeth on the same side, and pain with palpation is present. With frontal sinusitis, pain is above the supraorbital ridge.