Ethnographic Reaction Paper

Ethnographic Reaction Paper The Cheyenne individuals The Cheyenne individuals allude to the American Indians whose genealogical land lies on the western side of the Mississippi waterway. Financially they are pastoralists, trackers and finders. Socially, they live in towns while the network has factions, which separate the families.Advertising We will compose a custom article test on Ethnographic Reaction Paper explicitly for you for just $16.05 $11/page Learn More Politically, they have inborn chambers, which guarantee harmony inside the network. The following conversation sums up the social, social, monetary and political structures of the Cheyenne Indians, clarifying the effect of European investigation on their way of life. The Cheyenne Indians relocated to new places contingent upon their necessities. For example, financial undertakings like exchange and chasing, attack of their territory by the whites, and their itinerant way of life likewise impelled them to change their residences every now and again (Ho ebel 4). As indicated by the anthropological information, the Cheyenne Indians had diverse ID or names, which relied upon the individuals they experienced. A portion of the names used to allude to them incorporate, Chaa, Shahiyena and Shahiela among others (Hoebel 2). Contingent upon the territory of settlement, all the names had implications. At first, they relocated from their familial land for exchanging purposes. La Salle, a French pilgrim, was one of the men they depended on to start exchanging exercises their locale. In any case, in light of absence of instruments utilized in shaving creature hide, they needed to look for help from the European makers. Notwithstanding relying upon the game meat, they additionally made due on wild rice from the close by stream, just as organic products from the close by backwoods. They built their homes utilizing earth and barks of tree. Then again, some outer powers like war with different networks or clans like Ojibwa, Ute, Comanche, Kiowa an d Chippewa urged them to, structure military gatherings, yet additionally procure ponies and weapons for resistance purposes (Hoebel 8).Advertising Looking for exposition on human studies? How about we check whether we can support you! Get your first paper with 15% OFF Learn More Luckily, when the United States interceded on the regional issue, it isolated the Cheyenne Indians into two gatherings the Southern and Northern relying upon their area. The Cheyenne Indians had such huge numbers of social functions like the recharging of the bolt, which takes four days to finish. The Cheyenne Indians had medication men and boss clerics who managed the vast majority of the network ceremonies (Hoebel 20). The recharging of the holy bolt advanced solidarity among the individuals, blessed them and lectured the individuals to regard the standards of the network for their success. Besides, it was to stress the exceptional forces and the predominance of the main clerics and the prophets in the ne twork. Furthermore, the sun move is an image of virtue or new world. The ceremonial takes around eight days. Every day has unmistakable custom that individuals ought to perform. A portion of the trademarks in the function incorporate the multiplier, the erect horns and the sacrosanct mountain. The third service is the creature move, which guarantees the achievement of the chasing exercise, just as triumph during wars. The function takes around four days. In any case, dissimilar to the bolt reestablishment function, ladies have a task to carry out during the custom procedure. Socially, a family was an unmistakable structure in the way of life. The direct of young ladies and ladies was the focal point of the family. Pre-adult young ladies and young men didn't partner to guarantee virtue among young ladies. Admirers could just move toward young ladies however not entice them. In this manner, there were severe principles and guidelines concerning relationships and settlement was a compu lsory practice. There was a division of families relying upon their societal position. Property possession, the character of both the female and male individuals in the family and the capacity to assault different networks are a portion of the highlights, which classified a composite family as either rich or poor.Advertising We will compose a custom exposition test on Ethnographic Reaction Paper explicitly for you for just $16.05 $11/page Learn More There was Kinship in the family and the family conventions and standards, which the family needed to maintain carefully. The men were the tops of the families and ladies must be compliant. Ladies who veered off from the ordinary customs needed to confront discipline through whipping or suspension. There was a division of the families into Kindred, camps or groups relying upon the quantity of individuals/essential or families present. Every division spreads out guidelines on, which the individuals need to maintain. The related and camps s tructure military work force whose principle job is to ensure the network against outer attack. A portion of the military structures included Elk, fox, shield and bowstring. The military gatherings had an alternate number of warriors with a specific task to carry out inside the general public. What's more, there was an inborn chamber, which directed all the social, monetary and political exercises of the network. The committee of boss explained both inward and outside clashes. They additionally guaranteed that harmony won in the network. The boss had certain ethics like liberality, solidarity and shrewd among others, which qualified them as pioneers. Moreover, the Cheyenne Indians had open laws, which helped with tackling the interior and facades clashes. The laws guaranteed there was solidarity in the network by taking care of the inside issues. The greater part of the cases included homicide cases, conjugal issues, clashes over property and social. The law and equity structure con sidered changing of the current laws, authorization of the society’s law and the utilization of military work force and passing equity. There was a differentiation on the jobs of ladies and men and seldom mistaken assumptions resulted between the gatherings. Ladies were resource ranchers who gave vegetables and different types of grains while men were trackers and finders. The requirement for chasing ground consistently raised hostility between Cheyenne Indians and their neighbors. Thusly, the network imparted military strategies and courage among its men to advance victory.Advertising Searching for exposition on human studies? How about we check whether we can support you! Get your first paper with 15% OFF Find out More In spite of the fact that they had sub-par weapons contrasted with their foes, the Cheyenne troopers consistently indicated boldness as a result of the prize that lie ahead on any triumphant fight out successful. As prior referenced, the Cheyenne Indians had strict and ceremonial practices. They had strict men like the medication men who directed both conventional practices and petitions. All the social and strict practices were sacrosanct as well as polished in consecrated spots like on specific mountains. The social and social practices illuminated the character of the two people. In the mid to late nineteenth century, the Americans wayfarers, brokers and teacher attacked the Cheyenne Indians residence, which prompted changes in their way of life (Hoebel 119). The nearness of whites and the mining of gold prompted the episode of maladies like cholera. After the war, the Cheyenne Indians marked a settlement in 1851 with the whites. In any case, after two years, a war followed and th ere was marking of the second arrangement in 1861 stronghold insightful settlement (Hardorff 20). The bargains meddled with the social, financial and legislative issues structures of the locals since they needed to live under the standard of the Americans. Other than cultivating and instruction, they likewise needed to receive Christianity relinquishing their way of life. Their dressing styles and dialects changed because of the intrusion of the Americans. Expressly, finding out about the Cheyenne Indians has illuminated me on their customary practices, way of life and political structures. Other than being the locals of the Western side of the Mississippi waterway, they are additionally among the notable individuals in the American history. In the first place, I have found out about the purposes behind their relocation from the tribal terrains and they incorporate quest for new chasing grounds, experience and after outer attack from different networks. Monetarily, they depended on game meat, wild natural products, vegetables and wild rice for food. Second, the family is the most persuasive social structure among the Cheyenne Indians and every relative had a novel task to carry out. A portion of the social practices were additionally strict customs. The political structure incorporates the ancestral committee, law and equity and the military gathering. Be that as it may, the intrusion of the whites didn't just meddle with their social, financial and political settings yet in addition constrained them to gain new monetary practices like metal forger. Christianity assumed control over their conventional customs and religion. In the contemporary society, the Cheyenne Indians consider themselves the morning star individuals and monetarily they have enormous stops of coal utilized for age of power. At long last, through prehistoric studies, the historical backdrop of the Cheyenne Indians is obvious to the contemporary world (Haviland et al. 10) as it is the situati on in the above conversation. Generally, the Cheyenne Indians are among the locals of the United States of America. Other than their itinerant way of life, the intrusion of the whites into their country didn't just upset their social legacy yet in addition changed their financial, political and social highlights. Be that as it may, in the contemporary society globalization has absolutely meddled with their way of life. Hardorff, Richard. Cheyenne recollections of the Custer battle. Nebraska: University of Nebraska Press, 1998. Print. Haviland, William, Harald, Prins, and Walrath, Dana. The Essence of Anthropology. United State: Wadsworth Publishing Company, 2009. Print. Hoebel, Adamson. The Cheyennes: Indians of the Great Plains (Case Studies in Cultural Anthropology. US: Wadsworth Company, 1978.

Total computer Inc Case Study Example | Topics and Well Written Essays - 250 words

All out PC Inc - Case Study Example Despite the fact that he expresses that the cash demonstrated is right, he doesn't express the specific cash. For this affirmation to be utilized in altering extra data from archives that show that the exchange occurred, for example, money receipts and conveyance records. In the last model, the inspector didn't get an affirmation reaction by email. This required the endeavor of extra methods, for example, assessment of money receipts and the agreement between Total Computer Inc and Dot. Bomb Inc. These extra strategies helped in masterminding installments and adjusting procedural issues where there was an infringement of the agreement between these two organizations. When managing money due equalizations, assessment of the all around expressed affirmation records are satisfactory for reviewing. Notwithstanding, in situations where the reviewer isn't in a situation to get the affirmation messages, extra methods can be completed. These are archives that demonstrate the presence of the exchange or the attestation. This extents from money receipts, transporting documentation and others that show that the exchange took

Should The Pin-Up Photographs And Calendars Have Been Taken Down Essay - 1

Should The Pin-Up Photographs And Calendars Have Been Taken Down - Essay Example This author’s sentiment is that the pin-up photos and schedules ought to have been brought down. In any case, it would have been progressively judicious to convey to representatives why they would be brought down. A basic explanation could be that individual pin-up photos and schedules, or some other individual banner so far as that is concerned, are not permitted in the work environment as an employer’s rule. The work environment is, all things considered, the employer’s property. It might likewise be contended that the pin-up photos and schedules make an explicitly antagonistic condition for ladies, as it accomplished for Barbara Hill. A lady isn't required to work in an explicitly threatening workplace when she accepts a position where a large portion of her associates are men. She has the privilege to work in a situation liberated from lewd behavior and she is qualified for work where female representatives are not made awkward in view of their sex. These mig ht be the very reasons why the manager chose to bring down the pin-up photos and schedules, just as shared Barbara Hill's perspectives with respect to them. The boss may have trusted it in his capacity or power to bring down the hostile materials. In any case, albeit as indicated by Chambers, explicitly interesting or unequivocal photographs can be utilized to help an unfriendly situation guarantee, he likewise battles that threatening condition law includes divergent treatment, not dissimilar effect. Funk, in this way contends there is no legal help for precluding realistic portrayals in the working environment as long as no sexual orientation is was caused to feel mediocre or rewarded in an unexpected way.

Is consociational democracy democratic Essay

Today, popular government is both an inescapable nearness and an esteemed image in European politics1. Scholars of the idea for the most part concede to the essential standards of vote based system yet have would in general contrast drastically in their origination of famous principle and just practices2. Subsequently, it was fairly inescapable that majority rule government as a perfect rose in various structures over the differing social orders common in Western Europe. Arend Lipjpharts fundamental work on Ëœconsociational democracies3 added to law based hypothesis concerned principally with political solidness of law based systems in plural societies4. The vote based reasonability of Lipjpharts hypothesis has as of late been raised doubt about however5. What at that point is Ëœdemocracy? Setting up the benchmarks of the idea at the start will permit us to assess the degree to which Ëœconsociational vote based system can be viewed as Ëœdemocratic. An evaluation of the key subjects of Lipjpharts hypothesis that of Ëœgrand alliances, Ëœsegmental self-governance, Ëœproportionality and Ëœminority veto separately will set the structure to the accompanying conversation. Drawing models from the Belgian and Swiss Ëœconsociational systems will give delineations of the rising contention that consociational vote based system is undemocratic6. Abraham Lincoln broadly portrayed the idea of Ëœdemocracy as Ëœgovernment of the individuals, by the individuals, for the people7. Lincolns conspicuous expression embodies three basic standards, which, generally interpreted, imply that we as residents administer through ideological groups speaking to our inclinations; practice our decision through establishment to choose those in charge; and reserve the privilege to consider people in power responsible for their activities. Additionally, the fourth striking trademark noted by scholastics is that majority rule government speaks to political stability8. For Lipjphart, Å"consociational vote based system implies government by tip top cartel intended to transform a vote based system with a divided political culture into a stable democracy 9. ËœGrand alliances would be utilized to keep social decent variety from being changed into Å"explosive social segmentation 10. Legislative issues, by its very nature, benefits from clashes emerging from social heterogeneity11 and the steadiness of isolated social orders frequently relies upon whether the elites of opponent subcultures are willing and ready to dismiss encounter for compromise12. A great alliance empowers political pioneers of the considerable number of portions of the plural society to mutually oversee the country13. Nobel prize winning market analyst Sir Arthur Lewis supports the framework by contending that all who are influenced by a choice ought to get the opportunity to take part in settling on that choice, in light of the fact that Å"to bar losing bunches from cooperation unmistakably disregards the essential importance of democracy 14. In this sense, by grasping the idea of fabulous alliance, consociationalism can be supposed to be Ëœdemocratic15. There is, in any case, proof to recommend that by and by the standard of Ëœgrand alliance doesn't cling near the benchmarks of vote based system. The Belgian administrative field has generally speaking remained genuinely shut to non-column parties, which appears to repudiate the very embodiment of terrific alliance government16. In Switzerland, despite the fact that the significant gatherings are spoken to on generally corresponding grounds in the Federal Council, the agents are not generally those named by the party17. Does this falsehood easily with the underlying origination of vote based system as government Ëœof the individuals? Who cares about accountability? Since the Federal Council settles on its choices in a collegial way, no gathering can hold its agent government legitimately responsible18. The Swiss consociational framework can't along these lines be supposed to be really responsible to the electorate in spite of one of the essential standards of democracy19. Additionally, the Swiss submission framework has regularly featured defects innate in a Ëœgrand alliance. Despite the fact that the result of an approach choice is one of Ëœamicable understanding among the first class, it may be restricted by 49% of the electorate at referendum20. Papadopoulos contends that the serious issue originates from the way that, since certain choices are taken toward the finish of the procedure by mainstream vote, it adequately avoids any further intrigue or bargaining21. Can the Ëœgrand alliance framework really concur with the fair guideline of representativeness if restricting aggregate choices might be taken on little well known majorities?22 Furthermore, since pleasing techniques are not generally viable, they are all the more effectively gridlocked23 and conceivably unstable24. Therefore, it appears that first class convenience doesn't satisfy its proposed settling capacity and in this way doesn't adjust to a definitive suggestion of equitable steadiness. In all popular governments power is essentially isolated to certain degrees between the focal and non-focal governments so as to maintain a strategic distance from a centralization of power25. The Ëœconsociational school, propelled by the works of Tocqueville, considers decentralization to be power as the quintessence of popularity based government26. The rule of Ëœsegmental independence tries to guarantee that dynamic authority is, however much as could reasonably be expected, assigned to the different developments of society while issues of regular intrigue are chosen together. Interestingly with larger part rule, it might be described as Å"minority rule over the minority itself in issues that are their elite concern 27. This follows from Jan-Erik Lanes recommendation that every single cultural gathering will regard the guidelines of vote based system on the off chance that they have self-governance over their own affairs28. Federalism is the most popular technique for giving segmental self-sufficiency to various gatherings in the public arena. Segmental self-governance may likewise be given on a non-regional premise which is of specific importance to plural social orders where unmistakable sub-social orders are not geologically thought. Such non-regional self-rule described the Belgian framework preceding its change into a government state in 1993. Switzerland is likewise a bureaucratic state wherein power is partitioned between the focal government and various cantonal governments. The two frameworks, as indicated by Tocquevilles examination, are helpful for vote based system. It is obvious that one of the auxiliary qualities of segmental self-sufficiency as federalism is that the littler segment units are overrepresented in the government chamber a lot of administrative seats surpasses a lot of the population29. The most extreme augmentation of this guideline is by all accounts equity of portrayal paying little heed to the part units populace. Such equality is apparent in Switzerland where two agents represent each canton. Could an overrepresentation of minorities be genuinely law based on the off chance that it ignores the desire of the dominant part? Also, the structure segmental self-rule takes in the Netherlands is that column associations in zones, for example, training, social insurance and lodging are perceived and financed by the administration. Every association has significant impact in the running of their arrangement part, yet the expanding mediation of the state in forcing guidelines implies that Å"the associations that are self-sufficient in name are, by and by, semi legislative agencies 30. In this way, it tends to be contended that the columns are to a degree not, at this point fairly illustrative of the social orders they represent. What of vote based dependability? In the Swiss setting, exceptionally decentralized federalism has been blamed for being an obstacle of viable government31 and Belgiums new arrangement of administrative consociationalism is bipolar, which isn't generally a decent condition for its smooth operation32. Å"There can be no uncertainty that the appropriation of an arrangement of chose authoritative officials has a most indispensable impact during the time spent democracy 33. The idea of Ëœproportionality fills in as the essential standard of political representation34. The standard of proportionality, said to be so vital to the Ëœpolitics of settlement, endeavors to guarantee that all gatherings approach state resources35. For sure, it appears that if divided clash is multi-dimensional, a two-party framework must be viewed as a Å"electoral restraint that can scarcely be viewed as justly better than a multi-party framework mirroring the entirety of the significant issue alternatives 36. Besides, in two-party frameworks the gathering increasing a general greater part will in general be overrepresented in parliament, though casts a ballot convert into seats relatively through the reception of corresponding representation37. The Swiss consociational framework, makes portrayal a stride further through referenda, whereby the general population viably have a veto on state policy38. Hence, with respect to portrayal, doubtlessly consociational vote based system procures the higher just ground. Then again, regardless of whether we yield that Ëœproportionality is increasingly Ëœrepresentative, it is certain that a characterizing normal for consociational majority rules system is the nonappearance of rivalry since the battling is aimed at the preparation of the sub-social supporters, not at rivalry with different gatherings. Rivalry between parties is, be that as it may, a characterizing highlight of democracy39, coming from the thought of opportunity and decision. Will non-rivalry be compared with nonappearance of decision and along these lines be viewed as undemocratic? Alternately, certain scholastics have contended that in its unadulterated structure the arrangement of relative portrayal Å"generally reverse discharges and may end up being the kiss of death 40. In reality, party volatilities may have huge ramifications for the political procedure in consociational democracies41. The Swiss party framework is exceptionally fragmented42, and the expanding fractionalisation of the gathering framework in Belgium has prompted high unpredictability decisions and instability43. Does this hold fast to the majority rule idea of security? Additionally, in the Swiss setting it might be contended that choices are fundamentally majoritarian in their belongings, since they are normally chosen by

Suppliers Relationship at Pfizer Essay Example | Topics and Well Written Essays - 2000 words

Providers Relationship at Pfizer - Essay Example As of third quarter of 2010, the organization announced its all out income of $16.2 billion regardless of the monetary downturn in certain pieces of the world (Pfizer, 2010 c). This figure is 39% more than the all out income of Pfizer during the third quarter of 2009. (See Table I †Comparison between Pfizer’s third Quarter Revenue somewhere in the range of 2009 and 2010 underneath) before, dominant part of the buyers are scanning for a wide-scope of wellsprings of crude materials given that the provider can offer the organization the most reduced market cost for a similar item (Gadde and Hakansson 1993, pp. 165 †166). Today, buyers are after the need to build up a drawn out cooperative relationship with its providers so as to benefit less expensive excellent crude materials (Chobra and Meindl 2001; Araujo, Dubois and Gadde 1999; Bensaou 1999). According to the business development of Pfizer, this report wide-scope of will examine about the significance and ways on th e most proficient method to appropriately deal with the flexibly side of crude materials by setting up a decent connection with its providers. Beside talking about the various degrees of association in which Pfizer can build up great connection with its providers, this report will examine a few methodologies that will empower Pfizer keep up a solid and enduring relationship with its licensed providers. Provider relationship the board has been a typical practice in flexibly chain the executives of global organizations like Pfizer. As clarified by Wisner, Tan and Leong (2009, p. 95).

Psychiatric Hospitalization for Troubled Teens

Psychiatric Hospitalization for Troubled Teens Theories Behavioral Psychology Print Psychiatric Hospitalization for Troubled Teens By Amy Morin, LCSW facebook twitter instagram Amy Morin, LCSW, is a psychotherapist, author of the bestselling book 13 Things Mentally Strong People Dont Do, and a highly sought-after speaker. Learn about our editorial policy Amy Morin, LCSW Updated on September 20, 2019 Tetra Images/Getty Images   More in Theories Behavioral Psychology Cognitive Psychology Developmental Psychology Personality Psychology Social Psychology Biological Psychology Psychosocial Psychology Psychiatric hospitals provide the highest level of treatment available to teens and are intended for the short-term stabilization of serious mental health issues. A hospital setting provides  a locked environment with constant clinical supervision to ensure their safety.   When Is a Psychiatric Hospital Needed? Similar to a hospital for physical problems, a psychiatric hospital is set up to deal with mood or behavioral changes that come on suddenly and require intense structure and intervention to keep the teen safe. Situations Requiring Hospitalization Suicide attempt Threatening someone with a weaponHallucinationsUncontrollable physical rage Manic episodes Teens require different treatment from adults. So its important for teens to be placed on an adolescent unit where the ?staff is trained in dealing with younger patients. Transporting Troubled Teens to Treatment Treatment in an Adolescent Psychiatric Hospital The two most important things to know about psychiatric hospitals are:  The treatment is fast-paced and intense.  The length of stay will be very short, usually several days. Hospitals for mental health issues are intended to thoroughly evaluate the crisis, act quickly to stabilize the teen and develop a plan for continued care. A comprehensive evaluation begins at the time of admission and is completed by interviewing the teen, family members and mental health or school professionals who have worked with the teen and can provide relevant information.  This assessment considers the prior history of problems in mood or behavior, use of drugs or alcohol, previous treatment, physical illness or symptoms, and family history of mental illness. Hospitals use a treatment team approach with an extensive staff of professionally trained personnel. Team members may include psychiatrists, psychologists, substance abuse counselors, therapists, social workers, nurses, activity therapists, teachers and more. Professionals from each discipline evaluate the teen and make recommendations for treatment both in the hospital and after discharge.   While in the hospital teens participate in numerous daily structured activities to include: Psychological testingIndividual therapy  Group therapy with other hospitalized teensAcademic programs to help keep up with schoolOccupational, recreational and art therapies  Family therapy focused on immediate concerns and next stepsMulti-family groups - many hospitals suggest families continue in these groups as part of aftercare Psychological Evaluations for Troubled Teens Discharge Planning Discharge planning  refers to specific plans made for the aftercare or follow-up treatment the teen will participate in upon leaving the hospital. Depending on how well the teen responds to treatment in the hospital, follow-up programs will be recommended. Some teens may require residential treatment, while others may benefit from  day treatment. If medication and efforts at stabilization create significant changes then a lower level of care such as an alternative school or intensive outpatient therapy may be appropriate. Once the reasons for the crisis are identified and a teen is considered stable by the treating psychiatrist and hospital staff, a case manager  will work on the discharge plan.  A case manager works with parents on setting up aftercare services. Referrals to a therapist, psychiatrist, or other service providers will be made. Usually, a case manager will set up follow-up appointments to ensure that the teen remains healthy once shes discharged home. Sometimes, parents feel like a teen is being rushed out of the hospital. They fear their teen hasnt recovered enough or they worry that safety issues arent completely resolved. Its important to make sure you have a clear understanding of your teens discharge instructions; and follow-up with ongoing service providers to keep your teen mentally healthy. Unfortunately, short stays are the reality of psychiatric hospitals. They are expensive to operate and are intended to assess the teen, stabilize the crisis and provide expertise in helping transition the teen into a less intensive program. Support Groups for Parents of Troubled Teens

EENT Blueprint

Welcome to episode 33of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue tocover topic specific PANCE and PANRE review from the Academy course content following the NCCPA content blueprint. This week we will be covering 10 topic specific EENTboard review questions. Eyes, Ears Nose and Throat accounts for 9% of your PANCE/PANRE board exam. Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full EEMTreview includes over 111 EENTspecific questions andis available to all members of the PANCE and PANRE Academy. You can download and listen to past FREE episodes here,oniTunesor StitcherRadio. You can listen to the latest episode, take an interactive quizand download your results below. Listen Carefully Then Take The Quiz If you can't see the audio player click here to listen to the full episode. EENTPANCE and PANREPodcast Quiz The Audio PANCE and PANRE EENT Quiz 1 Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Start Question 1A 4 year-old child presents with a rapid onset of high fever and extremely sore throat. Which of the following findings are suggestive of the diagnosis of epiglottitis?ACroupy cough and droolingBThick gray, adherent exudateHint: Thick gray adherent exudate is suggestive of diphtheria.CBeefy red uvula, palatal petechiae, white exudate Hint: Beefy red uvula, palatal petechiae, and white exudate are findings suggestive of streptococcal pharyngitis.DInflammation and medial protrusion of one tonsilHint: Inflammation with medial protrusion of the tonsil is suggestive of a peritonsillar abscess.Question 1 Explanation: A croupy cough with drooling in a patient who appears very ill is consistent with epiglottitis. Examining the throat is contraindicated, unless the airway can be maintained.Question 2Which of the following are normal findings in a Weber test?AThe tympanic membrane is movable with pneumatic otoscopy.Hint: A movable tympanic membrane indicates there is no effusion, and is not the Weber test. BThe tympanic membrane is pearly gray with a sharp cone of light with apex at the umbo.Hint: The tympanic membrane is evaluated by direct observation with an otoscope, and is not the Weber test.CSound is heard equally in both ears when a vibrating tuning fork is placed on the mid forehead. DAir conduction is greater than bone conduction when a vibrating tuning fork is moved from the mastoid bone to close to the ear canal.Hint: A normal Rinne test means that tuning fork vibration is heard longer through the air than the bone.Question 2 Explanation: A normal Weber test means there is no lateralization of sound perception when a vibrating tuning fork is placed on the mid forehead.Question 3Which of the following is diagnosed by use of the cover/uncover test?AAdie's pupilHint: Adie's pupil is a sluggish pupil reaction to light and accommodation, evaluated by papillary reaction to light.BStrabismus CGlaucoma Hint: Tonometry is used to measure intraocular pressure to evaluate for glaucoma.DMyopiaHint: Myopia is evaluated by using a Snellen chart.Question 3 Explanation: The cover/uncover test is used to diagnose strabismus.Question 4A 45 year-old male complains of loss of hearing in his left ear. He also complains of ringing in the ear, and has had occasional dizziness. On exam, there is unilateral left-sided sensorineural hearing loss and a diminished corneal reflex. Neuro exam is otherwise normal. TMs are normal, and canals are clear. Neck is supple, without adenopathy. Oropharynx is normal. Of the following, the best diagnostic study to identify the cause of this patient's complaints isAauditory brainstem evoked response. Hint: See B for explanation.Bgadolinium-enhanced MRI.Cacoustic reflex testing.Hint: See B for explanation. Dvestibular testing.Hint: Vestibular testing is not a useful screening test for acoustic neuromas.Question 4 Explanation: MRI has replaced auditory brainstem evoked response and acoustic reflex testing in the evaluation of patients for acoustic neuromasQuestion 5A 23 year-old graduate student presents with sudden onset of severe dizziness, with nausea and vomiting for the past couple of hours. She denies hearing loss or tinnitus. She has had a recent cold. Which of the following is the most likely diagnosis?AMà ©nià ¨re's diseaseHint: Mà ©nià ¨re's disease is associated with hearing loss, tinnitus, and vertigo that lasts from seconds to hours.BVestibular neuronitisCBenign positional vertigoHint: Benign positional vertigo occurs with changes in position, especially rapid movements of the head. Nausea may occur, but vomiting is not significant.DVertebrobasilar insufficiencyHint: Vertebrobasilar insufficiency is usually accompanied by brain stem findings, such as diplopia, dysarthri a, or dysphagia, and is not common in this age group.Question 5 Explanation: Vestibular neuronitis or labyrinthitis presents with vertigo, nausea, and vomiting, but not hearing loss or tinnitus. It is related to viral URIs, and develops over several hours, with symptoms worse in the first day, with gradual recovery over several days.Question 6A 4 year-old boy presents with purulent, foul-smelling nasal discharge for three days. He has not had any other symptoms of respiratory illness, cough, wheeze, or fever. His activity level and appetite has been normal. On exam, he is afebrile. TM's have normal light reflex, canals are clear. Left nare is clear; there is considerable amount of purulent exudate from the right nare, and a bright reflection of light is noticed. Oropharynx is without inflammation or exudate. Neck is supple, without lymphadenopathy. Lungs are clear, with equal breath sounds and no wheezing. Heart has regular rhythm without murmurs. Which of the following is the most likely diagnosis?AViral URIHint: Viral URI does not present with foul-smelling nasal discharge.BAcute sinusitisHint: Acute sinusitis may present with purulent nasal discharge, but the observation of a bright light reflection suggests a foreign body.CAllergic rhinitisHint: Allergic rhinitis is seasonal, associated with sneezing and other allergy-related symptoms. DNasal foreign bodyQuestion 6 Explanation: Nasal foreign body is suggested by unilateral nasal obstruction or discharge.Question 7A 59 year-old male complains of "flashing lights behind my eye" followed by sudden loss of vision, stating that it was "like a curtain across my eye." He denies trauma. He takes Glucophage for his diabetes mellitus and atenolol for his hypertension. He has no other complaints. On funduscopic exam, the retina appears to be out of focus. Which of the following is the most likely diagnosis?ACentral retinal vein occlusionHint: Central retinal vein occlusion causes painless, variable loss of vision. Ex am shows retinal hemorrhages in all quadrants and edema of the optic disk.BRetinal artery occlusionHint: Retinal artery occlusion presents with sudden, painless loss of vision. Exam shows pale retina with normal macula, seen as a cherry-red spot.CRetinal detachmentDHyphemaHint: Hyphema is usually associated with trauma, and is a collection of blood in the anterior chamber.Question 7 Explanation: Patients with retinal detachment frequently complain of flashes of light or floaters that occur during traction on the retina as it detaches. This is followed by loss of vision. In small detachments, the retina may appear out of focus, but with larger detachments, a retinal fold may be identified.Question 8A 64 year-old woman complains of headache and left eye pain for about a day. She says it started yesterday as a dull ache and now is throbbing. She also complains of nausea and vomiting, which she attributes to the popcorn she ate at the movie theater yesterday afternoon. On exam, the left pupil is mid-dilated and nonreactive. The cornea is hazy. A ciliary flush is noted. Which of the following is the most likely diagnosis?AMigraine headacheHint: Migraine headache does not present with eye findings.BTemporal arteritisHint: Temporal arteritis presents with headache and systemic symptoms of fever, myalgias, anorexia, and tenderness over the temporal artery.CAcute glaucomaDRetinal artery occlusionHint: Retinal artery occlusion presents with sudden, painless, severe loss of vision. There are no systemic symptoms.Question 8 Explanation: Acute glaucoma often presents with abdominal complaints that may delay diagnosis. Findings of ciliary flush, mid-dilated and nonreactive pupil, and hazy cornea in a patient with severe eye pain are consistent with acute angle closure glaucoma.Question 9The most reliable sign of acute otitis media (AOM) isAbulging of the tympanic membrane.Hint: Bulging and air bubbles behind the TM represent OM with effusion.Bloss of tympanic membrane mobil ity.Creddening of the tympanic membrane.Hint: Reddening of the eardrum is not reliable as it may be due to crying or other vascular changes. Dair bubbles behind the tympanic membrane.Hint: See A for explanation.Question 9 Explanation: Loss of tympanic membrane mobility during pneumoinsufflation is the most reliable sign for diagnosing acute otitis media.Question 10A patient presents with eye pain and blurred vision. Snellen testing reveals vision of 20/200 in the affected eye and 20/20 in the unaffected eye. Fluorescein staining reveals the presence of a dendritic ulcer. Which of the following is the most likely diagnosis?AViral keratitisBFungal corneal ulcerHint: Fungal corneal ulcers have an indolent course with intraocular infection being common but fluorescein staining is negative for a dendritic pattern.CAcanthamoeba keratitis Hint: Acanthamoeba keratitis has a waxing and waning course over several months and has no fluorescein staining in a dendritic pattern.DBacterial corneal ulcerHint: Bacterial corneal ulcers can progress aggressively resulting in corneal perforation. Fluorescein staining does not occur in a dendritic pattern.Question 10 Explanation: Herpes Simplex virus is a common cause of dendritic ulceration noted on fluorescein staining.Question 11Small grayish vesicles and punched-out ulcers in the posterior pharynx in a child with pharyngitis is representative of which organism?AEpstein-Barr virusHint: Epstein-Barr virus presents with enlarged tonsils with exudates and petechiae of the palate.BGroup C Streptococcus Hint: Group C Streptococcus presents with a red pharynx and enlarged tonsils with a yellow, blood tinged exudates CCoxsackievirusDGonorrheaHint: Neisseria gonorrhea of the pharynx may be asymptomaticQuestion 11 Explanation: Coxsackievirus presents with small grayish vesicles and punched-out ulcers in the posterior pharynx. There are 11 questions to complete. List Return Shaded items are complete. 1234567891011 Return You have completed questions question Your score is Correct Wrong Partial-Credit You have not finished your quiz. If you leave this page, your progress will be lost. Correct Answer You Selected Not Attempted Final Score on Quiz Attempted Questions Correct Attempted Questions Wrong Questions Not Attempted Total Questions on Quiz Question Details Results Date Score Hint Time allowed minutes seconds Time used Answer Choice(s) Selected Question Text All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joiningThe PANCE and PANRE Exam Academy. I will bereleasing new episodes every few weeks. The Academy isdiscounted, so sign up now. Resources and Show Notes: My list of recommended PANCE and PANRE review books My secretly hidden 50 Question EENT Board Review (HINT IT IS FREE) Click Here USE CODE PALIFE TO GET 10% OFF THE RUTGERS PANCE AND PANRE REVIEW COURSE This Podcast is also available on iTunes and Stitcher Radio for Android iTunes:The Audio PANCE AND PANRE Podcast iTunes Stitcher Radio:The Audio PANCE and PANRE Podcast Stitcher document.createElement('audio'); http://traffic.libsyn.com/pasquini/Episode_33_-_EENT_1_-_The_Audio_PANCE_and_PANRE_Board_Review_Podcast.mp3Podcast: Download () | EmbedSubscribe: Apple Podcasts | Android | Email | Google Podcasts | Stitcher | RSS | PANCE and PANRE Podcast PlayerView all posts in this seriesThe Audio PANCE and PANRE Board Review Podcast Episode 1The Audio PANCE and PANRE Board Review Podcast Episode 3The Audio PANCE and PANRE Board Review Podcast Episode 5The Audio PANCE and PANRE Board Review Podcast Episode 7The Audio PANCE and PANRE Board Review Podcast Episode 9The Audio PANCE and PANRE Board Review Podcast Episode 11The Audio PANCE and PANRE Board Review Podcast Episode 13The Audio PANCE and PANRE Board Review Podcast Episode 15The Audio PANCE and PANRE Board Review Podcast Episode 17The Audio PANCE and PANRE Board Review Podcast Episode 19The Audio PANCE and PANRE Board Review Podcast Episode 21The Audio PANCE and PANRE Board Review Podcast Episode 23The Audio PANCE and PANRE Board Review Podca st Episode 25Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39Episode 41: The Audio PANCE and PANRE Board Review PodcastEpisode 43: The Audio PANCE and PANRE Board Review PodcastMurmur Madness: The Audio PANCE and PANRE Episode 45Episode 47: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 49: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 51: The Au dio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 53: General Surgery End of Rotation Exam The Audio PANCE and PANRE PodcastEpisode 55: The Audio PANCE and PANRE Board Review PodcastEpisode 57: The Audio PANCE and PANRE Board Review PodcastEpisode 59: Emergency Medicine EOR The Audio PANCE and PANRE Board Review PodcastEpisode 61: The Audio PANCE and PANRE Board Review PodcastEpisode 63: The Audio PANCE and PANRE PA Board Review PodcastPodcast Episode 65: Hepatitis B Breakdown With Joe Gilboy PA-CPodcast Episode 67: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 69: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 71: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 73: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 75: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 77: The Audio PANCE and PANRE Board Review Podcast You may also like -Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37Welcome to episode 37of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue tocover topic specific PANCE and PANRE review from the Academy course content following the NCCPA content []Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35Welcome to episode 35of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue tocover topic specific PANCE and PANRE review from the Academy course content following the NCCPA content []Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29Welcome to episode 29of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Over the next few episodes, I will be covering topic specific PANCE and PANRE review from the Academy course content following the NCCPA []