3.3 Head and Neck Exam

Question 1

age that fontanels close?

Answer 1

2 months to 2 years

Question 2

age that sutures ossify?

Answer 2

6-18 years

Question 3

prominent malar bones, widened nasal dorsum, frontal bossing

Answer 3

acromegaly

Question 4

severe micrognathia, glossoptosis, cleft palate

Answer 4

pierre robin sequence

Question 5

microcephaly, flattened nose, rounded medial canthus, up slanting eyes, protruding tongue

Answer 5

Down’s syndrome

Question 6

should not be able to palpate _______ lymph nodes, indicates abnormality of lungs/chest

Answer 6

supraclavicular

Question 7

• congenital type due to hematoma or partial rupture of the muscle at birth
• results in unilateral muscle shortening

Answer 7

torticollis (wryneck)

Question 8

• fork placed in midline of head
• patient asked if sound best heard in right or left ear
• normally sound will not lateralize

Answer 8

Weber test

Question 9

• compares air conducted and bone conducted sound

- fork activated and placed firmly against mastoid bone, asked if sound is louder in the ear or behind the ear

Answer 9

Rinne test

Question 10

_____ and _____ sinuses are present at birth, but ______ and _______ sinuses are not fully developed until late adolescence

Answer 10

maxillary and ethmoid, frontal and sphenoid