Assessment of head/face/neck/lymphatic system

Question 1

lymph nodes function

Answer 1

filter lymph preventing harmful substances from entering circulation

Question 2

the lymph nodes are accesible for examination in which four areas

Answer 2

• head and neck
• arms
• axialle
• inguinal region

Question 3

normocephalic

Answer 3

a round symmetrical skull

Question 4

microcephaly

Answer 4

abnormally small head

Question 5

macrocephaly

Answer 5

abnormally large head

Question 6

lymph nodes expected outcome

Answer 6

moveable, discrete, soft, nontender

Question 7

lymph nodes unexpected findings

Answer 7

lymphopathy (enlargement)

Question 8

lymphopathy is due to

Answer 8

infection, allergy, neoplasm (i.e. mononucleosis)

Question 9

tracheal shift to the unaffected side is due to

Answer 9

aortic aneurysm, tumor, unilateral thyroid lobe enlargement, pneumothorax

Question 10

tracheal shift to the affected side

Answer 10

large atelectasis, fibrosis

Question 11

thyroid expected findings

Answer 11

nonpalpable

Question 12

thyroid assessment unexpected findings

Answer 12

• unilateral bulge (thyroid goiter, cyst, tumor)
• tenderness (subacute infections, trauma, radiation thyroiditis)

Question 13

auscltation of the thyroid should be done with which side of the stethoscope

Answer 13

bell

Question 14

auscltation of the thyroid should only be done when

Answer 14

thyroid is enlarged

Question 15

thyroid auscltation expected outcomes

Answer 15

no audible sounds

Question 16

thyroid auscltation unexpected findings

Answer 16

bruits

Question 17

bruits

Answer 17

• soft, pulsatile, whoosing, blowing sound best heard in the bell of a stethoscope
• accelerated or turbulent bloodflow

Question 18

bruits is caused by

Answer 18

toxic goiter, hyperthyroidism

Question 19

carotid artery expected outcome

Answer 19

palpable

Question 20

carotid artery unexpected outcome

Answer 20

nonpalpable

Question 21

ascultation of the carotid artery unexpected

Answer 21

bruits

Question 22

parkinsons syndrome effect on the face

Answer 22

• • immobility of the features causes a face that is flat and expressionless.
• “masklike” with elevated eyebrows, staring gaze, oily skin and drooling

Question 23

crushings syndrome effect on the face

Answer 23

• prethoric, rounded, moonface, prominate jowls, red cheeks, hirsustim on the upper lip, lower cheeks, and chin, uniform rash on the chest

Question 24

bells palsy effect on the face

Answer 24

• caused by herpes simplex
• complete paralysis of one half of the face

Question 25

stroke or cerebrovascular accident effect on the face

Answer 25

• paralysis of the lower facial muscles (upper half of the face is not effected)

Question 26

hyperthyroidism effect on the face

Answer 26

• goiter or exophthalmos (bulging eyeballs)

Question 27

myxedema (hypothyroidism) effect on the face

Answer 27

• puffy edematous face, especially around the eyes (periorbital edema), dry skin

Question 28

scleroderma effect on the face

Answer 28

skin tightness

Question 29

developmental consideration in infants

Answer 29

• head circumference measurements
• fontanelle assessment
• facial features
• neck strength, development

Question 30

developmental considerations in pregnancy

Answer 30

thyroid may be palpuable

Question 31

developemtal consideration in older adults

Answer 31

• senile tremors (benign head nodding)
• increased concave curve of c-spine with kyphosis