Assessment of nose, mouth, throat Flashcards

1
Q

which sinuses are accessible fro examination

A
  • frontal
  • maxiallary
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2
Q

parnasal sinuses

A

air-filled pockets within the cranium

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3
Q

tubinates function

A

increase the surface area so that more blood vessels and mucous membranes are avaliable to warm, humidify, and moisten air

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4
Q

how many permanant teeth do adults have

A

32

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5
Q

temporary teeth that children have are called

A

deciduous teeth

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6
Q

epistaxis

A

nosebleeds

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7
Q

expected color of the sinuses

A

light red color or pink, smooth, mosit surface

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8
Q

expected upon palpatation of the sinuses

A

no pain or tenderness

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9
Q

circumoral pallor

A

whiteness around the lips

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10
Q

circumoral pallor is indicative of

A

shock and anemia

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11
Q

cyanosis

A

blushish tinge

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12
Q

cheilitis (perleche)

A

swollen patches and crackeling at the corners

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13
Q

cheilitis (perleche) is indicative of

A

herpes simplex and other lesions

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14
Q

halitosis

A

bad breath

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15
Q

maloccclusion

A

if tooth loss occurs, teeth drift, causing upper and lower incisors to protrude

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16
Q

rhinorrhea

A

discharge

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17
Q

rhinorrhea occurs with

A

colds, allergies, sinus infection, or trauma

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18
Q

trauma and cocaine use may cause

A

diviated septum

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19
Q

epistaxis can occur with

A

trauma, vigourous nose blowing, use of nonsteriodal anti-inflammatory drugs or anticoagulant medications, foreign body or cocaine use

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20
Q

how should a patient treat nossebleeds

A

should sit with head up tilted forward and pinch the nose between the thumb and the forefinger for 5-15 minutes

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21
Q

what is the main factor in tooth decay and periorbital disease

A

sugar

22
Q

untreated dysphagia increases risk for

A

aspiration pneumonia, malnutrition, and dehydration

23
Q

odynophagia

A

pain upon swallowing

24
Q

prolonged bottle use increases risk for

A

tooth decay and middle ear infections

25
Q

polyps

A

smooth, pale grey, avascular, motile and nontender growths

26
Q

periorbital disease is linked with

A

cardivascular disease, diabetes, pulmonary infections, kidney disease, and osteoporosis

27
Q

caries

A

decay

28
Q

enamel erosion is indicative of

A

eating disorder

29
Q

malocclusion

A

protrusion of the upper or lower incisors

30
Q

dark line on the gingival margins occurs with

A

lead and bismuth poisioning

31
Q

macroglossia

A

enlargement of the tongue
- occurs with allergic and anaphylatic reactions)

32
Q

saliva is decreased with

A

anticholinergic medications

33
Q

saliva is increased with

A

neurological disfunction and gingivostomatitis

34
Q

drappled brown patches are present on the buccal mucousa in

A

adisons disease (chronic adrenal insufficency)

35
Q

the stensens duct becomes red in

A

mumps

36
Q

kopiks spots

A

early prodomanal sign of measles

37
Q

stensens duct expected finding

A
  • opening of the paratoid salivary gland
  • small dimple opposite to the second molar
38
Q

leukodedma

A

a benign greyish opaque area that may be present along the buccal mucosa
- more common in people of african or asian decent

39
Q

leukoplakia

A

a chalky raised patch (is abnormal)

40
Q

torus palatinus

A
  • normal modular bony ridge
  • arises after puberty and is more common in indigenous peoples an dpeople of african or asian decent
41
Q

oral kaposi sacrcoma

A
  • most common early leasion in people with AIDS
42
Q

1+ tonsils

A

tonsils are visable

43
Q

2+ tonsils

A

tonsils are between the pillars

44
Q

3+ tonsils

A

tonsils are touching the uvula

45
Q

4+ tonsils

A

tonsils (one or both) are extended to the midline of the oropharynx

46
Q

bifid uvula

A

looks as if the uvula is spilt in 2

47
Q
  • posterior pharyn is red with white patches
  • tonsils are large with white patches
  • uvula is red and swollen
A

viral pharyngitis and tonsilitis

48
Q
  • tonsils, pillars, and uvula are very red and swollen, with patches of white or yellow exudates on the tonsils
  • posterior pharynx is bright red
  • patient reports soreness of the throat with swallowing
A
  • typical findings or strep throat and tonsilitis
  • usually associated with significant lymphadenopathy
49
Q

greyish membrane covering the tonsils uvula and soft plate

A
  • typical diptheria, acute tonsilitis, or infectous mononucleosis
50
Q

patient speaks with a hoarse voice and the larynx is red

A
  • overuse fo voice, inflammation due to viral or bacterial, lesions of the larynx, foreign bodies
  • could be from enlarged thyroid gland
51
Q
  • patient has difficulty opening mouth
  • unilateral tonsil swelling
  • unusual phonation
A
  • associated with peritonsillar abscess (common in people with history of frequent tonsilitis)
52
Q

chronic 3+ 4+ tonsils

A

obstructive sleep apnea