Ch. 11 - Head and Neck

Question 1

Which cranial nerves innervate the face?

Answer 1

V and VII

Question 2

what do the parotid, submandibular, and sublingual salivary glands do

Answer 2

inhibit dental caries

secrete saliva, which moistens the mouth, aids in carbohydrate breakdown, and prevents cavities.

Question 3

The greatest degree of cervical mobility is at

Answer 3

C4 to C5

Question 4

The ________ cartilage is shaped like a shield, with its notch on the upper edge marking the level of bifurcation of the common carotid artery.

Answer 4

thyroid

Question 5

Which structures disproportionately enlarge in males during adolescence?

Answer 5

nose and thyroid cartilage

Question 6

Spaces between the cranial bones accommodate

Answer 6

brain growth

Question 7

When examining the skull of a 4-month-old baby, you should normally find

Answer 7

closure of the POSTERIOR fontanelle

Question 8

Closure of the anterior skull fontanel should occur by _____ months.

Answer 8

24 months

Question 9

The thyroid gland is partially obscured by the

Answer 9

sternocleidomastoid

Question 10

The brown or tan pigmentation on the forehead, nose, and malar prominence of some pregnant women is called

Answer 10

cholasma

Question 11

Which of the following is an expected change in the assessment of the thyroid during pregnancy?

Answer 11

a bruit may be auscultated

(the thyroid gland hypertrophies (not goiter); palpation is easier; and because the gland also has increased vascularity, bruits are common.)

Question 12

A bruit heard over the thyroid is suggestive of

Answer 12

hyperthyroidism

Question 13

Ms. G is a 22-year-old secretary who comes to the clinic with headaches of 6 weeks’ duration.
She tells the office assistant about her heavy schedule, including part-time work and evening
classes. Her vital signs are normal. Which information is most appropriate to Ms. G’s history?

Answer 13

current medications

(birth control pills, nitroglycerin, antihypertensives,
antiseizure drugs, and some diabetic drugs, can be headache triggers. withdrawal of meds as well)

Question 14

Observation during history taking is the best way to examine for

Answer 14

head position

Question 15

During a head and neck assessment of a neonate, it is important to screen for

Answer 15

torticollis

Question 16

During physical examination of a 30-year-old Chinese man, you notice a slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to

Answer 16

record findings in patient’s chart

Question 17

A bruit, or blowing sound, over the skull or temporal region of an adult indicates

Answer 17

a vascular anomaly

Question 18

Coarse, dry, and brittle hair is associated with which metabolic disorder?

Answer 18

hypothyroidism

Question 19

An inconsequential finding on the head of an adult is a palpable

Answer 19

sagital suture ridge

Question 20

which is the best way to position a patient’s neck for palpation of the thyroid

Answer 20

flexed toward the side being examined

Question 21

A stethoscope is used in a head and neck examination to assess

Answer 21

thyroid vascular sounds

Question 22

Tracheal tug suggests the presence of a(n)

Answer 22

aortic aneurysm

Question 23

T/F: The thyroid gland should move when the patient swallows

Answer 23

True

Question 24

You are palpating a patient’s thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data indicate

Answer 24

a normal thyroid gland

the right lobe of the thyroid gland is typically 25% larger than the left and measures 4 cm

Question 25

the correct way to transilluminate an infant's skull is to

Answer 25

place the light firmly against the skull

Question 26

The most common form of birth trauma of the scalp is

Answer 26

caput succedaneum | causes swelling of the scalp

Question 27

Which of the following is true regarding caput succedaneum?

Answer 27

It is seen over the presenting part of the head (subcutaneous edema over the presenting part of the head during delivery as the skull passes through the pelvis; the scalp usually feels edematous to touch, which fades after a few days)

Question 28

Which of the following is true regarding cephalhematoma?

Answer 28

it's bound by suture lines (condition is subperiosteal, under the bone, and is contained by the margins of the suture lines. Often unnoticed at birth and typically feels firm with its edges well defined. may be fluctuant after age)

Question 29

A 29-year-old woman presents to the urgent care center with a history of a severe headache of 2 hours’ duration. She describes it as bandlike and constricting. In interviewing the woman about her complaint, you would ask

Answer 29

whether she is particularly stressed or overworked.

Question 30

RJ presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a

Answer 30

thyroglossal duct cyst

Question 31

You are examining Ms. L, age 78 years. You find a sunken appearance of her eyes, cheeks, and temporal areas. Her skin is dry, and her nose appears sharp. Ms. L’s facies description is associated with

Answer 31

terminal illness

Question 32

Which of the following findings would be consistent with fetal alcohol syndrome?

Answer 32

mild ptosis (poorly formed or flat philtrum, widespread eyes with inner epicanthal folds and mild ptosis, a hirsute forehead, a short nose, a relatively thin upper lip, and small eye openings.)

Question 33

What abnormal palpable cystic mass in the neck rises from the foramen cecum at the junction of the anterior two thirds and posterior third of the tongue?

Answer 33

Branchial cleft cyst

Question 34

which thyroid disease is a chronic autoimmune disorder?

Answer 34

Hashimoto | chronic autoimmune thyroid disease that occurs later in childhood and commonly affects women 30 to 50 years of age.

Question 35

The premature union of cranial sutures that involves the shape of the head without mental retardation is

Answer 35

craniosynostosis