Ch. 14 (Head, Face, & Neck, & Regional Lymphatics)

Question 1

What are the four main cranial bones in the head?

that we have to know for health ass.

Answer 1

• frontal
• occipital
• temporal
• parietal

Question 2

What are junctions where cranial bones unite?

Answer 2

sutures

Question 3

What anatomical section supports the head from C1-C7?

Answer 3

cervical vertebra

Question 4

What cranial nerve controls facial muscles?

Answer 4

CN VII

symmetry is measured to check nerve

Question 5

What are the two major muscles in relation to the neck?

Answer 5

• sternomastoid (sternum to mastoid process: flex and rotate head)
• trapezius (occipital down to scapula & clavical: move shoulders and extension of head)

Question 6

What does the thyroid gland do?

Answer 6

regulates metabolic hormones

Question 7

What cartilage is present in the adam’s apple in men?

Answer 7

thyroid cartilage

Question 8

What is the purpose of lymph nodes?

Answer 8

filters waste, drain fluid

Question 9

What subjective data do we collect relative to a head & neck exam?

Answer 9

• headaches
• past head injury
• dizziness
• neck pain
• lumps, swelling
• Hx of head or neck surgery

Question 10

What kind of gland straddles the trachea in the middle of the neck?

Answer 10

endocrine gland

Question 10

What lymph node is located in front of the ear?

Answer 10

preauricular

Question 11

What lymph node is located superficial to the mastoid process?

Answer 11

posterior auricular (mastoid)

Question 12

What lymph node is located at the base of the skull?

Answer 12

occipital

Question 13

What lymph node is located in the midline, behind the tip of the mandible?

Answer 13

submental

Question 14

What lymph node is located halfway between angle and tip of the mandible?

Answer 14

submandibular

Question 15

What lymph node is located under the angle of the mandible?

Answer 15

jugulodigastric (tonsillar)

Question 16

What lymph node is located in the overlying sternomastoid muscle?

Answer 16

superficial cervical

Question 17

What lymph node is located deep under the sternomastoid muscle?

Answer 17

deep cervical

Question 18

What lymph node is located in the posterior triangle along the edge of trapezius muscle?

Answer 18

posterior cervical

Question 19

What lymph node is located just above and behind the clavicle, at the sternomastoid muscle?

Answer 19

supraclavicular

Question 20

What muscles innervate cranial nerve XI?

Answer 20

• sternomastoid process (sternum to mastoid process: flex and rotate head)
• trapezius (occipital down to scapula & clavical: move shoulders and extension of head)

Question 21

When the nodes cannot be felt in the patient, what do you write down?

Answer 21

nodes non-palpable

Question 22

What are normal characteristics of a lymph node?

Answer 22

• mobile, small, not hard

Question 23

If a patient has an enlarged thyroid gland, what do you do next?

Answer 23

pull out your stethoscope, use the bell side and try to detect if the patient has a bruwit

Question 24

What are the common characteristics/symptoms of cluster headaches?

Answer 24

• unilateral
• behind one eye
• burning/piercing

Question 25

When there is an enlarged symmetrical thyroid gland, what condition is this called?

Answer 25

simple diffuse goiter
* from: lack of iodine, hypothyroidism

Question 26

When there a benign growth on the scalp, what condition is this called?

Answer 26

pilar cyst

Question 27

When there is an enlarged parotid gland, what condition is this called?

Answer 27

parotid gland enlargement

Question 28

When a simple diffuse goiter is accompanied by hyperactivity causing a high metabolism, what condition is this called?

Answer 28

graves disease (hyperthyroidism)
* weight loss & lots of speed

Question 29

When a simple diffuse goiter is accompanied by hypoactivity causing low metabolism, what condition is this called?

Answer 29

myxedema (hypothyroidism)
* weight gain & fatigue

Question 30

When a virus hits cranial nerve VII causing a asymmetrical/unilateral paralysis drooping in both the upper and lower part of the face, what condition is this called?

Answer 30

bell palsy

Question 31

When a patient has paralysis only one side of their lower facial muscle, what condition is this called?

Answer 31

CVA (stroke)

Question 32

How do you recognize a stroke in a patient?

Answer 32

FAST
* Face
* Arms
* Speech
* Time

Question 33

When there are pronounced bones and a dramataic loss of weight, what condition is this called?

Answer 33

cachectic

Question 34

How do you test cranial nerve VII?

Answer 34

• smile
• puff out cheeks
• raise eyebrows