Ch. 17 (Nose, Mouth, & Throat) Flashcards

1
Q

What are the functions of the nose?

A

warms & filters air

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2
Q

In relation to the anatomy of the nose, what are the oval openings called?

A

nares

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3
Q

In relation to the anatomy of the nose, what divides the nasal cavity?

A

septum

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4
Q

In relation to the anatomy of the nose, what three parallel boney projections allow for the sinuses and tears to drain into the nose, called?

A

turbinates

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5
Q

In relation to the anatomy of the nose, what are the air filled pockets that lighten the weight of skull and secrete mucus to the nose, called?

A

sinuses

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6
Q

What hangs from the soft palate in the back of your throat?

A

uvula

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7
Q

What are the bumpy elevations of tongue surface called?

A

papillae

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8
Q

What thin strand tissue connects the tongue to the floor of the mouth?

A

frenulum

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9
Q

What subjective data do we collect in relation to the nose?

A
  • discharge
  • frequent colds/URIs
  • sinus pain
  • trauma
  • epistaxis (nosebleeds)
  • allergies
  • altered smell
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10
Q

What subjective data do we collect in relation to the mouth and throat?

A
  • sores/lesions
  • sore throat
  • bleeding gums
  • toothache
  • hoarseness
  • dysphagia (difficulty swallowing)
  • altered taste
  • smoking/ETOH
  • self care behaviors
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11
Q

What are some natural symptoms for an aging adult in relation to the mouth and throat?

A
  • decreased sense of smell and tasting
  • decreased saliva production/dry mouth
  • dental changes
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12
Q

What equipment is needed for a physical exam in relation to the mouth, throat, and nose?

A
  • tongue depressor
  • pen light
  • gloves
  • gauze
  • otoscope
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13
Q

What cranial nerve is in charge of the olfactory sense (smell)?

A

cranial nerve I

(you have one nose)

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14
Q

What do we inspect when inspecting the nasal cavity?

A
  • deviation
  • perforation
  • mucosa
  • color
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15
Q

When figuring out whether or not a patient has allergies or rhinitis (cold), what color is associated with each in the nasal mucosa?

A
  • rhinitis (cold): really deep, red mucosa
  • allergies: pale, grayish appearance
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16
Q

What condition is associated with cracking at the corners of the lips?

A

cheilitis

17
Q

What condition is associated with cherry red lips?

A

CO posioning

18
Q

What symptoms are associated with herpes semplex 1?

A
  • cold sore
  • brought out by fevers and stress
  • goes away in 10 days
  • very contagious
19
Q

What cranial nerve is in charge of the uvula rising and falling in the mouth?

A

CN X (vagus nerve)

20
Q

How do you test cranial nerve X?

A

checking the uvula and asking patient to say “ah”
* midline
* rising

21
Q

When assessing the tonsils, you can grade the tonsils on a scale.

When you see the tonsils on the side and their barely visible, where on the scale would the tonsils be graded?

A

+1

22
Q

When assessing the tonsils, you can grade the tonsils on a scale.

When you see the tonsils touching the uvula, where on the scale would the tonsils be graded?

A

+3

23
Q

When assessing the tonsils, you can grade the tonsils on a scale.

When you see the tonsils are halfway between the anterior tonsillar pillar and uvula, where on the scale would the tonsils be graded?

A

+2

24
Q

When assessing the tonsils, you can grade the tonsils on a scale.

When you see the tonsils touching each other, where on the scale would the tonsils be graded?

A

kissing tonsils (+4)

25
Q

When you ask the patient to stick out their tongue, what cranial nerve are you testing?

A

CN XII
* want the tongue to stick straight out

26
Q

Nosebleeding is medically defined as what?

A

epistaxis

27
Q

Abnormalities of the nose

A
  • epistaxis
  • foreign body
  • perforated septum
  • furuncle (boil, blocked gland)
  • acute rhinitis (beefy, red)
  • allergic rhinitis (enlarged, pale/gray)
  • sinusitis (bacteria in mucus causing inflammation)
  • nasal polyps (smooth gray, usually with chronic allergies)
28
Q

Abnormalities of the lips

A
  • herpes simplex 1 (lesion filled with fluid/vesicular lesion)
  • cheilitis
  • carcinoma (sore that won’t go away, usually cancerous)
  • mucucele (cyst filled with saliva fluid in the mouth)
29
Q

Abnormalities of the teeth

A
  • baby bottle tooth decay (usually caused when baby is left with bottle in the bed)
  • dental caries
  • gingivitis
30
Q

Abnormalities of the tongue

A
  • leukoplakia (white patch on the tongue or mouth that won’t go away, most of the time cancerous)
31
Q

Abnormalities of the throat

A
  • acute tonsilitis and pharyngitis
32
Q

when assessing the sinuses through palpation, how do you go about it?

A
  • press over frontal sinuses (above eyebrows)
  • press over maxillary sinuses (below eyes)