Ch 17 Nose Mouth Throat

Question 1

sinuses drain into ___ meatus

tears from nasolacrimal duct drain into ____ meatus

Answer 1

sinus: middle
tears: inferior

Question 2

only ____ and _____ sinuses are present at birth

Answer 2

maxillary and ethmoid

Question 3

_______ sinuses reach full size after all permanent teeth have erupted

Answer 3

maxillary

Question 4

_______ sinuses are absent at birth, reach full size after ________

Answer 4

Frontal

puberty

Question 5

Parotid gland duct (stensen’s): opens at _______
Submandibular gland duct (wharton’s): opens at ____
Sublingual gland: opens at ______

Answer 5

Parotid: opposite second molar
Submandibular: floor of mouth, both sides of frenulum
Sublingual: many small openings along sublingual fold under tongue

Question 6

Epistaxis lasting longer than ____ min require urgent intervention

Answer 6

20 min

-life-threatening HTN, bleeding disorder, skull fracture

Question 7

Any oral lesion or ulcer persisting for >_____(time) must be investigated

Answer 7

2 weeks

*especially check under tongue (most likely to have oral malignancies)

Question 8

Koplik’s spots are early prodromal sign of ____

Answer 8

measles

Question 9

Rise of uvula and soft palate is function of CN ____

Answer 9

CN X (vagus nerve)

Question 10

Gag reflex is test of CN ___ and ____

Answer 10

CN IX and X (glossopharyngeal and vagus)

Question 11

Leukoplakia is white patch that is ______

Caused by ______

Answer 11

firm, cannot be scraped off
caused by chronic irritation
risk factors: heavy ETOH and smoking
lesion is PRECANCEROUS

Question 12

Atrophic glossitis
-common occurs in these 3 conditions
signs and symptoms:

Answer 12

• vit B12 deficiency
• folic acid deficiency
• iron deficiency

burning sensation, ,dry tongue
surface of tongue is smooth and red

Question 13

Oral kaposi’s sarcoma
symptom:
significance?

Answer 13

• bruiselike dark red/violent confluent macule to hard palate/soft palate/gingival margin
• one of earliest lesions to develop with AIDS