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N1109 - Physical Assessment > Exam 2 - Chpt 13 > Flashcards

Exam 2 - Chpt 13 Flashcards

1
Q

8 cranial bones

A 
ethmoid
spenoid
frontal
parietal
temporal
occipital
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2
Q

Where are the parotid glands?

A

over mandible, in front of and below the ear

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3
Q

largest gland

A

parotid

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4
Q

where are the submandibular glands located?

A

beneath mandible at angle of jaw

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5
Q

where are the sublingual glands located?

A

floor of mouth

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6
Q

how many vertebrae does the neck have?

A

7

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7
Q

C 1 is the …

A

atlas carries the skull

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8
Q

C 2 axis allows

A

movement of the head

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9
Q

C 4, 5, 6 allows

A

greatest mobility

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10
Q

C 7 has the

A

largest spinous process

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11
Q

primary muscles of the neck

A

sternocleidomastoid
trapezius

form the anterior and posterior triangles of the neck

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12
Q

sternocleidomastoid muscles are innervated by which cranial nerve?

A

CN XI

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13
Q

gland part of the endocrine system

A

thyroid

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14
Q

where is the thyroid gland?

A

anterior portion of neck

lies of trachea

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15
Q

trachea is aka the

A

windpipe

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16
Q

role of lymph nodes

A

to drain

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17
Q

lymph nodes location

A 
pre, post auricular
occipital
submental
submandibular
retropharyngeal/tonsillar
anterior, superficial cervical
posterior, deep cervical
supraclavicular
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18
Q

stressors can result in

A 
HA
neck pain
mouth ulcers
TMJ
tics (involuntary muscle movement)
hair twisting, pulling
lip biting
excessive blinking
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19
Q

subjective health hx - lymphatics

A 
neck pain
lumps, swelling
HA
head injury
dizziness
Hx of head, neck surgery
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20
Q

when a pt has hyperthyroidism, is the gland palpated?

A

no - can release additional hormones

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21
Q

which lymph node should you begin with when palpating?

A

preauricular

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22
Q

documentation must include…

A 
location
color
texture
size
tenderness
other descriptors as necessary
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23
Q

increased cortisol levels

A

Cushing syndrome

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24
Q

s/sx of Cushing syndrome

A

round, moonlike face
red cheeks
Hirsutism
Striae

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25
Q

Bell’s palsy effects which CN?

A

CN VII

sudden, temporary

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26
Q

FAST

A

facial drooping
arm weakness
speech difficulty
time - call 911

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27
Q

Parkinson’s causes which facial expression?

A

masked

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28
Q

3 types of HA

A

migraine
cluster HA
tension HA

29
Q

migraine without aura s/sx

A

HA
N/V
photophobia
phonophobia

30
Q

untreated or unsuccessfully tx’d migraines can last how long?

A

4-72 hours

31
Q

25% of people with migraines experience these s/sx

A 
aura, prodrome
flashing lights
tingling
numbness
change in mood
32
Q

episodes that occur over a period of days or even months followed by remission

usually occurs in males

A

cluster HA

33
Q

cluster HA causes

A

alcohol
stress
emotional distress

34
Q

when do cluster HA usually begin?

A

suddenly, at night with pain to one side of the face, spreading upward behind one eye

eye water, nasal congestion is common

35
Q

how long do cluster HA last?

A

few minutes to hours

36
Q

how to tx cluster HA?

A

antihistamine
tylenol
ibuprofen

37
Q

tension HA is aka

A

muscle contraction HA

38
Q

what causes tension HA

A

sustained contraction of the muscles in the head, neck, or upper back

39
Q

are tension HA sudden?

A

no, they’re gradually

pain is steady, not throbbing

40
Q

Grave’s disease physical appearance

A

Goiter
eyelid retraction
exophthalmos

–hyperthyroidism

41
Q

hypothyroidism physical appearance

A

puffy edematous face
periorbital edema
coarse facial features
coarse hair and eyebrows

42
Q

what connects the cranial bones together?

A

sutures (nonmoveable joints)

43
Q

when is the solidification process of sutures complete?

A

by the age of 2

44
Q

how many bones form the anterior region of the skull aka the face

A

14

45
Q

landmark for assessing structures of the neck, especially the trachea and thyroid gland

A

hyoid

46
Q

external jugular vein location

A

superficial, lateral to the sternocleidomastoid

47
Q

internal jugular vein location

A

larger, no visible; at the sternal notch

48
Q

purpose of lymphnodes

A

defend against invasion of foreign substances by producing lymphocytes and antibodies

49
Q

when are lymphnodes palpable?

A

infected or enlarged

50
Q

Muslim pt considerations

A

direct segregation

ask permission before touch, especially before removing a head covering

51
Q

which type of foods are potential HA triggers?

A

tyramine-rich foods

52
Q

example of tyramine-rich foods

A 
aged cheese (Swiss, mozzarella, cheddar, blue cheese)
avocados
beer on tap
canned soup
cured meats
homemade yeast breast
nuts
olives
onions
raisins
red wine
sauerkraut
soy sauce
53
Q

tension HA causes

A 
stress
overwork
position
dental problems
PMS
sinus inflammation
other health problems
54
Q

dim light will cause the iris to respond, enlarging the pupil

A

mydriasis

55
Q

bright light causes the iris to respond, decreasing pupil size

A

miosis

56
Q

where is aqueous humor

A

anterior chamber

57
Q

where is vitreous humor

A

posterior chamber

58
Q

chart used to test near vision

A

Rosenbaum

59
Q

do you perform an eye test with or without glasses/contacts

A

first, with; then, without

60
Q

what is considered legally blind?

A

20/200

61
Q

vision changes are r/t which CN?

A

CN III

62
Q

normal result for near vision testing

A

14/14

63
Q

fluttering of the eyeball

A

nystagimus

64
Q

how far to stand in front of pt for 6 cardinal fields of gaze test

A

2 feet

65
Q

how far to hold the pen light in front of the pt for 6 cardinal fields of gaze test

A

18”

66
Q

how far to hold the pen light for corneal light reflex test

A

12”

67
Q

cross-eyed is aka

A

strabismus

68
Q

inward turning of the eye

A

esophoria

69
Q

outward turning of the eye

A

exophoria

N1109 - Physical Assessment (14 decks)

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