Exam 3 (Josh) - Head, Face, Neck

Question 1

The swelling of which gland is common in bulimia patients?

Answer 1

parotid glands

Question 2

What are the triangles of the neck?

Answer 2

Anterior Triangle: b/t SCM & midline of face

Posterior Triangle: b/t SCM, Trapezius, & Omohyoid Muscle (base)

Question 3

Which lymph nodes is located behind the ear?

Answer 3

posterior auricular (two of them)

Question 4

Which lymph node is located on the back of the head?

Answer 4

occipital

Question 5

Which lymph nodes are located in the posterior triangle of the neck?

Answer 5

posterior cervical (three of them)

Question 6

Which lymph nodes are located anterior to the ear?

Answer 6

preauricular (two of them)

Question 7

Which lymph nodes are located deep to the SCM?

Answer 7

deep cervical chain (5 of them)

Question 8

Which lymph nodes are located beneath the mandible?

Answer 8

submandibular

Question 9

Which lymph nodes are located beneath the chin?

Answer 9

submental

Question 10

All of the lymph nodes drain in a downward flow, except which one?

Answer 10

supraclavicular

Question 11

What is the soft spot on a baby’s head? When should it disappear?

Answer 11

fontanel

anterior fontanel = 18 months
posterior fontanel = 8 weeks

Question 12

Which condition could prevent a patient from having full ROM in the neck?

Answer 12

meningitis

Question 13

Which lymph nodes are difficult to palpate, and require patient to lean over?

Answer 13

supraclavicular nodes

Question 14

Should you push hard or soft when palpating lymph nodes?

Answer 14

softly

let them come to you

Question 15

Explain Virchow’s Node.

Answer 15

left supraclavicular node enlargment is a likely sign of abdominal cancer

‘seat of the devil’

Question 16

Normal lymph nodes feel…

Answer 16

movable
discrete (specific fell to them)
nontender

Question 17

Infected lymph nodes feel…

Answer 17

bilateral
enlarged
warm
tender
firm but freely movable

Question 18

Cancerous lymph nodes feel…

Answer 18

unilateral
hard
>3 cm
nontender
matted
fixed (not movable)

Question 19

The anterior part of the thyroid is called the ———-

Answer 19

Isthmus

Question 20

How do you palpate the thyroid gland?

Answer 20

• stand behind
• push trachea to right
• curl fingers w/ your right hand around SCM
• have them drink water
• thyroid should move

Question 21

If the thyroid is enlarged, this is an sign of ——

Answer 21

hyperthyroidism

if you place the bell over, you’ll hear a bruit (confirms hyperthyroidism)

Question 22

If a fontanel is bulging, it means ——–

Answer 22

swelling

sign of trauma, meningitis, bleeding, etc.

Question 23

If a fontanel is sunken, it means ——–

Answer 23

dehydration

Question 24

Headache that causes band-like tightness, non-throbbing pain across both sides of the head?

Last 30 minutes to days.

Answer 24

Tension Headache

Question 25

Headache that is genetically transmitted, usually unilateral, throbbing pain that is often behind the eyes (causes a visual aura).

Answer 25

Migraine

Question 26

Intermittent headache that is excruciating, unilateral and can be behind the eye, temple, forehead, or cheek.

Burning, continuous piercing pain.

Answer 26

Cluster Headache

Question 27

How do you determine the pain headache type?

Answer 27

PQRST

Question 28

What are the signs of a stroke?

Answer 28

FAST

Face drooping
Arm weakness
Speech difficulty
Time to call 911

Question 29

What is the difference in appearance b/t Bell’s Palsy and Stroke?

Answer 29

Bell’s Palsy patients have NO wrinkling of the forehead

Question 30

The —— ——– is an important endocrine gland with a rich blood supply that straddles the trachea in the middle of the neck.

It can be palpated.

Answer 30

Thryoid Gland