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NS372—Assessment > Exam 4—HEENT & MSK > Flashcards

Exam 4—HEENT & MSK Flashcards

1
Q

epistaxis

A

nosebleed

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2
Q

Exophthalmos

A

bulging eyes

hyperthyroidism

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3
Q

Scleroderma

A

hardening of connective tissue - tight, hardened, shiny skin

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4
Q

acromegaly caused by…

A

excessive GH from pituitary

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5
Q

bell’s palsy affects CN__

A

7 - facial

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6
Q
A

mastoid process

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7
Q
A

anterior cervical triangle

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8
Q
A

posterior cervical triangle

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9
Q
A

tragus

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10
Q

shortened SCM muscle in babies causing their neck to be twisted

A

torticollis

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11
Q

keeps tongue anchored to floor of mouth

A

frenulum

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12
Q

CN facial sensation

A

V - trigeminal

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13
Q

CN facial movement

A

VII - facial

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14
Q

CN neck, shoulder movement

A

XI - spinal accessory

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15
Q

HEENT

A

head

eyes

ears

neck

throat

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16
Q
A

parotid gland

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17
Q

parotid enlargement indicates…

A

mumps

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18
Q
A

submandibular gland

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19
Q
A

sublingual gland

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20
Q

lymph nodes of head/neck (10)

A
  1. preauricular
  2. posterior auricular
  3. occipital
  4. superficial cervical
  5. deep cervical
  6. posterior cervical
  7. supraclavicular
  8. tonsillar
  9. submental
  10. submandibular
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21
Q

location of thyroid

A

Below cricoid cartilage (Adam’s apple), above tracheal rings

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22
Q

Cushing’s syndrome

A

excess cortisol from adrenals; steroid use - fat redistribution, rounded face, increased body hair

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23
Q

excess CSF

A

hydrocephalus

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24
Q

enlarged left supraclavicular node indicates…

A

metastasis from thorax/abdomen

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25
Q

muscle weakness

irritability

decreased weight

heat intolerance

irregular menses

flushed skin

A

hyperthyroidism

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26
Q

muscle weakness

apathy, depression

increased weight

increased sleep

cold intolerance

coarse dry skin

A

hypothyroidism

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27
Q

seizure interventions (9)

A

bed low

3 rails up

padded rails

side lying

pillow under head

suction available

privacy

time with watch

DO NOT restrain

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28
Q

landmarks for assessing thyroid

A

hyoid

cricoid cartilage

isthmus of thyroid

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29
Q

an audible vascular sound associated with turbulent blood flow

30
Q

area in anterior nasal cavity associated with epistaxis

A

Kiesselbach plexus

31
Q

precancerous discoloration of mouth

A

leukoplakia

32
Q

transillumination

A

shining light through sinuses

33
Q
A

turbinates

34
Q

carries saliva from sublingual & submandibular glands

A

wharton ducts

35
Q

carries saliva from parotid

A

stensen ducts

36
Q

dry mouth

A

xerostomia

37
Q
A

geographic tongue

38
Q

taste buds

39
Q

CNI

function

how to assess

A

olfactory

smell

smell test

40
Q

CNV

function

how to assess

A

trigeminal

facial sensation & mastication

sensation test & palpate TMJ

41
Q

CNVII

function

how to assess

A

facial

sensation anterior ⅔ of tongue - facial movement

facial expressions

42
Q

CNIX

function

how to assess

A

glossopharyngeal

sensation posterior ⅓ of tongue - motor of pharynx

gag reflex - swallow

43
Q

CNX

function

how to assess

A

vagus

sensation of pharynx - motor of soft palate

gag reflex - uvula moving with phonation

44
Q

CNXII

function

how to assess

A

hypoglossal

tongue movement

stick out tongue - strength of tongue on cheek

45
Q

risks factors for oropharyngeal cancer (9)

A

smoking/tobacco

betel nuts

heavy alcohol

HPV

UV light

male

fair skin

poor oral hygiene

weak immune system

46
Q

more difficult nosebleeds to treat

A

posterior in the nasal cavity

47
Q

tonsils grading system

A

1-4

1 = visible

2 = midway between pillars & uvula

3 = touching uvula

4 = touching one another

48
Q
49
Q
A

canker sore

50
Q
A

b12 deficiency

51
Q
A

genu varum

52
Q
A

genu valgum

53
Q
A

temporal mandibular joint

54
Q

Crackling or grating sound caused by bones rubbing against each other, also called creaky joints

55
Q

partial dislocation

A

subluxation

56
Q

total lack of tone

57
Q

decrease in size of a body part, cell, organ, or other tissue

58
Q

low muscle tone

A

hypotonicity

59
Q

brief, spontaneous contraction affecting a small number of muscle fibers, often causing a flicker of movement under the skin

A

fasciculation

60
Q
A

anatomical snuff box

61
Q

muscular bulge on the radial side of the palm

A

thenar eminence

62
Q

golfer’s elbow, baseball elbow, suitcase elbow, or forehand tennis elbow

A

epicondylitis

63
Q

used to measure degree of a joint

A

goniometer

64
Q

morse scale purpose

65
Q

muscle grading scale

A

0 = no contraction

1 = flickering

2 = full ROM with gravity

3 = full ROM against gravity

4 = full ROM against gravity w/ minimal resistance

5 = full ROM against gravity w/ maximal resistance (normal)

66
Q

how to assess for carpal tunnel

A

Phalen test - put backs of hands together - pain is positive

Tinel test - direct percussion on median nerve - pain is positive

Flick test - pt flicks hands

Thumb test

67
Q

tests for fluid in the knee

A

bulge - press on knee, look for bulging on other side (small amts edema)

ballotment - push fluid down onto patella - look for rebound (large amts edema)

68
Q

test for meniscus tears

A

McMurray’s

leg should extend from knee w/o pain

69
Q
A

mcmurray test

70
Q

MSK order of exam

A

inspection

palpation

ROM

muscle testing

NS372—Assessment (17 decks)

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