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Physical Exam > Exam I HENT > Flashcards

Exam I HENT Flashcards

1
Q

Evaluation of the parotid glands at

A

Sup/Post. to Mandible

Submandibular deep to mandible

Stenson’s Duct-Patortid

Wharton’s Duct-Submandibular

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2
Q

Superficial Temporal Artery evaluation

A

Immediately Ant. to ear

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3
Q

Head evaluation

A

Hair Distribution-sparce or thickness, infestation

Normocephalic, no lesions, erythema or echymosis

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4
Q

is the superior portion of TM; Is more flaccid and the location of most spontaneous perforations

A

The Pars Flaccida

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5
Q

Aspect of TM that is usually the most tense

A

The Pars Tense

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6
Q

where the TM meets the tip of the malleus

A

Umbo

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7
Q

Vibrations pass through the air and are transmitted through the TM to the ossicles to the cochlea.

A

Conductive Phase

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8
Q

The cochlea senses and codes the vibrations, and nerve impulses sent to brain through cochlear nerve

A

Sensorineural Phase

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9
Q

Chronic inflammatory lesion; starts out as painful, tender papule on helix or antihelix, ulcerates and crust

R/O Canrcinoma

A

Chondrodermatitis Helicis

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10
Q

A deposit of uric acid crystals associated with Gout. Hard nodule on heli/antehelix;

May change tto chalky white crystals through the skin

A

Tophi

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11
Q

Raised nodules w/ irregular borders; smooth with rolled borders or crusty with scales, telangectatic vessels

A

Basil Cell carcinoma /Squamous BCC/SCC

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12
Q

Temporal Membrane evaluation

A
  • Color Countour
  • Light Reflex
  • Landmarks
  • Valsalva
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13
Q

Air conduction which falls within range of human speech

A 
Preferred-512-1024 Hz
Human Range (300-3000 Hz)
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14
Q

Place tuning fork firmly on the top of the pt’s head or mid forehead.

A

Weber Test

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15
Q

Conductive Hearing loss is caused by

A
  • Middle ear disease

- Ear compaction= better Bone conduction than A/C

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16
Q

Place the base of the fork on the mastoid bone behind the ear and level with the canal

A

Rinne Test

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17
Q

Inner ear problems such as loud noise exposure, inner ear infections, aging, congenital and familial disorders

A

Sensoryneuro Hearing Loss AC>BC

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18
Q

External and middle ear problems such as FOB in canal, otitis media, perforated TM, otosclerosis

A

Conductive Hearing Loss BC>AC

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19
Q

is a convergence of small fragile vessels located superficially on the anterior superior portion septum;

common source of nosebleeds

A

Kiesselbach Plexus

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20
Q

unlike the rest of the cavity, is lined with hair-bearing skin, not mucosa

A

Vestibule

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21
Q

opens onto the buccal mucosa near the upper second molar. Often marked by its own small papillae.

A

Stenson’s Duct

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22
Q

Starts with softening of the skin at the angles of the mouth, followed by fissuring

nutritional deficiency or overclosure of the mouth, as in people with no teeth or ill-fitting dentures

A

Angular Cheilitis

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23
Q

Results from excessive exposure to sunlight and affects primarily lower lip.Outdoor Fair-skinned men affected.

Lip loses its normal color and may become scaly, thickened, and slightly everted. R/O Carcinoma

A

Actinic Cheilitis

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24
Q

Normal sebaceous glands that appear as small yellowish spots in the buccal mucosa or the lips

A

Fordyce Spots

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25
Q

Early sign of measles (rubeola).Small white specks that resemble grains of salt on a red background.

Usually appear on buccal mucosa near first or second molars

A

Koplik’s Spots

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26
Q

Small red spots that result when blood escapes from capillaries into the tissues.

Often caused by accidental biting of the cheek, infection, decreased platelets, or trauma.

A

Petechiae

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27
Q

Yeast infection due to Candida.Thick, white plaques that adhere somewhat to the mucosa.

Causes: prolonged antibiotic or corticosteroid use and AIDS

A

Oral Canididiasis (Thush)

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28
Q

Thickened white patch on the oral mucosa that cannot be scraped off.

Causes: frequent chewing of tobacco.
Leads to cancer

A

Leukoplakia

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29
Q

CN evaluation check gag reflex with tongue blade.

A

CN IX and X

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30
Q

CN Evaluation; Inspect for midline rise of the uvula on phonation.

Have patient say “AAAHHH”.

A

CN X

31
Q

CN Evaluation: Inspect tongue position with protrusion.

A

CNXII

32
Q

Tonsil Grades

A 
Grade 0= All in fossa
Grade I = <25% of OP
Grade II= <50% of OP
Grade III= <75% of OP
Grade IV= >75% of OP
33
Q

Smooth and often sore tongue that has lost its papillae.

Suggests nutritional deficiency or tx with chemo.

A

Smooth Tongue (Atrophic Glossitis)

34
Q

within the inner ear senses the position and movements of the head and helps to maintain balance

A

Labyrinth

35
Q

Firm hypertrophic mass of scar. More common in dark skin patients.

A

Keloid

36
Q

Dome-shaped lump in the dermis forms a benign closed firm sac attached to the epidermis

A

Cyst

37
Q

Below each turbinate is a groove named

A

Meatus

38
Q

drains into the inferior meatus

A

Nasolacrimal duct

39
Q

drain into the middle meatus (not visible).

A

Paranasal

40
Q

mucosa is reddened and swollen.

A

Viral Rhinitis

41
Q

mucosa may be pale, bluish, or red in color

A

Allergic Rhinitis

42
Q

are pale, semitranslucent masses that usually come from the middle meatus; Chronic Allergic rhinitis

A

Polyps

43
Q

pass forward and medial on each side of the lingual frenulum.

A

Wharton’s Ducts

44
Q

Intense redness without exudate in oropharynx

A

Pharyngitis

45
Q

Cancer most commonly occurs on _____ and secondly more often on ________

A

Sides; Base

46
Q

hairy” yellowish to brown or black elongated papillae on the tongue; Antibiotic Use

A

Hairy Tongue

47
Q

Fissures appear with increasing age/Down syndrome on tongue

A

Fissured tongue

48
Q

Tender Lymph nodes suggest

A

Inflammation

49
Q

Hard or fixed Lymph nodes suggest

A

Malignancy

50
Q

Palpate Thyroid;Place fingers just below cricoid cartilage

Have them swallow and feel the_____ rise up under your finger pads.

A

Isthmus

51
Q

A soft enlarged Thyriod indicates

A

Graves disease

52
Q

A firm Thyroid incicates

A

Hashimoto’s Thryoiditis

53
Q

Thyroid Abnormality; Enlarged thyroid gland with two or more nodules suggest a metabolic rather than neoplastic process

A

Multinodular Goiter

54
Q

ThryoidAbnormality; May be a cyst, benign tumor, or malignancy.

A

Single Nodule

55
Q

Thyroid Abnormality; Includes the isthmus and lobes.

Causes include Grave’s disease, Hashimoto’s thyroiditis, and goiter.

A

Diffuse Enlargement

56
Q

Point where the TM meets the tip of the Malleus

A

Umbo

57
Q

First part of the pathway from the external ear through the middle ear_____; Disorder here causes_____

A

Conductive Phase; conductive hearing loss

58
Q

Second part of hearing pathwayinvolving the cochlea and cochlear nerve is called______

A disorder here causes_______ hearing loss

A

Sensorineural Phase ; Sensorineural

59
Q

The upper third of the nos is supported by _____ the lower two thirds is supported by______.

A

Bone; Cartilage

60
Q

Are air filled cavities within the bones of the skull

A

Paranasal cavities

61
Q

____is a Common symptom with aging; when associated w/ hearing loss and vertigo Supect______

A

Tinnitis; Menier’s

62
Q

Drugs that may cause stuffiness

A

Oral contraceptives, reserpine , alcohol

63
Q

rhinorrea or congestion, pain or tenderness in face or sinuses indicates

A

Sinusitis

64
Q

Fever, pharyngeal exudate, lymphodenapathy with absence of cough suggests

A

Streptococcal Pharyngitis

65
Q

causes of chronic hoarsenes

A
  • Tuberculosis
  • smoking
  • Hypothyroidism
66
Q

Is the leading cause of blindness in African Americans and second leading overall

A

Galucoma

67
Q

Fair hair, Intolerance for temperature and decreased sweating suggests

A

Hypothyroidism

68
Q

Fine hair, lid lag, Palpitations and involuntary weight loss suggests

A

Hyperthyroidism

69
Q

More than a third of adults older than 65 have a _____ deficit.

A

Hearing deficit

70
Q

Nontender nodular swelling covered by normal skin deep in the ear canals suggests

A

Exostoses

71
Q

The soft palate fails to rise and uvula deviates to opposite side suggests

A

CN X paralysis

72
Q

Asymmetric protrusion of the tongue suggests

A

CN XII Lesion

73
Q

Enlargement of a supraclavicular node especially on the left suggests

A

Metastasis from Thoracic or Abdominal Malignancy

74
Q

A tender tonsillar node high and depp between the mandible and the SCM muscle is probably a

A

Styloid Process

Physical Exam (2 decks)

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