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Airways > Examination and Eval of the Airway > Flashcards

Examination and Eval of the Airway Flashcards

1
Q

Why do you examine and evaluate a
patient’s airway preoperatively ?

A

obtain the highest level of resolution possible

Do no harm during subsequent airway management

Obtain information needed for bag-and-mask ventilation

Obtain information needed for LMA insertion and management.

Obtain information needed for endotracheal intubation via DL.

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2
Q

label the axis

A
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3
Q

What is this

A

anisocoria

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4
Q

medical term for “without teeth, toothless”

A

edentuous

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5
Q

The prevalence of physiologic anisocoria in humans is
approximately

A

20%

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6
Q

when examining head and neck which glands should be assessed?

A

lacrimal
parotid
salivary
thyroid

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7
Q

what abnormal finding is this?

A
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8
Q

what abnormal finding is this?

A

overbite

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9
Q

what’s this dude’s problem?

A

acromegaly

abnorm GH causes elargement tissues

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10
Q

Which gland may be enlarged in alcoholics or patients with mumps

A

parotid

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11
Q

what is the increased horizontal distance between the maxillary and mandibular central incisors

A

overjet

(think of HOJ- Horizontal OverJet)

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12
Q

what is the increased vertical distance between the maxillary and mandibular central incisors?

A

overbite

(think of VOB - Vertical OverBite)

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13
Q

identify the glands circled

A

parotid

submandibular

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14
Q

what’s causing this ?

A

enlarged parotids

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15
Q

what are the levels of lymph node drainage?

A
  1. Lymph Node Drainage
  2. Level I - Submental and submandibular nodes
  3. Level II - Upper jugular nodes
  4. Level III - Middle jugular nodes
  5. Level IV - Lower jugular nodes
  6. Level V - Posterior triangle group
  7. Level VI - Anterior triangle group
  8. Level VII - Upper mediastinal nodes
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16
Q

what is the anterior head of the SCM

A

clavicular head

17
Q

what is the posterior head of the SCM

A

mid-clavicle

18
Q

with normal dental occlusion, what is the relationship between the central maxillary incisors and the central madibular incisors

A

slight overlap with no overjet

19
Q

What are the borders of the posterior triangle?

A

trapezius m

clavicle

SCM

20
Q

What are the borders of the anterior triangle

A

mandible

SCM

midline of neck

21
Q

When assessing the eyes in the head and neck exam what will you examine/assess?

A
  1. lacrimal gland
  2. tear duct
  3. pupils
  4. appliances (glasses, contacts, prosthesis)
  5. do they use eye drops
22
Q

what is PERLA?

A

Pupils Equal & Reactive to Light & Accommodation

23
Q

what’s this?

A

conjunctivitis

24
Q

what’s this?

A

subconjunctival hemorrhage

25
Q

what’s this and what’s at risk?

A

exophthalmus

the corneas are risk of corneal abrasion

26
Q

what is ptosis?

A

droopy eyelid

27
Q

what 2 things, in regards to the eye, can be related to positioning and fluid management during the case?

A

Periorbital edema
Conjunctival edema

28
Q

what should be examined in regards to the ear?

A
  1. external ear
  2. mastoid
  3. otitis media
  4. hearing impairment
  5. hearing aid (internal, external) – need in POHA, OR, PACU
29
Q

what is major joint of c-spine that we are concerned with during examination?

A

atlanto-occipital joint

30
Q

What’s the angle degree measurement of the atlanto-occipital joint

A

approx 35

a.k.a. the upper-lower dentition angle

31
Q

what’s this ?

A

torus

32
Q

what’s this?

A

gingival hyperplasia

33
Q

what’s this?

A

gingivitis

inflammation of the gums

34
Q

name and number the freakin’ teeth

A
35
Q

what is normal mandibular length?

A

Normal ≥ 9 cm

(mandibular angle – mental symphasis)

36
Q

what is the grating sound or sensation produced by friction between bone and cartilage or the fractured parts of a bone.

A

crepitus

37
Q

what is normal mouth opening in cm?

A

Normal ≥ 4 cm
Mouth Opening ~ 5 cm

  1. (rotation ~ 2.5 cm)
  2. (glide ~ 2.5 cm)
38
Q

what is the medical term for Adam’s apple?

A

prominentia laryngis

39
Q

Thyromental distance = _____ cm

A

Normal ≥ 6.5 cm

Airways (53 decks)

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