Extra Oral Examination

Question 1

For EO exam, after introducing yourself to the pt, what is the first thing to ask a pt?

Answer 1

Ask pt if they have experienced any pain/swelling around the head/neck area

Question 2

Visually, what are you looking for in EO examination?

Answer 2

• soft tissue lesions - face, vermillion border, perioral
• signs of ill health
• symmetry (in front, behind and above the pt)

Question 3

When assessing MoM, what are you looking for?

Answer 3

Tenderness or spasm

Question 4

What lymph nodes should be palpated?

Answer 4

o Palpate cheeks and parotid glands
o Examine submental region (lymph nodes)
o Examine submandibular triangle (submandibular glands and lymph nodes)
o Palpate tissuesof neck against thumbs and muscles (any lumps?)
o Palpate theposterior triangle
• palpate cervical nodes

Question 5

How do you assess TMJ and mandibular opening?

Answer 5

• assess extent of opening of mandible
• assess any deviation on opening and closing
• ask pt to move jaw side to side (lateral movement) and assess any sounds/ path of movement

Question 6

What can MoM tell you?

Answer 6

• can refer pain to other locations in the head

* can indicate parafunctional habit

Question 7

How do you check the cervical lymph nodes?

Answer 7

Ask pt to turn their head away from the side you are testing to move sternocleidomastoid muscle out of the way

Question 8

How do you check submental lymph nodes?

Answer 8

Tilt pts head forward and roll nodes along lower border of mandible

Question 9

What else should you look for EO?

Answer 9

skin cancers
• basal cell carcinoma (look red/pink with irregular blood vessels)
–> ask how long its been there and if it hurts
–> if so refer to oral surgery