General Dx - Head and Neck Exam

Question 1

pale optic cup that is greater than 1/2 of the optic disc diameter

Answer 1

glaucoma

type 2 diabetic retinopathy

Question 2

larger smooth goiter

exophthalmos

Answer 2

Hyper-reflexia

Grave’s disease
(Hyperthyroidism)

Question 3

DeMussette’s Sign is

Answer 3

Jerking and bobbing of the head

Question 4

DeMussette’s Sign associated with

Answer 4

tremor or aortic insufficiency

Question 5

Trachea midline determination

Answer 5

space b/w trachea and SCM muscles

Question 6

Increased fremitus

No tracheal deviation

Answer 6

Pneumonia

Question 7

Decreased fremitus

Tracheal deviation toward affected side

Answer 7

Atelectasis
OR
Endobronchial Tumor

Question 8

Decreased fremitus

Tracheal deviation toward unaffected side

Answer 8

Pleural Effusion

Question 9

Auscultation is NOT helpful for finding

Answer 9

Carotid body hypersensitivity

Question 10

Determine carotid body hypersensitivity BEFORE auscultation by

Answer 10

ask pat about unexplained fainting or lightheadedness with touching anterior neck - shaving, make-up etc
or an aversion to tight neck clothing