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ICM Exam 2 > Head and Neck Exam 2 > Flashcards

Head and Neck Exam 2 Flashcards

1
Q

Mouth and Throat PE Question

A

Any problems with your mouth, throat, tongue or teeth such as pain, bumps, lumps, etc.?

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2
Q

Neck PE Exam

A

Any lumps or stiffness in your neck?

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3
Q

What happens in Angular Cheilitis?

A

Saliva wets and macerates the infolded skin, often leading to secondary infection with Candida

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4
Q

What happens in Actinic Cheilitis?

A

Lip loses its normal redness and may become scaly

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5
Q

What first develops in Herpes Simplex?

A

Cluster of vesicles

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6
Q

Angioedema

A

Swelling seen in allergic reactions

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7
Q

Where is associated Urticaria and Pruritis uncommonly seen?

A

Angioedema in bradykinin and complement-derived mediators

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8
Q

What is Hereditary Hemorrhagic Telangiectasia? (Olser-Weber-Rendu Syndrome)

A

Multiple small red spots on the lips

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9
Q

What is accompanied in Peutz-Jeghers Syndrome?

A

Numerous intestinal polyps

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10
Q

Chancre of Primary Syphilis

A

Ulcerated papule with an indurated edge

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11
Q

Carcinoma of the Lip

A

Usually affects lower lip commonly seen in fair skinned people with over exposure to the sun

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12
Q

What are Koplik’s Spots an early sign for?

A

Measles (rubeola)

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13
Q

What do we do for Gingival Hyperplasia?

A

Phenytoin therapy

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14
Q

Smooth Tongue (Atrophic Glossitis)

A

A smooth and often sore tongue that has lost its papillae suggests a deficiency in riboflavin, niacin, folic acid, vitamin B12, pyridoxine, iron, or treatment with chemotherapy

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15
Q

Can Hairy Leukoplakia be scraped off? Where are they seen?

A

No; HIV and AIDS

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16
Q

What 5 things do we look for in the tonsils?

A
  1. Color and symmetry
  2. Exudate
  3. Swelling
  4. Ulceration
  5. Tonsillar enlargement
17
Q

Pharyngitis

A

Redness is diffuse and intense

18
Q

What would a patient complain of in Pharyngitis?

A

Sore throat or at least a scratchy one

19
Q

What 2 things could cause Pharyngitis?

A

Virus or bacteria

20
Q

What 2 common causes are of little chance for Pharyngitis if the patient has no fever, exudate, or enlargement of cervical lymph nodes?

A
  1. Group A Streptococci

2. Epstein-Barr virus (infectious mononucleosis)

21
Q

Cause of Diphtheria

A

Acute infection caused by Corynebacterium Diphtheriae

22
Q

What does the deep purple color of lesions in the pharynx suggest?

A

Kaposi’s Carcinoma seen in AIDS - low-grade vascular tumor associated with Human Herpesvirus 8

23
Q

What do we note and look for in the neck?

A

Symmetry and any masses or scars; enlargement of parotid or submandibular glands or any visible lymph nodes

24
Q

What is a clue to unsuspected thyroid disease?

A

Scar of past thyroid surgery

25
Q

What does enlargement of a supraclavicular node, especially on the left, suggest?

A

Possible metastasis from a thoracic or an abdominal malignancy

26
Q

Do we palpate the lymph nodes?

A

Yes - pads of middle and index fingers

27
Q

What do we note in lymph nodes?

A

Size, shape, delimitation (discrete or matted together), mobility, consistency, and any tenderness

28
Q

What do tender nodes suggest?

A

Inflammation

29
Q

What do hard or fixed nodes suggest?

A

Malignancy

30
Q

What measurement is significant for lymph nodes in supraclavicular fossa?

A

> 1cm

normally <2cm is insignificant

31
Q

What do we look for in the trachea?

A

Any deviation from midline due to something like a mass

32
Q

What could tracheal deviation possibly suggest besides a tracheal mass?

A

Mediastinal mass, atelectasis, or a large pneumothorax

33
Q

Goiter

A

Enlarged lymph node of twice its normal size

34
Q

Do we palpate the thyroid gland?

A

Yes - can be difficult

ICM Exam 2 (10 decks)

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