Head, Face, Neck, & Lymph Nodes

Question 1

Head is normal

Answer 1

Normocephalic

Question 2

small head (e.g. Rhett syndrome)

Answer 2

Microcephalic

Question 3

large heads (e.g. hydrocephalus)

Answer 3

Macrocephalic

Question 4

Fontanels

Answer 4

soft spot (in skull)

Question 5

Posterior fontanels closes by when?

Answer 5

2 months

Question 6

Anterior fontanels closes by when?

Answer 6

2 years

Question 7

Sunken fontanel is a sign of what?

Answer 7

dehydration

Question 8

Bulging fontanel is a sign of what?

Answer 8

swelling b/c of bleeding

Question 9

A distinctive facial expression that is a characteristic of a medical condition

Answer 9

Facies

Question 10

Examples of Facies

Answer 10

Fetal alcohol syndrome (smooth upper lip, thin upper lip,short eye openings)
Parkinson’s disease (expressionless)
Down’s syndrome

Question 11

Most important type of Facies

Answer 11

STROKE (“FAST”)

F-face, A-arm, S-speech, T-time to call 911

Question 12

When assessing the Trachea, what should you check for?

Answer 12

Should be midline

Inspect or palpate for any deviation to the left or right

Question 13

When assessing the thyroid, what do you do first?

Answer 13

inspection

Question 14

Palpate the thyroid using _____ or _____ approach

Answer 14

anterior or posterior

Question 15

what should you note when assessing the thyroid?

Answer 15

size, consistency, symmetry, presence of nodules

Question 16

small, oval clumps

these filter extravascular fluid before it returns to the bloodstream

Answer 16

Lymph Nodes

Question 17

Where are the lymph nodes located?

Answer 17

throughout the body

Question 18

Where is the greatest supply of Lymph Nodes?

Answer 18

in the head and neck

Question 19

If you can palpate the supraclavicular lymph node this could be sign of what?

Answer 19

lung or gastric cancer

Question 20

Normal Lymph nodes are:

Answer 20

moveable, discrete, soft, and nontender

Question 21

Lymph node sizes decrease with ___ ?

Answer 21

age

Question 22

If lymph nodes are enlarged or tender, you should look for what?

Answer 22

the source of the problem

Question 23

If a lymph node is infected, what are the characteristics?

Answer 23

enlarged, bilateral (both sides), warm, tender, & freely moveable

Question 24

If there is a chance of cancer on the lymph node, what are the characteristics?

Answer 24

Enlarged (>3 cm), unilateral (one sided), nontender, matted (stuck to tissue around it), fixed

Question 25

A single, large, hard, non-tender left supraclavicular lymph node is an what?

Answer 25

ominous(bad) sign