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Fall- PE Exam > Head, Face, Neck, & Lymphatics > Flashcards

Head, Face, Neck, & Lymphatics Flashcards

1
Q

Where does Wharton’s duct enter?

A

Part of the submandibular gland, ducts to floor of mouth

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2
Q

What is the calvarium?

A

The scalp

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3
Q

What are palpebral fissures

A

Space between folds of eye

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4
Q

Down slanted palpebral fissures seen in

A

down syndrome- trisomy 21

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5
Q

shorter horizontal palpebral fissures seen in

A

fetal alcohol syndrome

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6
Q

What is the “smile line”, nares to lateral aspects of mouth

A

Nasolabial folds

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7
Q

Facial droop is diagnostic of stroke to CN_____ on _____ side

A

CN 7 is compromised on contralateral side

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8
Q

What sinuses are inferior to the orbits?

A

Maxillary

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9
Q

What sinuses are superior to the eyebrow?

A

Frontal

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10
Q

What are the characteristics in facies of Down’s Syndrome patients?

A 
Down slanted palpebral fissures
Flattened nasal bridge
Prominent epicanthal folds
Low set ears
Large tongue
Brushfield spots on the iris
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11
Q

What are the characteristics in facies of Cushing’s Syndrome?

A

“Moon Facies”
Round face, double chin, increased cheek fat deposits, facial flushing
-leading to cataracts, thin skin, loss of hair, trunk obesity

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12
Q

What are the characteristics in facies of Fetal Alcohol Syndrome (FAS)?

A

Microcephaly

Thin upper lip and smooth philtrum

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13
Q

What are the characteristics in facies of Acromegaly?

A 
Frontal bossing- prominent forehead
Coarse Features
Prognathism- protruding jaw
\+Enlagrement of hands, feet, and head
\+Palmar thickening

*consider Paget’s Bone disease as well

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14
Q

What ddx would you consider in parotid enlargement?

A

Sjogren’s Syndrome (dry eyes, dry mouth, arthritis)
Mumps
Chronic Disease (DM, obesity, liver cirrhosis)
Neoplasm- esp if unilateral

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15
Q

A patient has left unilateral erythematous parotid enlargement. Upon palpation it is tender and fluctuates. Pus enters mouth on palpation. What is you diagnoses?

A

Bacterial suppurative infection
-Most often Staph aureus
tx IV abx, sx if no resolution
-Most common viral is Mumps

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16
Q

What bone is not attached and aides in swallowing and tongue movement?

A

Hyoid bone

17
Q

What is the most common cause world wide for thyromegaly?

A

Iodine deficiency

18
Q

Is thyromegaly seen in hyper or hypothyroidism?

A

Can see it in both states

19
Q

What type of thyroid appearance is more likely a malignancy?

A

Thyroid nodule

20
Q

What structures make up the anterior triangle of the neck?

A

SCM, mandible, neck midline

21
Q

What structures make up the posterior triangle of the neck?

A

trapezius, SCM, clavicle

22
Q

What vessel traverses the SCM muscle?

A

Jugular

23
Q

Where does the thoracic duct drain?

A

Left subclavian

24
Q

Where does the right lymphatic duct drain?

A

SVC

25
Q

What and to where does Stensen’s duct drain

A

Parotid duct to inner bucal mucosa near the second molar

26
Q

What is LAD or LAN

A

Lymphadenopathy, swollen palpable irregular nodes

27
Q

What is tinea capitis

A

Fungal infection of the scalp, common in kids, causes alopecia and exclamation point hairs, if untreated can become kerion

28
Q

Blunt flat facial affect/expression of face is noted in

A

Parkinson’s

29
Q

EBM guidelines for bacterial sinusitis

A
  • Pts have had symptoms >7 days
  • Purulent nasal drainage
  • Distinct facial pain (toothache, maxillary pain)
  • Tenderness to palpation of sinus
  • Fever
30
Q

What could cause tracheal deviation?

A

pneumothorax, mediastinal mass, atelectasis

31
Q

What kind of curve does the cervical spine have?

A

Lordotic

32
Q

The most prominent vertebrae in the C-spine is the

A

C7

33
Q

Where does the trapezius insert into?

A

Lateral clavicle
Acromion process
Scapular spine

34
Q

True of False: The thyroid isthmus may not be palpable

A

True

35
Q

True of False: A bruit auscultates over the lateral lobe is expected

A

False

Fall- PE Exam (8 decks)

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