Head, Neck

Question 1

What is in the anterior triangle?

Answer 1

thyroid, larynx, pharynx, lymph nodes, submandibular gland, fat

Question 2

What is in the posterior triangle?

Answer 2

lymph nodes

Question 3

What is the largest endocrine gland?

Answer 3

thyroid, lies over trachea, 2 lobes

Question 4

What connects the two lobes of the thyroid?

Answer 4

isthmus (across larynx)

Question 5

What are chief complaints here?

Answer 5

Neck Pain
Neck Mass
Headache
Laceration
Thyroid

Question 6

What do you look for on inspection?

Answer 6

Disposition
Head
--Position
--Size
--Shape (oval, round, slightly square)
Facial Features
Symmetry
Scalp/Hair
Skin
Masses

Question 7

What facial features are you looking at?

Answer 7

Palpebral fissures
Nasolabial folds
Eyelids
Eyebrows
Mouth

Question 8

Which facial features are important for symmetry?

Answer 8

palpebral fissues, nasolabial folds

Question 9

what are expressions/appearances of the face and features of the head and neck?

Answer 9

facies

Question 10

What is moon facies from?

Answer 10

high levels of cortisol = cushings

Question 11

What does the hippocratic facies mean?

Answer 11

impeding death

Question 12

What do you note about masses?

Answer 12

size, location, shape and consistency

Question 13

What do you inspect in the neck?

Answer 13

Neck slightly hyperextended
Observe patient swallowing
Muscle Symmetry
Masses
Trachea- Midline
Venous distention or Carotid artery prominence
Webbing
Cervical spine Range of motion

Question 14

What do you look at for the trachea?

Answer 14

midline

Question 15

What is cervical spine ROM?

Answer 15

Flexion- 45 degrees
Extension- 55 degrees
Lateral Bending- 40 degrees
Rotation- 70 degrees

Question 16

When are sutures fused?

Answer 16

by 6 mo

Question 17

What do you look at for hair?

Answer 17

color, texture, distribution

Question 18

What are the facial bones?

Answer 18

Frontal
Zygomatic Arc
Maxilla
Mandible

Question 19

What does clenching teeth check?

Answer 19

temporalis and masseter muscles

Question 20

What is the parotid duct?

Answer 20

stenson

Question 21

What is submandibular duct?

Answer 21

wharton’s - by frenulum

Question 22

What is masseter muscle hyperirritability due to?

Answer 22

hypocalcemia or tetany

Question 23

What is the sign for tapping on facial near in front of ear?

Answer 23

chvostek sign

Question 24

What can cause diplopia?

Answer 24

cerebral aneurysm

Question 25

What do you want to know about any mass?

Answer 25

rate of growth

Question 26

When does anterior fontanelle close?

Answer 26

by 24 mo

Question 27

What does tracheal tug suggest?

Answer 27

aortic aneurysm

Question 28

``` Age of Onset: Adulthood Location: Bilateral or occipital Duration: Hours Time of Onset: Morning Quality of pain: Throbbing Prodromal Event: None Precipitating Event: None Frequency: Daily Gender Predilection: Equal Other Symptoms: Better as the day goes on ```

Answer 28

HTN headache

Question 29

``` Age of Onset: Childhood Location: Unilateral Duration: Hours to days Time of Onset: Morning or night Quality of pain: Pulsating or throbbing Prodromal Event: Well-defined Precipitating Event: Menstrual period; missing meals; birth control pills; letdown after stress Frequency: Twice a week Gender Predilection: Females Other Symptoms: Nausea; vomiting ```

Answer 29

Classic Migrane

Question 30

``` Age of Onset: Adulthood Location: Unilateral Duration: 1/2 to 2 hours Time of Onset: Night Quality of pain: Intense burning Prodromal Event: Personality changes Precipitating Event: Alcohol consumption Frequency: Several times nightly then none Gender Predilection: Males Other Symptoms: Increased lacrimation; nasal discharge ```

Answer 30

Cluster

Question 31

``` Age of Onset: Adulthood Location: Unilateral or bilateral Duration: Hours to days Time of Onset: Anytime Quality of pain: Bandlike or constricting Prodromal Event: None Precipitating Event: Stress; anger Frequency: Daily Gender Predilection: Equal Other Symptoms: None` ```

Answer 31

Tension