Head/Neck Flashcards

1
Q

Cranial Nerve 1

A

Olfactory; Smell

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2
Q

Cranial Nerve 2

A

Optic; Vision: Snellen Chart and Visual Field test (peripheral vision)

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3
Q

Cranial Nerve 3, 4, 6

A

Oculomotor, Trochlear, Abducens ( have pt. follow finger through 6 fields of gaze, measure pupil size and reaction to light, follow finger to nose)

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4
Q

Cranial Nerve 5

A

Trigeminal: Motor function, have pt. move jaw side to side, clench and bite down. Additionally, has pt close eyes and tell me where my fingers are I touch her face with both soft and sharp )

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5
Q

Cranial Nerve 7

A

Facial Nerve- smile, frown, blowfish, whistle.

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6
Q

Cranial Nerve 8

A

Acoustic- hearing- simply verbalize the whisper test

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7
Q

Cranial Nerve 9 & 10

A

VAGUS- describe how you got to clinic, swallow, cough, tongue depressor.

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8
Q

Cranial Nerve 11

A

Spinal Accessory- Shoulder Shrug

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9
Q

Cranial Nerve 12

A

Hypoglossal- Say “D,L,N,T” - protrude tongue move from side to side.

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10
Q

Head and Face exam

A

1.Patient Sitting.
Focused history: headaches, head injury, loss of consciousness, seizures, facial pain.? Difficulty swallowing, neck pain/stiffness, masses/lumps, hx of thyroid disease?

OLDCART FINDINGS

  1. Inspect: face for size, shape symmetry, position
  2. palpate for masses
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11
Q

Macrocephalic

A

TOO BIG-Two standard deviations above normal

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12
Q

Microcephalic

A

TOO LITTLE- two standard deviations below normal

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13
Q

Lymph Nodes (10)

A
  1. Pre-auricular
  2. Posterior Auricular
  3. Occipital
  4. Tonsillar
  5. Submandibular
  6. Submental
  7. Superficial Cervical
  8. Posterior Cervical
  9. Deep Cervical Chain
  10. Supraclavicular
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14
Q

How should lymph nodes feel

A

soft, non-tender, discrete, moveable

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15
Q

Trachea

A

Should be midline, USUALLY NOT PALPABLE

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16
Q

Eye Exam Focused Hx Q

A

Any changes in vision, do you wear glasses/contacts, any injuries or infection, dry eyes or excessive tearing, surgeries, blurred vision, halos, spots, difficulty w/ night vision, hx of glaucoma? When was your last eye exam, any medications?

17
Q

Snellen Eye Chart

A

Person stands 20ft behind chart, covers one eye. Reads lowest line, 20 is always first number

18
Q

Eye Exam

A

inspect external structures, eyes, conjunctiva, sclera, eye lashes, Iris, pupils, pupillary light reflex

19
Q

Pupillary Light Reflex

A

PERRLA

Pupils Equal, Round, Reactive to Light & Accommodation

20
Q

Consensual Reflex

A

Eyes respond equally on both sides

21
Q

Redlight Reflex

A

Using Opthalmoscope in dark room- should have positive red light reflex

22
Q

Focused Hx Questions for Ear Exam

A

Any trouble hearing, any ringing/buzzing, changes in your hearing, ear drainage, pain, balance problems or head trauma, Noise pollution at work/home.

23
Q

Ear Exam (5)

A

Inspect:

  1. ear placement/attachment /alignment from corner of eye.
  2. size and shape equal bilaterally
  3. skin, intact, no lumps bumps
  4. color appropriate for ethnicity
  5. ear wax color/consistency/amount
24
Q

Gross Hearing Test ( whisper test)

A

stand 1-2 fee behind pt. have them occlude one ear , repeat words you whisper from behind them

25
Q

Ear Focused Hx Questions

A

nasal congestion, hx of sinus problems, seasonal or environmental allergies, hx of sinus headaches, nose bleeds, hx broken nose, any changes in smell, do you use any medications.

OLDCART FINDINGS

26
Q

Ear Exam (6)

A
  1. Inspect nose for shape size and symmetry
  2. discharge?
  3. nasal flaring or narrowing?
  4. Palpate ridge and soft tissues
  5. evaluate patency of nares
  6. palpate sinuses
27
Q

Mouth and throat Focused Hx Questions

A

any sores or lesions? sore throat, yeast infections, bleeding gums, tooth aches, hoarsness, dysphagia ( difficulty swallowing)
altered taste, Smoking,

28
Q

Mouth/Throat Exam ( 8 Items)

A

Inspect:
Lips, oral mucosa, gums, teeth, roof of mouth, tongue, tonsils, uvula and floor of mouth for:

Color, moisture, lumps, ulcers, cracking, nodules, swelling, loose teeth, symmetry

Elicit gag reflex
Notice any breath odor

29
Q

Typamnic membrane

A

Should be pearly gray

coned shaped light reflex prominence 5:00 in R ear, 7:00 in L

30
Q

Tonsil Grading

A

+1 visible
+2 between tonsillar pillars and uvula
+3 Touching Uvula
+4 touching each other