Head Neck ABNORMAL exam Flashcards

0
Q

What nerve is tested by sharp/dull touch of face test?

A

CN V sensory

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1
Q

When examining the head, do the following

A
  1. Palpate temporal arteris
  2. Auscultate for bruits (with bell?)
  3. Percuss sinuses
  4. Transilluminate sinuses if tender to palpation (frontal and maxillary)
  5. Sharp/dull touch of face (CN 5 sensory)
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2
Q

How to perform sharp/dull touch of face test

A

Use broken q-tip

“close your eye and tell me when you feel sharp or dull sensation when I touch your face”

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3
Q

Specialized Eye exam do:

A
  1. Palpate lacrimal gland and lacrimal sac
  2. perform upper lid eversion when necc
  3. Cover-uncover test for strabismus (if corneal light reflexion is not symmetrical)
  4. Test visual fields (CN II)
  5. Corneal reflex (CNV) - not performed on actors
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4
Q

What nerve is tested with corneal reflex and how?

A

CN V

Use wisp of cotton from q-tip to gently touch cornea and check for blink reflex

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5
Q

What nerve is tested by doing visual field test?

A

CN II (optic)

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6
Q

Weber tests for and how

A

Laterization
Place vibrating tuning fork on top center of head. “Tell me if you hear the sound better of the right, left or the same in both ears.”

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7
Q

Rinne tests for and how

A

Bone conduction vs air conduction
Place vibrating tuning fork on mastoid process: “Tell me when the sound stops.” Then move fork in front of ear canal and ask if the patient can hear it. If pt can hear, then AC>BC in that ear which is normal. If patient Can’t hear it, then BC>AC in that ear and CN VIII in the other ear is defective (?)

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8
Q

Which nerve is testing by doing a smell test?

A

CN I (olfactory)

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9
Q

Mouth and Pharynx specialized exams are done by testing

A
  1. Gag reflex (CN 9 and 10)

2. Taste (CN VII)

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10
Q

Which nerve is involved in taste?

A

CN VII (facial)

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11
Q

Which nerve is involved in gag reflex?

A

CN 9 and 10 (Glossopharyngeal and vagus)

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12
Q

Specialized neck exam is done by

A

Auscultate thyroid for bruits, if enlarged

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