Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

SRNAHealthAssessment > Head&Neck, EENT > Flashcards

Head&Neck, EENT Flashcards

1
Q

*****8 elements to look for?

LQSDT, CMA

A
  • Location
  • Quality - (nature of the pain - sharp, dull, acute, chronic?)
  • Severity - (scale 1 – 10)
  • Duration - (How long has the problem been an issue?)
  • Timing - (worse in am/pm? Constant?)
  • Context - (any precipitating factors?)
  • Modifying Factors - (Does pt. do anything to improve the problem?)
  • Associated Signs and Symptoms - (ex. N/V?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

** Bones immovable except for ______at_______
Note any______
• Crepitation =_____or _______
• Clicking or locking =_________

A

mandible; TMJ
limited ROM
RA or OA
Displaced cartilaginous meniscus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

**Skull supported by cervical vertebrae_______

• C7 is the

A

C1 – C7

important palpable landmark for Stellate ganglion block

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

**Face 2 main things

A 
Expression 
Symmetry ( should be symmetrical)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

****Asymmetry may indicate:

A

Central brain lesion - CVA

• CN VII – Bell’s palsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

*****Bell’s Palsy is paralysis of facial nerve

A

VII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

****Edema in the face shows______and _______

why?

A

first periorbital and cheeks

Sub-Q tissue here is loose and will accumulate fluid more readily)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

*****Facial Sensations mediated by______

A

3 branches of Trigeminal Nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

**3 pr. Salivary glands, what are they ? Which gland indicates ___or ______

A

Parotids (not normally palpable) (swelling = mumps or AIDS)
Submandibular
Sublingual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

****Temporal Artery: where

A

Palpable anterior to ear

• Temporal Arteritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

***Assess for NECK

A 
- Symmetry (tilt = spasm)
• ROM
• Lymph Nodes
• Trachea
• Thyroid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

**Neck Flexion normal degree

A

85

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

*****Neck EXTENSION normal degree

A

70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

**To assess ROM ask patient

A
  • touch chin to chest
  • Turn head to right And left
  • Touch each ear to shoulder (w/o elevating shoulder)
  • Extend head backward
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  • **Note For Neck look for
  • ***1.__________
  • **2. ______May indicate ______or _______of neck______
  • **3. _____ and _____symptoms may indicate _____
A

Note **pain at any particular movement.

  • ***Pain and ratchety movement or limitation may indicate cervical arthritis or inflammation of neck muscles.
  • ***(Nuchal rigidity w/ flu-like symptoms may indicate meningitis)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

*****When nodes are abnormal, check

A

the area they drain for source of problem.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

To assess lymph nodes

A

Finger pads

Gentle pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
  • ***To palpate use____ and_______with _____
  • **Begin with ______
  • ***Palpate with _______
  • ***For deep cervical chains_______
  • ***For supraclavicular nodes______
A
  • gentle pressure and circular motion with fingerpads.
  • Begin with preauricular nodes and work systematically.
  • Palpate with both hands to compare symmetry.
  • For deep cervical chains, tip pt. head toward side being examined. (Fig. 1)
  • For supraclavicular nodes, have pt. hunch shoulders forward (Fig. 2)(NOTE: omohyoid muscle crosses triangle here, don’t mistake it for a node)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

***Acute infx = WET FFM

A

nodes bilateral, tender,

enlarged, warm, firm, freely movable.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

**Chronic inflammation/TB =

A

nodes clumped.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

**Cancerous nodes =FUHN

A

FUNH Fixed, Unilateral, Non-tender, Hard

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

**HIV nodes =

What is common in HIV infection ?

A

FENM: FIRM, Enlarged, Nontender, Mobile. (Occipital node enlargement common in HIV.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

**Trachea is PUSHED toward unaffected unaffected side w/: side w/: in 4 conditions
PATT

A
  • Aortic aneurysm
  • Tumor
  • Thyroid lobe enlargement
  • Pneumothorax
24
Q

****Trachea is PULLED toward affected side w/: LPF

A
  • Large atelectasis
  • Pleural adhesion
  • Fibrosis
25
Q

*****Tracheal TUG downward synchronous with systole w/:

A

• Aortic Arch aneurysm

26
Q

*****Normal thyroid

• Note any TEN

A
  • difficult to palpate.

Tenderness Enlargement, Nodular lump.

27
Q

*****Auscultate thyroid if enlarged for_______which indicates _____

A

bruits (indicates hyperthyroidism).

28
Q

Pupil Light Reflex

A

• Tests afferent CN 2 & efferent CN 3

29
Q

*****When assessing eyes (FURI)

A 
Note any
Fixation or lack of 
Irregular shapes, 
Response to light.
Unequal sizes,
30
Q

*****Asymmetric response indicates during _____Indicates _______

A

Accomodation ; CN 3 damage;

31
Q

What does asymmetry indicate with corneal light reflex?

WHAT SHOULD YOU DO NEXT?

A

• Asymmetry indicates DEVIATION SECONDARY TO MUSCLE WEAKNESS or PARALYSIS – if present, do Cover Test

32
Q

Cover Test detect

A

Detects small degree of deviated alignment by blocking FUSION REFLEX

33
Q

**Cover test weaknesses
2, WHAT ARE THEY?
DEFINE

A
  • Phoria = mild weakness when fusion is blocked

* Tropia = severe weakness that is constant

34
Q

*****Uneven eye movement or failure to follow =

A

EOM weakness or CN dysfunction

35
Q

*****Nystagmus INDICATES

A

semicircular canal ds., paretic eye m., MS or brain lesion

36
Q

**Lid lag INDICATES

A

hyperthyroidism (normally upper lid always overlaps top of iris)

37
Q

***Optic disc is most__________

Normal color =

A 
prominent landmark (nasal side)
Yellow-orange to pink
38
Q

**Optic disc Pallor =

A

CN 2 atrophy

39
Q

**Optic disc Hyperemeia

A

methanol poisoning

40
Q

Shape of Optic disk

• Irregular =

A

Glaucoma

41
Q

*****Margins
Normal_____
• Blurred margins =______Which indicates _______

A

Sharp

papilledema = ↑ ICP

42
Q

**Retinal vessels

A

Arteries are smaller(2:3), brighter red and have arterial light reflex

43
Q

**Retinal Vessel Pathologies

• Absence of major vessels =

A

occlusion of retinal artery (absence of major vessels)

44
Q

*****Retinal Vessel Pathologies• Constricted arteries =

A

↓ RBF (retinal blood flow)

45
Q

**“Nicking” at A-V crossing indicates

A

HTN or arteriosclerosis

46
Q

**Extreme tortuosity or dilated veins indicates

A

Venous occlusion

47
Q

Note any______/______of canal indicates

A

redness/swelling otitis externa

48
Q

*****Basal skull Fracture associated with

A

Frank blood or clear watery drainage (CSF) secondary to trauma

49
Q

**Tympanic membrane
Drum should _____not _______or _______
What indicates serous otitis media
RED?

A
  • Drum s/b flat, not retracted or bulging (cone of light)
  • Bubbles or Air/Fluid level behind drum OR Yellow-amber color = serous otitis media
  • Red = acute otitis media
50
Q

**WEBER Conductive (WCP) hearing loss

A

Sound lateralizs to POORER ear, poorer ear not distracted by background noise, has a better chance to hear BONE CONDUCTED SOUND; EX : Transient conductive loss with otitis media, serous or purulent

51
Q

**WEBER: Sensorineural loss (WSB)

A

Sound lateralized to “better” ear or UNAFFECTED EAR. Poor ear is unable to PERCEIVE SOUND .

52
Q

**Rinne Test normal (AC>BC)

A

Sound is heard twice as long by air conduction as by bone conduction , a POSITIVE RINNE AC>BC

53
Q

Rinne Test Conductive hearing loss (AC

A

Person hears as long by bone conduction (AC=BC) or even longer (AC

54
Q

Rinne Test Sensorineural loss (AC>BC lower)

what is the normal ratio?

A

normal ratio of AC> BC , but is reduced overall. Person hears poorly both ways.

55
Q

Grade

A

1 normal
• 2 halfway between tonsillar pillars and uvula
• 3 touching uvula
• 4 touching each other

56
Q

Koplik spots may indicates

A

Measles

SRNAHealthAssessment (20 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions