Head, neck, nose, sinuses, mouth and throat

Question 1

Thyroid

Answer 1

produces thyriod hormones (T3 and T4): controls metabolc rate

Question 2

parathyroid

Answer 2

produces calcitonin
moves calcium into bones

Question 3

lymphatic system

Answer 3

filter potention pathogens
-large node indicagtes an inflammation that is upstream

Question 4

urgent assessment

Answer 4

acute head injuries and nuro changes
nack pain: stiff neck, jaw pain, muscle tension
lymphatic: larger than 1 cm, fixed, rubbery
hyperthyroidism: tachycardia, Tachypnea, N/V/D

Question 5

abnormal finding of the face

Answer 5

asymmetry=stroke or inflammation of CN VII (bell palsey)
Puffy moon face or increased facial hair in femals= cushings syndrome

Question 6

Ears

Answer 6

abnormal: purulent drainage

Question 7

palpate thyroid

Answer 7

not usually palpable
asymmetry, firmness, tenderness could indicate infection or cancer

Question 8

palpation of lymph nodes

Answer 8

preauricular: front of ear
posterior auricular: back of ear
occipital
submandibular: under mandible
tonsillar
cervical
supreclavicular

if palpable document: location, size, tenderness, mobility

Question 9

abnormal findings when palpating lymph nodes

Answer 9

anterior cervical noes: pharyngitis
posterior cervical noes: mono
posterior auricular nodes: otitis media
supraclavicular nodes: metastatic cancer

Question 10

how to auscultate

Answer 10

use bell
abnormal is bruit which could mean hyperthryoidism

Question 11

hypothyroid

Answer 11

tsh hgih
t3-t4 is low

Question 12

hyperthroid

Answer 12

tsh low
t3-t4 high

Question 13

external nose ab fd

Answer 13

asymmetry, swelling, bruising, tenderness, crepitus

Question 14

internal nose ab fd

Answer 14

nasal mucosa inflammed, excessive clear rhinitis, thick discolored mucus

Question 15

mouth ab fd

Answer 15

external: dryness/cracking, swelling, lesions
internal: swelling, white patches(yeast), ulceration(viral), petechiae(trauma, infection, low platelet count)

Question 16

Throat ab fd

Answer 16

hypertrophy of tonsils, peritonsillar abscess, strep throat presents with red and white patches in throat, difficulty swallowing, tender swollen lymph nodes and red/enlarged tonsils