Health/ H2T Physical Assessment- Head & Neck

Question 1

LOC means
Refers to if a person is ….

Answer 1

Level of consciousness
Awake, Alert, and Oriented

Question 2

Examples of LOC

Answer 2

Attentive
Cooperative
Alert and Awake
Sleepy and Arousable
Lethargic

Question 3

Orientation refers to

Answer 3

confusion

Question 4

Oriented x1 means

Answer 4

WHO/PERSON
patient knows who they are

Question 5

Oriented x2

Answer 5

WHO/WHERE
Person knows who they are and where they are

Question 6

Oriented x3

Answer 6

WHO/WHERE/TIME

Question 7

Assessment of cognition includes

Answer 7

LOC
Orientation
Mood
Language & Memory
Speech deficits

Question 8

What is aphasia?

Answer 8

Loss of ability to understand or express language/ speech

Question 9

How do you assess a persons orientation?

Answer 9

Ask simple questions about person, place, time

Question 10

receptive aphasia

Answer 10

inability to receive communication/ cannot understand directiob but have ability to express communication

Question 11

expressive aphasia

Answer 11

inability to express communication/ can understand but cannot express their understanding to you

Question 12

Skin, hair nails are examined through ____

Answer 12

inspection and palpation

Question 13

How do we asssess for skin conditions?

Answer 13

Color
Temp
Moisture
Texture
Hygiene

Question 14

What is cyanosis?
Peripheral vs Central
What is it a sign of?

Answer 14

Grayish, bluish, or purplish skin tone
Central - mouth, tongue, chest wall
Peripheral- localized
Sign of Poor Oxygenation/ Circulation

Question 15

What is juandice?

Answer 15

Yellowish tone to the skin that is also observed in liver disease

Question 16

What is erythema?

Answer 16

Redness, usually from irritation or inflammation

Question 17

What is skin turgor?

Answer 17

Tension/ elasticity or rigidness of the skin; clinical indicator of hydration status

Question 17

Tenting of the skin shows

Answer 17

dehydration; rigid skin (skin remains elevated after being pinched) poor skin turgid is indicator of dehydration or sig fluid loss

Question 18

How to describe skin lesions?

Answer 18

Size (width and circumference) color, drainage, odor, redness

Question 19

Assessment for head & neck & mouth

Answer 19

Trachea- feel for pain, swelling
Lymph Nodes- Feel for pain, swelling tenderness

Question 20

Assessment for Sensory Functions include

Answer 20

Sensory Aids (Glasses, contacts, hearing aids)
Visual Acuity
Pupil and Pupillary Reflexes
Auditory Assessment

Question 21

PEARLA checks for ____
PEARLA means

Answer 21

Pupil/ Pupillary Reflexes
Pupils Equal and Reactive to Light Accomodation

Question 22

WHat to look for when assessing eyes?

Answer 22

Color of sclera (should be clear)
Conjunctiva (should be pink)
Normal Ocular Movements
Drainage
Swelling, etc

Question 23

What does a normal assessment of the ear look like?

Answer 23

Normal ear color is pearly gray

Question 24

How is accomodation in vision tested?

Answer 24

HAve pt look at a close object, then look at a distant object.