HEENT Flashcards

1
Q

What position is the HEENT examination done?

A

Seated

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2
Q

What does HEENT stand for?

A
Head 
Eyes
Ears 
Nose
Throat
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3
Q

What gland moves when swallowing?

A

Thyroid gland

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4
Q

Best approach for palpating the thyroid gland.

A

Posterior approach

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5
Q

What should you do if thyroid is enlarged?

A

Auscultate for a bruit (turbulent blood flow)

Use bell

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6
Q

Why do we palpate the trachea?

A

To check for a deviation or shift

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7
Q

Palpating lymph nodes

A

Turn head to side being palpated and relax the muscles.

Palpate is a circular motion.

Should be soft and moveable, pain free

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8
Q

What does the snellen or e-chart test?

A

Visual acuity.

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9
Q

What nerve controls visual acuity?

A

Cranial nerve II optic nerve

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10
Q

What is the snellen test?

A

Top number indicates how may feet away from the poster

Bottom number is how many feet or millimeters away from the poster you can actually read

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11
Q

How many feet away do you have to be for the snellen test?

A

20 feet

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12
Q

How many feet away to test for near vision.

A

12-14 feet away

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13
Q

When do we test for near vision? What age?

A

Age 40 and older

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14
Q

How to inspect ocular motor function.

A

Corneal light reflection

Diagnostic position test.

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15
Q

What does PEERLA stand for?

A

Pupils equal, rounded, ready to light and accommodating.

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16
Q

What does an ophthalmoscopic exam check for?

A

Redness reflex

All eyes should show red in the pupil.

17
Q

Cone of light position

A

Right ear: 5 o’clock

Left ear: 7 o’clock

Marks the tympanic membrane of the inner ear

18
Q

What are the two types of hearing pathways?

A

Conductive

Perceptive/sensorineural

19
Q

What is conductive hearing?

A

Sound is transmitter through the external and middle ear

20
Q

What is perceptive pathway of hearing

A

Sound waves pass though the inner ear

21
Q

What is the instrument called to check the ears

A

Orthoscope

22
Q

After what age should use you the adult position for the orthoscope?

A

After age 6 use adult position

23
Q

What test are used for hearing?

A

Whisper voice test

Tuning fork test
-Rinne

Romberg test

24
Q

When testing hearing with the running fork how should conductance be measured in Rinne test?

A

Air conductance should be greater than bone conductance

Aka: Rinne test

25
Q

How does the turning fork measure for the weber test?

A

Place on head. The sound should be heard in both ears at the same time.

If not, the bad ear is the one that receives the sound

26
Q

Romberg test for hearing

A

Stand straight, close eyes and look for movement in the patient.

Could have something to do with the cerebellum