HEENT Check off

Question 1

Components of HEENT physical exam check off

major categories) (11

Answer 1

General

Skin

Head

Eyes

Fundoscopic

Ears

Nose

Sinuses

Mouth/Oropharynx

Neck

Lymph Nodes

Question 2

General (6)

Answer 2

Introduce self

verify name, DOB

state wash hands

explain to patient purpose of visit

vitals (Ht, Wt, T, P, R, BP)

general appearance (nutritional status, build, signs of distress)

Question 3

Skin system (6)

Answer 3

INSPECT (color, lesions, tattoos, scars)

exposes skin to inspect

Palpate temp

turgor

hair (quantity and distribution)

part hair (scales, lesion, nits)

Question 4

head (7)

Answer 4

inspection head (size, shape, symmetry)

inspect facial features (symmetry, tics, atrophy, tremors )

palpate scalp/skull

palpate TMJ

assess ROM of TMJ

Palpate temporal artery bilaterally

Auscultate temporal artery bilaterally

Question 5

eyes (17) :(

Answer 5

visual acuity

inspect orbits, eyebrows, eyelids, eyelashes w/light

palpate eyebrows

palpate eyelids

palpate orbits

inspect lower conjunctiva

inspect sclera, iris, pupil (size, shape)

inspect cornea (tangential light)

inspect pupil (direct response)

inspect pupil (consensual response)

inspect pupil accommodation (near/far)

inspect corneal light reflection (Twinkle test)

cover/uncover (drift strabismus)

EOM

nystagmus

pupil convergence

confrontation

Question 6

ears (8)

Answer 6

inspect external structures (lesions, erythema, edema)

palpate/traction pinnae

palpate tragus

percuss for mastoid tenderness

inspect canals and tympanic membranes (otoscope)

Check hearing with whisper test (occlude opposite ear)

Weber test

Rinne test

Question 7

nose (4)

Answer 7

inspect external structures

palpate external structures

check patency of nares bilaterally

attempt to visualize nasal mucosa, sputum, turbinates

Question 8

sinuses

Answer 8

inspect frontal sinuses

inspect maxillary sinuses

palpate frontal sinuses

palpate maxillary sinuses

percuss frontal sinuses

percuss maxillary sinuses

transilluminate frontal sinuses

transilluminate maxillary sinuses

Question 9

mouth/oropharynx (19!)

Answer 9

inspect lips

inspect teeth, gums

inspect buccal mucosa

inspect for stepson’s duct

inspect tongue (ask patient to stick out tongue)

inspect floor of mouth, under tongue

inspect lateral tongue (gauze)

inspect for wharton’s gland

inspects hard palate

inspects soft palate and uvula

ask pt to say “ah” looking for symmetrical rise of soft palate

inspect tonsils

palpate gums

palpate Parotid (inside duct and on cheek)

palpate tongue

palpate floor of mouth (submandibular)

states would check for gag reflex

uses tongue blade appropriately

Question 10

Neck (5)

Answer 10

inspect anterior neck (swallow)

inspect tracheal position

inspect posterior neck (cervical curvature)

palpate thyroid (swallow, proper position)

palpate tracheal position

Question 11

lymph nodes (bilaterally)

Answer 11

palpate pre-auricular nodes

palpate post auricular nodes

palpate occipital

palpate submental nodes

palpate submandibular nodes

palpate tonsillar nodes

palpate superficial cervical nodes

palpate posterior cervical nodes

palpate deep cervical nodes