HEENT evaluation

Question 1

for exam may need:

Answer 1

gloves, tongue depressor, otoscope,

Question 2

IAPP

Answer 2

Inspect
Auscultate
Palpate
Percuss

Question 3

if get stuck during quiz

Answer 3

Ask self: “Do I need to inspect, auscultate, palpate, and/or percuss And have I done it?”

Question 4

Before ear exam:

Answer 4

ask about pain when: pull auricle up and down, push on tragus/ mastoid process, palpate lymph nodes (just anterior, inferior, and posterior to ear)

Question 5

For otoscopic exam

Answer 5

pull auricle up, out, and back

Question 6

Ear exam if clear

Answer 6

canal is patent (see all the way to TM)

Question 7

Ear exam if impacted

Answer 7

“canal is obstructed by cerumen”

Question 8

If you see something

Answer 8

ask about it– (white TM may indicate ear infections as child)

Question 9

Don’t use peroxide if

Answer 9

can’t visualize TM integrity

Question 10

For TM record

Answer 10

color, mobility, light reflex, visibility of boney landmarks

Question 11

nose exam

Answer 11

externally palpate cartilage and bones (nose is symmetrical, with/out evidence of trauma, no pain w/ palpation)

Question 12

have pt occlude each nostril and breath in

Answer 12

patency

Question 13

Inspection of nasal passage

Answer 13

insert otoscope short way and visualize septum and turbinates (lower and middle)

Question 14

Nasal mucosa is

Answer 14

pink (blue tinge if pt has allergies) and moist, septum is intact, turbinates normal as visualized”

Question 15

when doing nasal exam

Answer 15

have pt hold breath so no fog–hold breath with pt

Question 16

also palpate

Answer 16

frontal and maxillary sinuses (up and under firmly)

Question 17

for mouth exam (outside)

Answer 17

color of lips and perioral tissue

Question 18

inside mouth (palpate)

Answer 18

lips, buccal mucosa, tongue, mouth floor

Question 19

percuss teeth

Answer 19

w/ tongue blade–ask about pain (sinuses or teeth)

Question 20

when person says ahhhh

Answer 20

make sure uvula rises

Question 21

soft palate rising tests

Answer 21

CN X

Question 22

ask pt to stick tongue out straight (like kid)

Answer 22

note symmetry

Question 23

for tongue

Answer 23

grab with gloves and gauze to look for cancer at corners

Question 24

palpate–counter pressure with other hand

Answer 24

lips, buccal surface, tongue, underneath tongue (for pain or anything not soft)

Question 25

Lymph node exam

Answer 25

IAPP – submental, sublingual, supraclavicular lymph nodes