HENT - part two ppt

Question 1

Increased facial pain when bending over could indicate ___ sinuses.

Answer 1

maxillary

Question 2

< 12 days = ___
> 12 days = ___
> 30 days = ___

Answer 2

URI
sinusitis/acute sinus inf
chronic sinus inf

Question 3

___ symptoms include cough, fever, muscle aches and could indicate seasonal ___ or ___.

Answer 3

Acute, allergies, URI

Question 4

___ symptoms include eye pain, bad breath, fatigue and could indicate chronic ___.

Answer 4

Chronic, sinusitis

Question 5

Most likely ___ drng if sympt. btwn 3-10 days.

Answer 5

viral

Question 6

Long-term use of nasal sprays or drops can cause nasal ___.

Answer 6

congestion

Question 7

Meds like ___ or ___ can cause nasal congestion.

Answer 7

ACE’s, BB’s

Question 8

CF, HIV, and leukemia are all systemic dis that can cause decreased ___ clearance and therefore nasal ___.

Answer 8

mucous, congestion

Question 9

Typically want to visualize ___ out of ___ nasal turbinates. May not be seen in nasal ___.

Answer 9

2, 3, congestion

Question 10

Chronic sinusitis pt’s don’t typically run ___.

Answer 10

fevers

Question 11

Can r/o sinusitis in 90% of cases if ___ is normal.

Answer 11

transillumination

Question 12

Test for facial pain and fullness by having pt ___ ___ and sit back up.

Answer 12

bend over

Question 13

Bluish, swollen mucosa = ___

Generalized redness = ___. May also see bleeding or polyps on nasal inspection.

Answer 13

allergies

infection

Question 14

Infant to 1 yr = ___ sinus.
Child up to age 6 = ___, ___, and ___ sinus, but not ___.
Child after age 10 and adults have all ___ sinuses.

Answer 14

maxillary
sphenoid, ethnoid, maxillary, frontal
four

Question 15

When doing transillumination of ___ sinuses, have pt tilt head ___ and open ___. Look for light transmitted through ___ or hard ___. Lack of transillumination suggests that sinus is filled w/___.

Answer 15

maxillary, back, mouth, sinuses, palate, secretions

Question 16

The following increase the likelihood that your pt has sinusitis: hx of ___ nasal discharge, poor response to ___, ___ tooth pain, ___ nasal discharge, and abnormal ___ sinus transillumination.

Answer 16

colored, decongestants, maxillary, purulent, maxillary

Question 17

Infectious rhinitis, allergic rhinitis, non-allergic rhinitis, rhinitis medicamentosa, acute/chronic sinusitis, nasal sinus obstr., nasal polyposis, osteomyelitis of frontal bone are all possible differential dx for ___/___ problems.

Answer 17

nasal/sinus

Question 18

Intense, severe sore throat = ___

Sore, scratchy d/t drng = ___

Answer 18

strep

URI

Question 19

Ask pt’s to say “aaahh” to better visualize the ___.

Answer 19

oropharynx

Question 20

___ ducts open on eash side of the tongue’s frenulum from the submandibular glands.

Answer 20

Wharton’s

Question 21

___ ducts open onto the buccal mucosa across from the second molar of the upper jaw from the parotid glands.

Answer 21

Stensen’s

Question 22

The ___ gland drains thru a number of smaller, not readily visible ducts.

Answer 22

sublingual

Question 23

Uvula rises upon “aahh”. Deviation to one side may be caused by CN ___ palsy, which could indicate a tumor or an inf.

Answer 23

IX

Question 24

With lesions, tongue towards the lesion is CN ___, and uvula away from lesion is CN ___.

Answer 24

XII, IX

Question 25

Palpation of the ___ is done only as needed when a lesion is suspected.

Answer 25

mouth

Question 26

Compare bilat upon palpation of the ___ ___.

Answer 26

lymph nodes

Question 27

Size of lymph nodes should be < ___ cm, should feel ___, and is ___. Don’t want it to be ___ or ___.

Answer 27

1, rubbery, mobile, hard, fixed

Question 28

___ or ___ nodes are often enlged in strep throat.

Answer 28

Tonsillar, retropharyngeal

Question 29

Inspect the thyroid w/the neck slightly ___. Goiter is r/o if thyroid gland is ___ visible w/neck extension.

Answer 29

extended, NOT

Question 30

The thyroid isthmus sits below the ___ ___. Start palpation of the thyroid from the ___ notch and work up. Have pt ___. Thyroid should slide up and down through finger tips.

Answer 30

cricoid cartilage, sternal, swallow

Question 31

Thyroid should or should not be palpable?

Answer 31

should NOT

Question 32

T or F: thyroid should be freely mobile, symmetrical, and bilat.

Answer 32

True

Question 33

Tests to run for a sore throat may include ___ ___ ___ or ___ ___ ___ ___.

Answer 33

rapid screening strep, rapid screening mono spot

Question 34

Epiglottitis, peritonsilar/retoropharyngeal abscess, viral pharyngitis, strep pharyngitis, mono, gonococcal pharyngitis, inflam, herpangina, Vincent’s agina, aphthlous stomatitis, herpes simplex, and candidiasis are all differential dx for ___ ___.

Answer 34

sore throat