HNNMP

Question 1

Which CN is responsible for innervating facial muscles?

Answer 1

CN VII

Question 2

Which CN is responsible for facial sensations?

Answer 2

CN V

Question 3

Which CN innervates the SCM and trapezius?

Answer 3

CN XI

Question 4

What is dangerous about the parotid gland swelling?

Answer 4

Could cause a deviated trachea

Question 5

Where does the temporal bone end?

Answer 5

Behind the ears

Question 6

Where is the maxillary region?

Answer 6

Around the cheeks

Question 7

Where is the mandibular region?

Answer 7

Around the chin

Question 8

Where do the carotid artery and internal jugular vein lie?

Answer 8

Beneath the SCM

Question 9

What are the four areas in which lymph nodes are accessible?

Answer 9

Head and neck, arms, axilla, inguinal region

Question 10

What do lymph nodes do?

Answer 10

Drain bacteria

Question 11

What do normal lymph nodes feel like?

Answer 11

They either cannot be palpated or are round/oval, soft, and mobile

Question 12

What do infectious lymph nodes feel like?

Answer 12

Cannot be palpated; are round/oval, soft, and mobile; and hurts/is tender

Question 13

What do malignant lymph nodes feel like?

Answer 13

Round/oval, hard, fixed, non-tender

Question 14

What should you check the hair for?

Answer 14

Quality, distribution, texture, and pattern of loss

Question 15

What can fine, silky hair indicate?

Answer 15

Hyperthyroidism

Question 16

What can thinning, coarse hair indicate?

Answer 16

Hypothyroidism

Question 17

What should you check the scalp for?

Answer 17

Scaliness, lumps, lesions

Question 18

What two areas of the head should be checked for tenderness?

Answer 18

Mastoid/vertebral column down to vertebral prominens

Question 19

What characteristics of the face should you observe?

Answer 19

Expressions, contour, asymmetry, involuntary movements, edema, masses

Question 20

What characteristics of the skin should you observe for?

Answer 20

Color, pigmentation, texture, thickness, hair distribution, lesions, tattoos/piercings

Question 21

What can facial droopiness signify?

Answer 21

Stroke, parotitis, eye infection, etc.

Question 22

What should you examine the neck for?

Answer 22

Symmetry, masses, scars, enlargement of parotid/submandibular glands, visible lymph nodes
Check ROM
TMJ
JVD
Carotid bruit

Question 23

What CN innervates motor function of the neck?

Answer 23

CN XI

Question 24

How do you test CN XI?

Answer 24

Shrug shoulders and check ROM in head

Use hands to apply force

Question 25

In what order should the lymph nodes be palpated?

Answer 25

``` Preauricular Posterior auricular Occipital Tonsillar Submandibular Submental (underneath chin) Superficial cervical Deep cervical chain Posterior cervical Supraclavicular ```

Question 26

How do you check for a carotid/thyroid bruit?

Answer 26

Use bell, have patient breathe in and hold breath, listen

Question 27

What should you inspect the trachea for?

Answer 27

Deviation from midline

Question 28

How do you feel for tracheal displacement?

Answer 28

Feel by placing fingers along one side of trachea; compare with other side

Question 29

How do you inspect the neck for the thyroid gland?

Answer 29

Palpate from behind Place both hands on pt neck with index fingers below cricoid Displace thyroid as pt sips water

Question 30

What should you take note of during thyroid inspection?

Answer 30

Size, shape, consistency, nodules, tenderness

Question 31

When should you listen for a thyroid bruit?

Answer 31

When they say they have an enlarged thyroid | No bruit -> no sound

Question 32

Why is a deviated septum potentially dangerous?

Answer 32

It can block off the nostril, cause difficulty breathing, snorting, or interfere with inserting NG tubes

Question 33

What is the name of the anterior septum?

Answer 33

Kiesselbach's Plexus

Question 34

What are the 3 parallel bony projections in each nasal cavity called?

Answer 34

Superior, middle, and inferior turbinates

Question 35

What do the 3 parallel bony projections do

Answer 35

Increase surface area to warm blood

Question 36

Which pairs of sinuses should be examined?

Answer 36

Frontal (above eyebrows) Maxillary (cheek bones) Ask if there's tenderness

Question 37

What are the 2 parts of the palate and what are they made of?

Answer 37

Hard palate - bone | Soft palate - muscle

Question 38

What should you check the mouth for?

Answer 38

``` Lips (color, moisture, lumps, ulcers, cracking incomplete fusion) Mucosa (ulcers, nodules) Buccal membranes Cheeks Teeth and condition Gums/tongue Tonsils and oropharynx ```

Question 39

Where is the submandibular salivary gland located?

Answer 39

Underneath the tongue

Question 40

Where is the parotid gland? What duct drains it?

Answer 40

Within the cheeks in front of the ear | Parotid duct

Question 41

Where is the submandibular gland? What duct drains it?

Answer 41

Beneath the mandible at the angle of the jaw | Submandibular/Wharton's duct drains it

Question 42

Where is the oropharynx?

Answer 42

Behind the mouth and nose

Question 43

What should you inspect for the nose?

Answer 43

The anterior and inferior surfaces Lean back pt and pull up nose Check symmetry, lesions, sores, opening in septum, nasal mucosa (color swelling bleeding exudate)

Question 44

What should you inspect the oral/buccal mucosa for?

Answer 44

Parotid glands and duct (opposite second molar) | Whiteness on tongue - leukoplakia or thrush

Question 45

What is the difference between leukoplakia and thrush?

Answer 45

Thrush will scrape off

Question 46

What to check for when looking at gums, teeth, and pharynx?

Answer 46

``` Inflammation Swelling Retraction Discoloration Cracks Cavities Chips Looseness in sockets Discoloration Missing teeth Loose appliances ```

Question 47

What should you inspect the tongue for?

Answer 47

``` Color Papillae Texture Size Symmetry Presence of lesions Frenulum ```

Question 48

What is CN I? Sensory/motor? How do you test it?

Answer 48

Olfactory nerve Sensory Test by smell - close one nostril, sniff, close the other, sniff, open both, sniff

Question 49

What is CN V? Sensory/motor? How do you test it?

Answer 49

Trigeminal Both Test sensory by feeling temporal, maxillary, and mandibular region on either side of the face to make sure they feel the same Test motor by asking pt to open and close jaw while feeling TMJ

Question 50

What is CN VII? Sensory/motor? How do you test it?

Answer 50

Facial Both Test sensory by looking for anterior ⅔ of the tongue taste Test motor by asking pt to smile, frown, puff cheeks, and raise eyebrows

Question 51

What is CN IX? Sensory/motor? How do you test it?

Answer 51

Glossopharyngeal Both Test sensory by looking for posterior ½ of tongue taste Test motor by having pt say ahhhh for gag reflex

Question 52

What is CN X? Sensory/motor? How do you test it?

Answer 52

Vagus Both Test motor by gag reflex/saying ahhhh

Question 53

What is CN XI? Sensory/motor? How do you test it?

Answer 53

Spinal accessory Motor Test by having pt shrug shoulders and ROM in head - side to side, each ear to shoulder, bend forward and backward

Question 54

What is CN XII? Sensory/motor? How do you test it?

Answer 54

Hypoglossal Motor Test motor by sticking tongue out, up, down, side to side