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Jarvis Physical Assessment > Jarvis Chapter 16 Nose, Mouth and Throat > Flashcards

Jarvis Chapter 16 Nose, Mouth and Throat Flashcards

1
Q

Pressure & pain of sinuses

A

Sinusitis

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1
Q

nosebleeds can be attributed to

A

overuse of nasal sprays, Hypertension, very dry nasal mucosa, leukemia, thrombocytopenia

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2
Q

Watery, clear, nasal discharge

A

rhinorrhea

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3
Q

rhinorrhea can be a sign of

A

past head injury, cerebrospinal fluid leak

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4
Q

Yellow discharge from nose

A

commonly occurs with a cold, rhinitis, or sinus infection.

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5
Q

Stuffy nose/inability to breath from both nostrils during day/night can be a

A

deviated septum, sinus congestion, obstruction

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6
Q

Decreased sense of smell

A

URI , Smoking, cocaine use, neurologic lesion, tumor

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7
Q

Possible causes of dysphagia (difficulty swallowing)

A

Esophageal disorders, Anxiety, Improperly fitted dentures, neurlogical disorders

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8
Q

Difficulty chewing, swallowing, moving tongue/jaw may be

A

late sign of oral cancer

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9
Q

Persistent long sore throat can be a sign of

A

cancer

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10
Q

Hoarseness can be due to

A

Hypothyroidism, Cancer of pharynx, allergies, smoking, overuse of voice. Referreal for symptoms > 2 weeks

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11
Q

Excessive alcohol consumption increases risk of

A

oral cancer

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12
Q

Bruxism

A

grinding teeth

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13
Q

Bruxism (teeth grinding) can cause

A

TMJ issues

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15
Q

Causes of decreased ability to taste

A

? URI, Lesion of Facial nerve(CN VII), Zinc deficiency, Menopause

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16
Q

Proper oral hygiene prevents

A

dental caries & gum disease, inflammation to other body parts

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17
Q

Poor fitting dentures can lead to

A

leukoplakia (precancerous condition)

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18
Q

Lips of Mediterranean or dark skinned people are

A

Bluish or freckled

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19
Q

Pallor around lips can be

A

anemia or shock

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20
Q

Hypoxia or being cold can result in

A

bluish lips

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21
Q

Swollen lips occur

A

local/systemic allergic reaction or anaphylaxis

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22
Q

Number of teeth

A

28 (excluding wisdom)

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23
Q

Yellow or brownish teeth occur with

A

heavy coffee/tea consumption. high fluoride

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24
Q

Chalky white substance on tooth that turns darker over time

A

cavity

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25
Q

White spots on teeth can occur from

A

antibiotics

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26
Q

Receding gums

A

common in elderly, abnormal in youth

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27
Q

Red, swollen gums are a sign of

A

Gingivitis ,Scurvy (vitamin C deficiency), Leukemia

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28
Q

Enlarged reddened gums are abnormal but can be often be seen

A

pregnancy, puberty, leukemia, phenytoin medication

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29
Q

Bluish-black line or grey-white line along gum line is

A

a symptom of lead poisoning.

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30
Q

White, curdlike patches on the tongue that scrape off easily and bleed

A

Candida albincans (Thrush)

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31
Q

Tiny white spots (Koplik’s spots) that lie over reddened mucosa in mouth

A

early sign of measles

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32
Q

brown patches inside the cheeks of those with adrenocortical deficiency

A

Canker sore

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33
Q

Deep longitudinal fissures on tongue

A

a sign of dehydration

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34
Q

black tongue

A

bismuth (Pepto Bismol toxicity)

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35
Q

Reddish shiny tongue

A

Vitamin B or niacin deficiency

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36
Q

Enlarged tongue

A

hypothyroidism, acromegaly and Down Synd.

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37
Q

Small tongue

A

malnutrition

38
Q

Canker sores on side of tongue

A

abnormal but found in patients getting chemo

39
Q

Loss of taste discrimination such as sweet vs. salty

A

Zinc deficiency, XII CN defect

40
Q

Thick white plaques on hard palate

A

candidal infection

41
Q

Deep purple, raised, or flat lesions may indicate

A

Kaposi’s sarcoma (common w/AIDS)

42
Q

Yellow tint to hard palate

A

jaundice

43
Q

Opening of hard palate

A

cleft palate

44
Q

Fruity or acetone breath

A

diabetes ketacidosis

45
Q

Ammonia breath odor

A

kidney disease

46
Q

Foul breath odor

A

tooth decay or respiratory infection

47
Q

Fecal breath

A

bowel obstruction

48
Q

Sulfur breath

A

end-stage liver disease

49
Q

Red, enlarged tonsils or may have patches of white or yellow exudate

A

tonsillitis

50
Q

Bright red throat w/white or yellow exudate

A

pharyngitis

51
Q

Can’t sniff or blow when one nostril is occluded

A

sign of swelling, rhinitis, or obstruction

52
Q

nasal mucosa swollen, pale pink or bluish gray

A

allergies

53
Q

nasal mucosa swollen and red

A

URI

54
Q

Purulent nasal discharge

A

acute bacterial rhinosinusitis

55
Q

Small round pale polyps in nose

A

common with chronic allergies

56
Q

Tender maxillary sinuses w/paplation w/without crepitation

A

allergies or rhinosinusitis

57
Q

A red glow transilluminates the frontal sinuses

A

normal air filled sinus

58
Q

Absence of red glow transilluminating the frontal sinuses

A

sinus filled with fluid, thick mucus or pus

59
Q

Object used to examine tongue

A

square gauze pad

60
Q

Examination of gums and teeth

A

w/gloves retract lips & cheeks

61
Q

To prevent gag reflex during examination of uvula

A

depress tongue slightly off center

62
Q

Makes uvula clearer for observation

A

saying “aaah”

63
Q

Elicit the gag reflex

A

depress the back of the tongue

64
Q

Carbon monoxide poisoning

A

reddish lips

65
Q

2+

A

midway between tonsils and uvula

66
Q

1+

A

tonsils are visible

67
Q

3+

A

tonsils touch uvula

68
Q

4+

A

tonsils greatly enlarged & touching each other

69
Q

Most common area for carcinoma of tongue

A

sides

70
Q

Inspection for oral cancer

A

all surfaces of tongue & buccal mucosa,

71
Q

Examining sinus for infection

A

press up on the brow on each side of the nose

72
Q

To inspect salivary glands, where do you locate the Wharton’s ducts

A

Either side of the frenulum on the floor of the mouth

73
Q

To assess mouth, nose, an sinuses

A

client should sit with head erect and eye level with nurse

74
Q

bifid uvula

A

normal finding in Native Americans

75
Q

Paralyses of CN X (vagus)

A

uvula deviates to one side and palate fails to rise

76
Q

CVA may cause

A

asymmetrical or loss of movement of the uvula

77
Q

URI nasal mucosa is

A

red & swollen. There should also be purulent discharge.

78
Q

With transillumination test of maxillary sinus

A

client should remove dentures

79
Q

Transillumination test should be performed

A

with lights off

80
Q

Fissured, topographical map-like tongue

A

normal variation in older clients

81
Q

Anatomy for tonsillectomy and adenoidectomy

A

Nasopharynx and oropharynx

82
Q

exam of nares reveals small erosions in the septum. A possible cause is

A

recreational drugs

83
Q

Assessing a client’s maxillary sinuses, a red glow appears under the client’s eyes. What does this suggest?

A

sinuses are not inflamed

84
Q

Taking antibiotics can cause

A

oral candidiasis

85
Q

Drying or cracking of the lips can be a sign of

A

dehydration

86
Q

gustatory rhinitis

A

increased clear rhinorrhea at meal time with older adults.

87
Q

cleft lip and palate has an increased incidence in

A

Native Americans & Asians

88
Q

indication of allergies

A

traverse ridge

89
Q

Indicative of a nasal fracture

A

crepitus

90
Q

0-

A

Tonsils are not visible

Jarvis Physical Assessment (9 decks)

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