Lecture 3 Bates ch 7 Pharynx and Neck incomplete Flashcards

1
Q

ID left to right

A

Gingival Margin

Upper Lip

Interdental Papilla

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2
Q

ID top to bottom

A

Gingiva

Alveolar Mucosa

Labial Frenulum

Labial Mucosa

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3
Q

ID top to bottom, left to right

A

Crown, Gingival Margin, Gingiva, Pulp Chamber, Bone, Root, Pulp Canal, Apex

Enamel, Gingival Sulcus, Dentin

(32 adult teeth)

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4
Q

ID top to bottom left to right

A

Posterior Tonsillar Pilar

Anterior Tonsillar Pilar

Right Tonsil

Hard Palate

Soft Palate

Uvula

Pharynx

Tongue

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5
Q

Top to bottom, left to right

A

Buccal Mucosa

Opening of Parotid Duct

Papilla

Upper Lip

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6
Q

A patient comes into your ER complaining of sore throat, but denies any upper respiratory infection like symptoms, which of the following is not in the differential?

  1. GERD
  2. Allergy
  3. Smoking or irritant exposure
  4. Previous URI
A

Previous URI

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7
Q

Sensetivity to cold and heat could indicate what about the thyroid respectively?

A

Cold - Hypothryoidism

Heat - Hyperthyroidism

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8
Q

Asking a patient to stick out his tongue is checking what CN function?

A

CN XII

Hypoglossal

(assess for deviation of tongue)

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9
Q

What CN dysfunction is this?

A

CN X Vagus

(can also check CN IX for gag refllex)

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10
Q

What are the muscles/landmarks that make up the anterior and posterior triangle

A

Anterior Triangle:

SCM, Jaw, neck midline

Posterior Triangle:

SMC, Clavicle (mid), Trapezius

Muscle crossing the base of the anterior triangle is the omohyoid muscle

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11
Q

ID top to bottom

A

E. J.

Carotid Sinus

Carotid Artery

I. J.

Clavicular and sternal heads of SCM

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12
Q

ID top to bottom, left to right

A

Thyroid Cartilage, Cricoid Cartilage, Thyroid Lobe, Thyroid Isthmus, Sternal Notch, Manubrium, Hyoid, SCM, Trachea, Clavicle

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13
Q

What order are they palpated in?

A
  1. Preauricular
  2. Posterior Auricular
  3. Occipital
  4. Tonsillar
  5. Submendibular
  6. Submental
  7. Superficial Cervical
  8. Posterior Cercvical
  9. Deep Cervical
  10. Supraclavicular
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14
Q

Now ID them

A

Preauricular, Posterior auricular, Occipital, Tonsillar, Submandibular, Submental, Superficial cervical, Posterior Cervical, Deep Cervical, Subclavicular

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15
Q
A

Angular Cheilitis

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16
Q
A

Actinic Cheilitis

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17
Q
A

HSV

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18
Q
A

Angioedema

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19
Q
A

Syphillis

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20
Q
A

Carcinoma of the lip

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21
Q
A

Large tonsils

(normal in some kids)

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22
Q
A

Exudative Tonsils

(Exudtive and Cervical lymphadenopathy? Think MONO, not strep)

23
Q
A

Pharyngitis

(Injected, red, beefy)

24
Q
A

Pharyngitis also

(Both photos could represent viral or bacterial, but if patient is afebrile, no exudates, or cervical adenopathy, chances of viral or bacterial infection is small)

25
Q
A

Diptheria

26
Q
A

Thrush

fungal candidiasis

27
Q
A

Torus Palatinus

midline bony growth failry common in adults, harmless

28
Q
A

Kopliks Spots

(One of the 4 c’s of…….Measles)

29
Q

A 3 year child comes to your clinic with macropurulent discharge in both eyes, and ear pain.

u/e you notice none of his lymph nodes are swollen…is his CONJUNCTIVITIS VIRAL or BACTERIAL

A

Bacterial

(highly contagious)

30
Q

A 7 year old boy visits your clinica with a watery discharge in only one eye, has a sore throat with palpable lymph nodes. His CONJUNCTIVITIS is likely BACTERIAL OR VIRAL?

A

VIRAL

(also highly contagious)

31
Q
A

Petechiae

32
Q
A

Leukoplakia

(does not rub off, unlike thrush)

33
Q
A

Gingivitis

34
Q
A

Acute Necrotizing Ulcerative Gingivitis

(what happens if you ignore gingivitis)

35
Q
A

Gingival Hyperplasia

36
Q
A

Pregnancy Tumor

37
Q
A

Attrittion of Teeth

(repetetive use in the elderly)

38
Q
A

Erosion

(vomit, low ph)

39
Q
A

Abrasion (notching)

chronic psych thing you do all the time

40
Q
A

Hutchinsons teeth

(Congenital Syphilus)

41
Q
A

Geographic Tongue

42
Q
A

Hairy Tongue

43
Q
A

Fissure Tongue

(Scrotal Tongue)

44
Q
A

Smooth Tongue

(Vitamin Deficiencies, likely B12)

45
Q
A

Candida (thrush)

Inhalers with steroids

46
Q
A

Hairy Leukoplakia

(think HIV, does not scrap off unlike thrush)

47
Q
A

Varicose Veins

(increased presure)

48
Q
A

Apthous ulcer

49
Q
A

Mucous patch of syphilis

50
Q
A

Tori Mandibulares

(mandible bones growing up, can grow down too)

51
Q
A

Carcinoma!!!

52
Q
A

HYPER thyroidism

53
Q
A

HYPO thyroidism

54
Q
A