Lymph and CN XI exam

Question 1

Instruct patient to do what during lymph exam

Answer 1

expose entire neck and region around clavicles

Question 2

inspect what during lymph exam

Answer 2

visible swelling or asymmetry

Question 3

palpate what during lymph exam

Answer 3

with light rolling motion
skin on skin
one side then compare to other side

Question 4

lymphnodes order

Answer 4

preauricular
postauricular
occipital
tonsilar
submandibular
submental
superficial cervical
deep cervical
posterior cervical
supraclavicular

Question 5

preauricular

Answer 5

area in front of the ear

Question 6

postauricular

Answer 6

area behind ear

Question 7

occipital

Answer 7

along base of skull

Question 8

tonsilar

Answer 8

on the neck at the angle of the jaw

Question 9

submandibular

Answer 9

halfway between angle of jaw and tip of chin

Question 10

submental

Answer 10

under tip of chin

Question 11

superficial cervical

Answer 11

along surface of SCM, head tilted slightly away

Question 12

deep cervical

Answer 12

deep to belly of SCM, pinching motion or mm braced

Question 13

posterior cervical

Answer 13

along anterior surface of trapezius

Question 14

supraclavicular

Answer 14

in fossa above clavicle

Question 15

normal lymph node findings

Answer 15

non-palpable or soft, small, non-tender, moveable

Question 16

cancerous lymph node findings

Answer 16

hard, enlarged, tender, moveable

Question 17

infected lymph node findings

Answer 17

boggy, enlarged, tender, moveable

Question 18

calcified lymph node findings

Answer 18

hard, small to large, non-tender, moveable

Question 19

vichow’s node located where and what does it indicate

Answer 19

enlarged left supraclavicular node that indicates GI metastasis

Question 20

CNXI

Answer 20

spinal accessory

Question 21

test what for cn11

Answer 21

mm strength of SCM bilaterally

mm strength of trapezius bilaterally

Question 22

normal strength

Answer 22

5/5 bilaterally

Question 23

abnormal

Answer 23

anything less than 5/5

Question 24

CNXI lesion

Answer 24

ipsilateral SCM and trapezius weakness

Question 25

other cause of mm weakness

Answer 25

muscle itself, nmj or and upper motor neuron lesion