Module 9 Flashcards

1
Q

consequences, after effects

A

Sequelae

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2
Q

Sensation of faintness

A

dizziness

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3
Q

Sensation of spinning

A

vertigo

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4
Q

Nosebleed

A

epistaxis

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5
Q

Decreased sensitivity to taste

A

Hypogeusia

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6
Q

-geusia

A

taste

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7
Q

unpleasant taste

A

Dysgeusia

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8
Q

Double vision

A

diplopia

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9
Q

beating of the heart so vigorously that the person is aware of it

A

palpitations

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10
Q

equipment for head and neck

A

Light source, Tongue blade, Cotton balls, Tape measure, Stethoscope, Otoscope , Snellen Eye Chart or Pocket Vision Card , Ophthalmoscope

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11
Q

techniques for head and neck

A

inspection and palpation

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12
Q

is the head and neck a single, fixed sequence

A

no

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13
Q

what is the most efficient way to examine

A

examine the ears, nose and throat in one smooth sequence

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14
Q

what is normal head position

A

upright, midline and still

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15
Q

jerking of the head may indicate what

A

tremor

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16
Q

nodding of the head may indicate what

A

aortic stenosis

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17
Q

what do you inspect the scalp for

A

size, shape, symmetry, and leisons

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18
Q

how do you inspect facial features

A

shape and symmetry
Cranial Nerve V (Trigeminal)
Cranial Nerve VII (facial)
unusual features

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19
Q

how do you inspect the Trigeminal nerve

A

Motor:
Jaw opening and clenching
Mastication (chewing)
Sensory: Sensation over the face

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20
Q

how do you inspect the facial nerve

A
Motor:
Raise eyebrows
Smile, frown, and show teeth
Puff out cheeks
Close eyes tightly
Sensory: Taste: anterior 2/3 of tongue
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21
Q

what unusual features of the face do you inspect for

A

edema, prominent eyes, sunken eyes, hirsutism, alopecia, tics

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22
Q

tissue swelling

A

edema

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23
Q

Hyperthyroidism

A

prominent eyes

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24
Q

Dehydration, malnutrition

A

sunken eyes

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25
excessive hair growth
hirsutism
26
hair loss
alopecia
27
Spasmodic muscular contractions
tics
28
An expression or appearance of the head and neck that, when taken together, are characteristic of a clinical condition or syndrome
facies
29
how do you palpate the head
Palpate using a gentle rotary motion Proceed from front to back Palpate for lymph nodes
30
what do you palpate the skull and scalp for
Contour: smooth, Symmetry, Tenderness, Scalp movement, Hair
31
what are the lymph nodes
Preauricular, Postauricular, Occipital, Tonsillar, Submandibular, Submental, Anterior Cervical Chain, Posterior Cervical Chain, Supraclavicular
32
what should be done if a problem in the sinuses is suspected
Transillumination
33
how do you examine the sinues
Inspect the area over the frontal and maxillary sinuses Palpate over the frontal and maxillary sinuses Percuss over the frontal and maxillary sinuses
34
what do you inspect the neck in
Usual anatomic position Slight hyperextension As the person swallows with neck hyperextended
35
movement that increases the angle of a joint to 180°; straightening the joint
extension
36
exaggerated extension | > 180°
hyperextension
37
what do you inspect the neck for
Symmetry, Alignment of trachea, Fullness, Masses, webbing, skin folds, Jugular vein distention, Carotid artery prominence, Cranial Nerve XI (Spinal Accessory)
38
how do you inspect the Cranial Nerve Spinal Accessory
Ability to shrug shoulders with and without resistance and turn head
39
what do you palpate on the neck
Trachea for Position and Tugging
40
what type of vison are you interested in on a patient
person's best corrected and uncorrected vision
41
If the person has contacts in
they do not need to remove them
42
If the person is wearing glasses
visual acuity needs to be done with an without them
43
what cranial nerve is related to visual acuity
cranial nerve II (optic)
44
visual acuity is reported as...
as a pair of numbers (e.g., 20/20)
45
the first number in visual acuity is
how far the person is from the chart
46
the second number in visual acuity is
the distance from which the "normal“ eye can read a line of letters
47
nearsightedness
myopia
48
20/40 on the Snellen chart means that
that at 20 feet the person can only read letters a "normal" person can read from twice that distance
49
20/40 on the Rosenbaum chart means
that at 14 inches the person can only read letters a "normal" person can read from twice that distance
50
farsightedness
hyperopia
51
due to aging
presbyopia
52
how to perform a visual acuity test
Have the person cover one eye at a time with a card Ask the person to read the smallest line possible without straining Repeat with the other eye Repeat with both eyes
53
what do you inspect the eyes for
ptosis, exophthalmos, lesions, deformities, or asymmetry
54
full inspection of the eyes
Ask the person to look up and pull down both lower eyelids to inspect the conjunctiva and sclera Next spread each eye open with your thumb and index finger Ask the person to look to each side, upward and downward to expose the entire bulbar surface. Note any discoloration, redness, discharge, or lesions Note any deformity of the iris or lesion cornea
55
how do you test peripheral vision
Stand two feet in front of the person and have them look into your eyes Hold your hands to the side half way between you and the person Wiggle the fingers on one hand Ask the person to indicate which side they see your fingers move Repeat two or three times to test both temporal fields
56
how do you check for neglect in the visual fields
wiggle your right and left fingers simultaneously | The person should see movement in both hands
57
if abnormality of visual fields is suspected..
use the confrontation test
58
how do you check visual fields by confrontation test
Asking the person to cover one eye with a card You cover your opposite eyes with a card Have the person look directly into your eyes Bring in your wiggling fingers from each quadrant and ask the person to tell you when your fingers are seen
59
how do you check corneal reflections
Shine a light from directly in front of the person
60
what should the corneal reflections be near
the center of the pupils
61
what does asymmetry of the corneal reflections indicate
extraocular muscle pathology