Nose/Mouth Flashcards

1
Q

What is the upper third of the nose supported by?

A

Bone

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2
Q

What is the lower two-thirds of the nose supported by?

A

Cartilage

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3
Q

What is the medial wall of the nose formed by?

A

The nasal septum
*Supported by bone and cartilage
*Covered by vascular mucous membrane

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4
Q

What is the vestibule lined with?

A

Hair

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5
Q

What are turbinates of the nose?

A

Curving bony structures on the lateral side
*covered with mucous membranes

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6
Q

Where does the nasolacrimal duct drain into?

A

Inferior meatus

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7
Q

What are the functions of the nose?

A

Cleansing
Humidification
Temperature control of inspired air

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8
Q

What are sinuses?

A

Air-filled cavities within the bones of the skull

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9
Q

What are the four sinuses?

A

Maxillary*
Ethmoid
Frontal*
Sphenoid
*all lined with a mucous membrane
*can be palpated

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10
Q

What is rhinorrhea and nasal congestion?

A

Drainage from the nose
Sense of stuffiness or obstruction

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11
Q

What is the medical term for a nose bleed?

A

Epistaxis

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12
Q

What are some causes of epistaxis?

A

Trauma (nose-picking)
Inflammation
Drying and cresting of the nasal mucosa
Tumor
Foreign bodies

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13
Q

If there is tenderness of the nasal tip or ala what does that suggest?

A

Local infection
*furuncle

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14
Q

What should you avoid contact with with examining the nose?

A

The nasal septum

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15
Q

In viral rhinitis describe the mucosa

A

Reddened and swollen

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16
Q

In allergic rhinitis describe the mucosa

A

pale
Bluish
Red

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17
Q

What are nasal polyps?

A

Pale sack-like growths of inflamed tissues that can obstruct the air passage or sinuses
*benign

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18
Q

What is a labial frenulum?

A

A midline mucosal fold
*connects each lip with the gingiva

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19
Q

What is adjacent to the gingiva?

A

Alveolar mucosa

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20
Q

What is each tooth composed of?

A

Dentin

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21
Q

Where do nerves of the teeth enter?

A

Through the pulp canal and pulp chamber

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22
Q

How many adult teeth are there?

A

32
*1-16 right to left, upper jaw
*17-32 left to right, lower jaw

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23
Q

What is the front of the tongue covered with?

A

Papillae
*give the tongue its rough surface

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24
Q

Does the undersurface of the tongue have papillae?

A

No

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25
Q

What does the lingual frenulum connect?

A

Connects the underside of the tongue to the floor of the mouth and ducts of the submandibular glands

26
Q

Where is saliva secreted from?

A

Submandibular glands

27
Q

Where are the soft palate and uvula located?

A

Above and behind the tongue, there is an arch formed by the anterior and posterior pillars

28
Q

Where is the posterior pharynx visible?

A

In the recess behind the soft palate and tongue

29
Q

Where do tonsils protrude from?

A

Tonsillar fossa
*which is between the anterior and posterior pillars

30
Q

What does the buccal mucosa line?

A

The cheeks

31
Q

Where does the parotid duct open into?

A

The buccal mucosa near the upper second molar

32
Q

Medical term for a sore throat?

A

Pharyngitis

33
Q

What are bleeding gums caused by?

A

Gingivitis

34
Q

What can cause hoarseness?

A

Diseases of the larynx
Lesions that press on the laryngeal nerves

35
Q

What should you consider if the hoarseness is acute?

A

Voice overuse
Acute viral laryngitis
Neck trauma

36
Q

What is the medical term for bad breath?

A

Halitosis

37
Q

What are you checking for when palpating the tongue?

A

Indurations

38
Q

When the patient says AHHH what does that enable you to see?

A

The pharynx and bilateral rise of the soft palate (CNX)

39
Q

If there is asymmetric protrusion of the tongue what cranial nerve is damaged?

A

CN XIII
*hypoglossal nerve

40
Q

What happens in the mouth if there is CN X (vagus nerve) paralysis?

A

The soft palate fails to rise and the uvula deviates to the opposite side

41
Q

What causes angular cheilitis?

A

Overclosure of the mouth
*see in people with no teeth
*there is softening of the skin at the angles of the mouth

42
Q

What is actinic cheillits?

A

A precancerous condition that results from excessive exposure to sunlight
*lip loses normal redness and may become scaly

43
Q

What is angioedema?

A

A life-threatening allergic reaction
*involves the larynx, tongue, or upper airway

44
Q

What is Peutz-Jeghers syndrome?

A

Small prominent small brown pigmented spots in the dermal layer
*autosomal dominant syndrome

45
Q

What is exudative Tonsillitis?

A

There are thick whit exudates on the tonsils
*increases the probability of streptococcal infection

46
Q

What is thrush?

A

White patches on the tongue that are very painful
*can be due to corticosteroids
*very painful
*yeast infection from Candida species

47
Q

What is Kaposi Sarcoma?

A

Deeply purple color of lesion in the mouth
*related to AIDS

48
Q

What causes gingival hyperplasia?

A

Chronic inflammation

49
Q

What is leukoplakia?

A

A thickened whit patch that may occur anywhere in the oral mucosa
*benign

50
Q

What are Hutchinson Teeth?

A

The teeth are smaller and more widely spaced than normal and are notched on their biting surfaces
*occur from congenital syphilis

51
Q

What is black hair tongue?

A

Brown and black tongue
*benign
*associated with bacterial overgrowth, antibiotic therapy, poor dental hygiene

52
Q

What is oral hairy leukoplakia?

A

Whitish raised asymptomatic plaques with a feathery pattern
*cannot be scraped off
*Caused by the Epstein-Barr virus

53
Q

What are Tori mandibularis?

A

bony growths on the inner surfaces of the mandible *Asymptomatic

54
Q

What is an aphthous ulcer?

A

Canker sore
*painful, shallow, whitish-gray oval ulceration

55
Q

What is torus palatines?

A

Benign midline bump

56
Q

What could asymmetric tonsils indicate ?

A

Lymphoma

57
Q

What is hereditary hemorrhagic telangiectasia?

A

Multiple red spots on the lips
*autosomal dominant endothelial disorder

58
Q

What are Fordyce spots

A

Normal sebaceous glands that appear as small yellowish spots in the buccal mucosa or on the lips

59
Q

What are koplik spots

A

Early sign of measles

*white small specks that resemble grains of salt

60
Q

If someone has a smooth tongue what are they deficient in?

A

Riboflavin
Niacin
Folic acid
B12