Nose, Mouth, Throat, ch. 17

Question 1

Which 2 pairs of sinuses are accessible to examine?

Answer 1

Frontal
Maxillary

Question 2

List the functions of the tongue

Answer 2

Mastication
Swallowing
Cleansing teeth
Speech
Taste sensation

Question 3

List the 3 pairs of salivary glands

Answer 3

Parotid glands

Submandibular glands

Sublingual glands

Question 4

Which tonsils are also called Adenoids and contain the openings to the eustachian tubes?

Answer 4

Pharyngeal tonsils

Question 5

What health condition is r/t periodontal disease in aging adults?

Answer 5

type 2 diabetes

Question 6

What does URI stand for?

Answer 6

Upper respiratory infections

Question 7

Define Epistaxis

Answer 7

nosebleeds

Question 8

Define dysphagia

Answer 8

difficulty swallowing/eating

Question 9

How do you prepare for the collection of objective data regarding the nose, mouth, and throat?

Answer 9

Position pt sitting up straight with head at your eye level

Ask them to remove dentures and offer a paper towel

Question 10

What equipment is needed for objective data collection of the nose, mouth, and throat?

Answer 10

otoscope w/ short, wide-tipped nasal speculum

penlight

2 tongue blades

cotton gauze pad

gloves

Question 11

How is the patency of nostrils tested?

Answer 11

Have the patient block one nostril and inhale through the other, then switch sides. Listen for congestion/patency in nares

Question 12

Which cranial nerve mediates the sense of smell?

Answer 12

CN I: Olfactory

Question 13

How should a healthy nose be reported?

Answer 13

Nasal mucosa is pink, moist, and intact bilaterally

Question 14

Which turbinate bone may or may not be in view?

Answer 14

Superior turbinate

Question 15

What technique is used to test the clarity of nasal sinuses with a light?

Answer 15

Transillumination

Question 16

How should a healthy tongue be reported?

Answer 16

Pink, moist, and intact

Question 17

What color quality should be searched for in the mouth/buccal mucosa?

Answer 17

White patches, pallor

Question 18

Name a normal variation of the hard palate

Answer 18

Torus palatinus: bony ridge down midline of hard palate

Question 19

Which nerve innervates the uvula?

How is healthy uvula functioning observed?

Answer 19

CN X- vagus

“Patient’s uvula rose midline”

Question 20

Explain normal tonsil appearance

Answer 20

Same pink as oral mucosa
Indentations on surface
no exudate on tonsils
1+ or 2+, especially in children

Question 21

Explain the tonsil size grading

Answer 21

1+ visible
2+ halfway between tonsillar pillars and uvula
3+ touching uvula
4+ touching eachother

Question 22

Which cranial nerves control the gag reflex? How is the gag reflex tested?

Answer 22

CN IX and X (glossopharyngeal and vagus)

touch the posterior wall with tongue blade

Question 23

How is CN XII tested?

Answer 23

CN XII: hypoglossal

have patient stick out tongue, observe any tremor, variation from midline, loss of movement, or deviation to a side

Question 24

List the summary checklist for a nose examination

Answer 24

NOSE:
Inspect external nose for symmetry, deformity, lesions

Palpate: test patency of each nostril

Inspect: w/ nasal speculum the nasal mucosa, septum, turbinates

Palpate: sinus area

Question 25

List the summary checklist for a mouth/throat examination

Answer 25

MOUTH/THROAT:

Inspect: w/ penlight: mouth, teeth, gums, buccal mucosa, palate, tonsils, pharyngeal wall

Palpate:
for adults: bimanual palpation of mouth
for neonate: palpate for integrity of palate and assess sucking reflex