Nose, Mouth, Throat, ch. 17 Flashcards
Which 2 pairs of sinuses are accessible to examine?
Frontal
Maxillary
List the functions of the tongue
Mastication
Swallowing
Cleansing teeth
Speech
Taste sensation
List the 3 pairs of salivary glands
Parotid glands
Submandibular glands
Sublingual glands
Which tonsils are also called Adenoids and contain the openings to the eustachian tubes?
Pharyngeal tonsils
What health condition is r/t periodontal disease in aging adults?
type 2 diabetes
What does URI stand for?
Upper respiratory infections
Define Epistaxis
nosebleeds
Define dysphagia
difficulty swallowing/eating
How do you prepare for the collection of objective data regarding the nose, mouth, and throat?
Position pt sitting up straight with head at your eye level
Ask them to remove dentures and offer a paper towel
What equipment is needed for objective data collection of the nose, mouth, and throat?
otoscope w/ short, wide-tipped nasal speculum
penlight
2 tongue blades
cotton gauze pad
gloves
How is the patency of nostrils tested?
Have the patient block one nostril and inhale through the other, then switch sides. Listen for congestion/patency in nares
Which cranial nerve mediates the sense of smell?
CN I: Olfactory
How should a healthy nose be reported?
Nasal mucosa is pink, moist, and intact bilaterally
Which turbinate bone may or may not be in view?
Superior turbinate
What technique is used to test the clarity of nasal sinuses with a light?
Transillumination
How should a healthy tongue be reported?
Pink, moist, and intact
What color quality should be searched for in the mouth/buccal mucosa?
White patches, pallor
Name a normal variation of the hard palate
Torus palatinus: bony ridge down midline of hard palate
Which nerve innervates the uvula?
How is healthy uvula functioning observed?
CN X- vagus
“Patient’s uvula rose midline”
Explain normal tonsil appearance
Same pink as oral mucosa
Indentations on surface
no exudate on tonsils
1+ or 2+, especially in children
Explain the tonsil size grading
1+ visible
2+ halfway between tonsillar pillars and uvula
3+ touching uvula
4+ touching eachother
Which cranial nerves control the gag reflex? How is the gag reflex tested?
CN IX and X (glossopharyngeal and vagus)
touch the posterior wall with tongue blade
How is CN XII tested?
CN XII: hypoglossal
have patient stick out tongue, observe any tremor, variation from midline, loss of movement, or deviation to a side
List the summary checklist for a nose examination
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
List the summary checklist for a mouth/throat examination
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
