Nose, Sinus, Mouth, & Throat Assessment

Question 1

Nose

Answer 1

• stimulates olfactory receptors of CN I
• lymphatic drainage

Question 2

Nerve and blood supply of nose

Answer 2

CN V, VII, IX, X

Question 3

rich blood supply to nose

Answer 3

Kieselbach plexus

Question 4

Sinus

Answer 4

• bony, air-filled cavities within the forehead and facial cavities
• lighten weight of cranium
• sinuses produce mucus that empties into nasal cavity

Question 5

Mouth

Answer 5

• taste, chewing
• speech articulation
• high vascular especially floor of mouth

Question 6

3 salivary glands

Answer 6

1. parotid (largest)
2. submandibular
3. sublingual

Question 7

Tongue inverted by CN

Answer 7

V: trigeminal
VI: facial
IX: glossopharyngeal
X: vagus
XII: hypoglossal

Question 8

PRIORITY assessment

Answer 8

1. nosebleeds (epistaxis)
2. aspiration
3. abrupt loss sense of smell (anosmia)
4. epiglottitis

Question 9

Kieselbach plexus

Answer 9

common site of nosebleeds

Question 10

throat, tonsils, and adenoids

Answer 10

lymphatic tissue of tonsils and adenoids contribute to immunological defense

Question 11

throat

Answer 11

oropharynx
- common channel for respiratory and digestive systems

Question 12

Tonsillar grading scale

Answer 12

1+: tonsil obstructs 0-25% to midline
2+: tonsil obstructs 25-50% to midline
3+: tonsil obstructs 50-75% to midline
4+ tonsil obstructs 75-100% to midline

Question 13

Common Issues

Answer 13

• facial pressure
• obstructive beathing
• congestion
• snoring
• pharyngitis
• dysphagia
• dental pain
• voice change

Question 14

Normal findings of nose

Answer 14

symmetrical, midline, mucosa pink and moist, no prominent blood vessels

Question 15

Normal findings of sinuses

Answer 15

symmetrical w. no redness or swelling

Question 16

Normal findings of mouth

Answer 16

pink, moist, no inflammation/swelling/lesions

Question 17

Normal findings of throat

Answer 17

pink, moist, w/ symmetrical margins, no enlargement, tonsils absent

Question 18

Physical exam

Answer 18

• Inspection (look for abnormal findings like sores, lesions, cuts, swollen, hygiene)
• inspect/evaluate swallowing
• assess for aspiration

Question 19

Risk factors

Answer 19

1. smoke exposure
2. dust mites
3. pets
4. pollen
5. mold spores