Quiz 3 Chapter 16 A Nose, Mouth and Throat Flashcards
Inspection of the nasal mucosa of an individual with rhinitis would demonstrate mucosa that is
bright red and swollen
When examining the mouth and throat, you ask the individual to stick out the tongue. Your observation of the tongue notes the presence of a fine tremor that accompanies what condition?
hyperthyroidism
What question would you ask to determine whether an individual has epistaxis?
Do you experience nose bleeds?
An enlarged tongue ((( ___)) may impair speech development accompany (4). Also, transient swelling occurs with___ __
Down syndrome, cretinism, myxedema, acromegaly
Local infection
In addition to initiating digestion of food, Cleans and protects mucosa
Saliva
Purpose of the \_\_\_sinuses Airfield pockets with in the cranium to lighten the weight of the skull, serve as resonators for sound production, and provide mucus, which drains into . A. Frontal B. Maxillary C. Paranasal D. Ethmoid
C. Paranasal
The parotid gland’s duct that opens into the mouth opposite the second molar is
Stenson’s duct
What pairs of sinuses is absent at birth, is fairly well developed between 7 and 8 years of age, and is fully developed after puberty?
frontal
Under normal conditions, transillumination of the sinuses would produce a..
diffuse red glow
Mr. Winchett is a 48-year-old gentleman who comes to your office with complaints of sores on his tongue. As the health care provider, you know that the structure of the tongue is a mass of ____muscle in a crosswise pattern that is used to
Striated
change shape and position
Deciduous teeth in children are known as?
How many?
How many for adults?
temporary
20
32 (except for wisdom)
Mrs. Coleman is a 28-year-old patient who is in her second trimester of pregnancy. She comes to the clinic with complaints of stuffiness and epistaxis. This is due to:
increased vascularity of the upper respiratory tract
A cleft palate and lip are least common in what ethnic/cultural groups?
blacks
Ms. Tova is a 32-year-old patient who comes to your office with complaints of seasonal allergies. What question would you ask to determine if she is experiencing epistaxis?
“Do you experience nose bleeds?”
The two pairs of sinuses that are deep, small, and inaccessible for examination are the
ethmoid and sphenoid.
Mr. Glover is a 69-year-old patient who comes to the office for a routine examination. When evaluating an older patient, you should determine whether medications are being taken for depression and high blood pressure. What condition is frequently associated with older adults taking these medications? __ __ (___)
dry mouth (Xerstomia)
Mr. Glover is a 69-year-old patient who comes to the office for a routine examination. When evaluating an older patient, you should determine whether medications are being taken for depression and high blood pressure. What condition is frequently associated with older adults taking these medications?
A thin, white coating over the surface of the tongue
Mrs. Harris is a 45-year-old woman who comes to the office complaining of mouth sores. During your examination of the buccal mucosa, you note the presence of small, yellow-white papules on the cheek and tongue that may be identified as: A. Koplakia B. Fordyce granules C. Epstein Pearls D. Bednar aphthae
B. Fordyce’s granules
Mr. Yates is a 16-year-old patient who comes to the office complaining of a sore throat. On examination, you note that the tonsils are enlarged to the point that they are about halfway between the tonsillar pillars and the uvula. These tonsils would be graded as:
2+
When examining the mouth and throat, you ask the individual to stick out the tongue. Your observation of the tongue notes the presence of a fine tremor that accompanies what condition?
hyperthyroidism
Mrs. Bowers brings her 8-year-old son in for a routine physical examination. During the exam, you note a transverse ridge across his nose. This is often a sign that the child may be experiencing:
allergies
A pregnant female may present with painless enlargement of the gums that overreach the teeth. Due to A. Epulis B. Gingival Hyperplasia C. Gingivitis D. Meth Mouth
B. Gingival Hyplasia
Mrs. Jones is a 69-year-old patient who comes to the clinic. During your examination, you keep in mind that the process of bone resorption in older adults predisposes them to what condition?
loosening of the teeth
The olfactory receptors located in the roof of the nasal cavity function to: A. CN I B. CN V C. CN VII D. CN XI
transmit the sensations of smell to CN I
Temporary teeth in the infant and child are identified as:
deciduous
When comparing a child’s mouth with that of an adult, what would you expect to observe?
a total of 20 teeth instead of 32
Drooling in an infant is due to what?
initiation of salivation by the salivary ducts
the history portion of the examination of an 8-year-old child, you notice that, for most of the time, the child was sucking his thumb. You know that prolonged thumb-sucking in a child can lead to: A. Dental caries B. Gingivitis C. Malocclusion D. Epulis
malocclusion
Mrs. Walker is a 54 -year-old patient who comes to the office for a routine examination. She remarked that she had face pain, after upper respiratory infection. Upon inspection her turbinates were red, with swollen nasal mucosa and A purulent discharge. When palpalpared over the maxillary sinus area, she indicates a sensation of discomfort during the procedure. A. Allergic rhinitis. B. Acute rhinitis. C. Sinusitis. D. Angular Cheilitis
C. sinusitis
Under normal conditions, transillumination of the sinuses would produce a
diffuse red glow
During examination of the buccal mucosa, you observe a chalky white, raised patch with well-defined borders. What indicates an appropriate response to this observation?
these patches are precancerous and should be followed up
An individual who has come into the clinic is complaining of a sore throat. On examination, you note that the tonsils are close to touching the uvula. What is the correct way to grade these tonsils?
3+
Along the hard palate and on the gums of a newborn infant, you notice small, yellow-white, glistening papules. These are identified as:
Epstein’s pearls
The rich blood supply to the nasal mucosa performs what function?
Warms inhaled air
does a newborn breathe out of its mouth or its nose?
nose
nasal flaring in the infant indicates what?
respiratory distress
what is the suckering tubercle in the infant?
a small pad in the middle of the upper lip from friction of breast or bottle feeding
Dramatic Areas or ulcer on the posterior hard plate on either side of the midline. They result from abrasions while sucking A. Sucking Tubercle B. Epstein Pearls C. Bednar aphthae D. Ankyloglossia
C. Bed aphthae
are tonsils visible in the newborn?
Saliva is present by what age?
Sucking can be elicited in infants up to what age?
All 20 deciduous teeth are in?
no
3 mo
12 mo.
2.5 yrs
what nerve controls sense of smell?
CN I
polyps usually appear
smooth
pale gray
avascular
mobile
nontender
healthy sinuses ?do/do not? contain air?
do
cracking at the corners of the mouth
is what?
cheilitis/perleche
poor biting relationship, protrusion of upper and lower incisors
malocclusion
dappled brown patches on the buccal mucosa are present with what abnormal condition?
Addison’s disease
the opening of the parotid salivary gland
is called what?
Stensen’s duct
Koplik’s spots
are early prodromal signs of what?
measles
benign grayish opaque area on the buccal mucosa
is called what? is more common in what groups of people?
leukodema
blacks and East Indians
chaulky white raised patch on the buccal mucosa
is known as what?
leukoplakia
abnormal
the nodular bony ridge down the middle of the hard palate
is called what?
torus palatines
the most common early lesion in people with AIDS is what?
Oral Kaposi’s sarcoma
hard palate appears what color with jaundice?
yellow
bifid uvula is common in what group of people?
Native American
visible tonsils
are classified how?
1+
tonsils halfway between tonsillar pillars and uvula
are classified how?
2+
tonsils touching the uvula
are classified how?
3+
tonsils touching each other
are classified how?
4+
tonsils at what classification occur with an acute infection?
2+, 3+, 4+
what nerves control the gag reflex?
IX (9), X (10)
glossopharyngeal and vagus
