Quiz 3 Chapter 16 A Nose, Mouth and Throat

Question 1

Inspection of the nasal mucosa of an individual with rhinitis would demonstrate mucosa that is

Answer 1

bright red and swollen

Question 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?

Answer 2

hyperthyroidism

Question 3

What question would you ask to determine whether an individual has epistaxis?

Answer 3

Do you experience nose bleeds?

Question 4

An enlarged tongue ((( ___)) may impair speech development accompany (4). Also, transient swelling occurs with___ __

Answer 4

Down syndrome, cretinism, myxedema, acromegaly

Local infection

Question 5

In addition to initiating digestion of food, Cleans and protects mucosa

Answer 5

Saliva

Question 6

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

Answer 6

C. Paranasal

Question 7

The parotid gland’s duct that opens into the mouth opposite the second molar is

Answer 7

Stenson’s duct

Question 8

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?

Answer 8

frontal

Question 9

Under normal conditions, transillumination of the sinuses would produce a..

Answer 9

diffuse red glow

Question 10

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

Answer 10

Striated

change shape and position

Question 11

Deciduous teeth in children are known as?
How many?
How many for adults?

Answer 11

temporary
20
32 (except for wisdom)

Question 12

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:

Answer 12

increased vascularity of the upper respiratory tract

Question 13

A cleft palate and lip are least common in what ethnic/cultural groups?

Answer 13

blacks

Question 14

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?

Answer 14

“Do you experience nose bleeds?”

Question 15

The two pairs of sinuses that are deep, small, and inaccessible for examination are the

Answer 15

ethmoid and sphenoid.

Question 16

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? __ __ (___)

Answer 16

dry mouth (Xerstomia)

Question 17

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?

Answer 17

A thin, white coating over the surface of the tongue

Question 18

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

Answer 18

B. Fordyce’s granules

Question 19

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:

Answer 19

2+

Question 20

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?

Answer 20

hyperthyroidism

Question 21

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:

Answer 21

allergies

Question 22

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

Answer 22

B. Gingival Hyplasia

Question 23

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?

Answer 23

loosening of the teeth

Question 24

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

Answer 24

transmit the sensations of smell to CN I

Question 25

Temporary teeth in the infant and child are identified as:

Answer 25

deciduous

Question 26

When comparing a child's mouth with that of an adult, what would you expect to observe?

Answer 26

a total of 20 teeth instead of 32

Question 27

Drooling in an infant is due to what?

Answer 27

initiation of salivation by the salivary ducts

Question 28

``` 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 ```

Answer 28

malocclusion

Question 29

``` 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 ```

Answer 29

C. sinusitis

Question 30

Under normal conditions, transillumination of the sinuses would produce a

Answer 30

diffuse red glow

Question 31

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?

Answer 31

these patches are precancerous and should be followed up

Question 32

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?

Answer 32

3+

Question 33

Along the hard palate and on the gums of a newborn infant, you notice small, yellow-white, glistening papules. These are identified as:

Answer 33

Epstein's pearls

Question 34

The rich blood supply to the nasal mucosa performs what function?

Answer 34

Warms inhaled air

Question 35

does a newborn breathe out of its mouth or its nose?

Answer 35

nose

Question 36

nasal flaring in the infant indicates what?

Answer 36

respiratory distress

Question 37

what is the suckering tubercle in the infant?

Answer 37

a small pad in the middle of the upper lip from friction of breast or bottle feeding

Question 38

``` 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 ```

Answer 38

C. Bed aphthae

Question 39

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?

Answer 39

no 3 mo 12 mo. 2.5 yrs

Question 40

what nerve controls sense of smell?

Answer 40

CN I

Question 41

polyps usually appear

Answer 41

smooth pale gray avascular mobile nontender

Question 42

healthy sinuses ?do/do not? contain air?

Answer 42

do

Question 43

cracking at the corners of the mouth is what?

Answer 43

cheilitis/perleche

Question 44

poor biting relationship, protrusion of upper and lower incisors

Answer 44

malocclusion

Question 45

dappled brown patches on the buccal mucosa are present with what abnormal condition?

Answer 45

Addison's disease

Question 46

the opening of the parotid salivary gland is called what?

Answer 46

Stensen's duct

Question 47

Koplik's spots are early prodromal signs of what?

Answer 47

measles

Question 48

benign grayish opaque area on the buccal mucosa is called what? is more common in what groups of people?

Answer 48

leukodema blacks and East Indians

Question 49

chaulky white raised patch on the buccal mucosa is known as what?

Answer 49

leukoplakia | abnormal

Question 50

the nodular bony ridge down the middle of the hard palate is called what?

Answer 50

torus palatines

Question 51

the most common early lesion in people with AIDS is what?

Answer 51

Oral Kaposi's sarcoma

Question 52

hard palate appears what color with jaundice?

Answer 52

yellow

Question 53

bifid uvula is common in what group of people?

Answer 53

Native American

Question 54

visible tonsils are classified how?

Answer 54

1+

Question 55

tonsils halfway between tonsillar pillars and uvula are classified how?

Answer 55

2+

Question 56

tonsils touching the uvula are classified how?

Answer 56

3+

Question 57

tonsils touching each other are classified how?

Answer 57

4+

Question 58

tonsils at what classification occur with an acute infection?

Answer 58

2+, 3+, 4+

Question 59

what nerves control the gag reflex?

Answer 59

IX (9), X (10) glossopharyngeal and vagus