The Head and Neck Flashcards

1
Q

How many bones make up the skull?

A

22 bones

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2
Q

How many bones are in the face alone?

A

14 bones

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3
Q

What bones make up the facial skeleton?

A

Mandible, Maxilla, Nasal, Palatine, Lacrimal and Vomer bones

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4
Q

What are the main bones of the cranial skeleton?

A

Frontal, Parietal, Occipital, Temporal

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5
Q

What bones form the forehead?

A

Frontal

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6
Q

What bones protect the anterolateral wall of the brain?

A

Temporal bones

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7
Q

What bones form the top and posterolateral portions of the skull?

A

Parietal bones

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8
Q

What nerve carries sensory fibers from the face, oral cavity and teeth and efferent motor fibers to the muscles for mastication?

A

The Trigeminal (V) Nerve

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9
Q

What are the three branches that make up the Trigeminal Nerve?

A

Ophthalmic
Maxillary
Mandibular

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10
Q

What is the largest endocrine gland in the body?

A

The thyroid gland

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11
Q

What is the function of the thyroid gland?

A

To produce thyroid hormone in accordance with the needs of the body

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12
Q

What is an expected finding as the provider inspects the thyroid gland?

A

It is barely visible

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13
Q

What nerve damage is expected if the patient is hoarse with phonation?

A

RLN

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14
Q

How should the normal thyroid gland feel?

A

The normal thyroid gland has consistency of muscle tissue

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15
Q

What is expected if unusual hardness is felt on palpation of the thyroid gland?

A

Hardness is associated with cancer or scarring

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16
Q

Why might the thyroid gland feel spongy or soft?

A

If a goiter is present

17
Q

What is concluded if the patient reports tenderness on palpation of the thyroid gland?

A

Acute infections or hemorrhage into the gland

18
Q

What finding would make the provider want to listen to the thyroid gland?

A

If the thyroid is enlarged

19
Q

What does a bruit indicate if heard on auscultation of the thyroid gland?

A

Systolic bruit is highlt suggestive of a toxic goiter

20
Q

How is Pemberton’s sign performed?

A

Ask the patient to raise both arms above the head until they touch the side of the head and assess for facial suffusion

21
Q

What is can be a possible cause of a positive Pemberton’s sign?

A

Useful for detecting latent obstruction in the thoracic inlet

22
Q

What is the most common type of hyperthyroidism?

A

Graves disease

23
Q

Why is hypothyroidism so difficult to diagnose?

A

Often the only complaint is a tired or run down feeling

24
Q

Why would the provider use the achilles tendon reflex to assess hypothyroidism treatment?

A

They are normally hypo reflexive, however this test has been known to cause false positives and negatives