Seidel's Chapter 11

Question 1

A stethoscope is used in a head and neck examination to assess

A. intracranial fluid

B. pulsating fontanels

C. skull bone development

D. thyroid vascular sounds

E. parotid glands

Answer 1

D: A stethoscope is used in a head and neck examination to assess D. thyroid vascular sounds

Question 2

Which of the following is an expected change in the assessment of the thyroid during pregnancy? A. Palpation of the gland becomes difficult B. A bruit may be auscultated C. Inspection reveals a goiter D. The gland is tender on palpation E. The gland feel fibrotic

Answer 2

Which of the following is an expected change in the assessment of the thyroid during pregnancy? B. A bruit may be auscultated

Question 3

During physical examination of a 30-year-old Chineses man, you notice a slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to A. ask the patient if this characteristic runs in his family B. perform monofilament testing on the face C. obtain a complete blood analysis D. record the finding in the patient’s chart E. obtain a CT san of the head

Answer 3

During physical examination of a 30-year-old Chineses man, you notice a slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to D. record the finding in the patient’s chart

Question 4

The thyroid gland is partially obscured by the A. cricoid cartilage B. carotid artery C. external jugular D. sternocleidomastoid E. hyoid bone

Answer 4

The thyroid gland is partially obscured by the D. sternocleidomastoid

Question 5

Moist skin with fine hair, prominent eyes, eyelid retraction, and a staring expression are characteristics associated with A. Cushing syndrome B. Graves disease C. myxedema D. systemic lupus erythematosus E. Hippocratic facies

Answer 5

Moist skin with fine hair, prominent eyes, eyelid retraction, and a staring expression are characteristics associated with B. Graves disease

Question 6

Which of the following findings would be consistent with fetal alcohol syndrome? A. Corneal clouding B. Eye slanting C. Mild ptosis D. Symmetric bulging fontanels E. Maxillary hypoplasia

Answer 6

Which of the following findings would be consistent with fetal alcohol syndrome? C. Mild ptosis

Question 7

Which type of headache occurs at night, is precipitated by alcohol consumption, and occurs more often in men than in women? A. Classic migraine B. Temporal arteries C. Muscular tension D. Hypertensive E. Cluster

Answer 7

Which type of headache occurs at night, is precipitated by alcohol consumption, and occurs more often in men than in women? E. Cluster

Question 8

The greatest degree of cervical mobility is at? A. C1 to C2 B. C2 to C3 C. C3 to C4 D. C4 to C5 E. C6 to C7

Answer 8

The greatest degree of cervical mobility is at? D. C4 to C5

Question 9

Spaces between the cranial bones accommodate A. brain growth B. cartilage formation C. muscular expansion D. nerve regeneration E. cerebrospinal fluid

Answer 9

Spaces between the cranial bones accommodate A. brain growth

Question 10

A 29-year-old woman presented to the urgent care center with a history of severe headache of 2 hours’ duration. She describes it as bandlike and constricting. In interviewing the woman about her complain, you would ask A. whether she has experiences increased tearfulness B. the date of her last menstrual period C. whether these headaches started in childhood D. whether she is particularly stressed or overworked E. whether she is missing meals

Answer 10

A 29-year-old woman presented to the urgent care center with a history of severe headache of 2 hours’ duration. She describes it as bandlike and constricting. In interviewing the woman about her complain, you would ask D. whether she is particularly stressed or overworked

Question 11

A bruit, or blowing sound, over the skull or temporal region of an adult indicates A. degenerative change B. hyperthyroid storm C. a skull fracture D. a vascular anomaly E. Cushing’s syndrome

Answer 11

A bruit, or blowing sound, over the skull or temporal region of an adult indicates D. a vascular anomaly

Question 12

A bruit heard over the thyroid is suggestive of A. hypothyroidism B. hyperthyroidism C. thyroid cancer D. thyroid cyst E. thyroid nodule

Answer 12

A bruit heard over the thyroid is suggestive of B. hyperthyroidism

Question 13

Spasmodic muscular contractions of the head, face, or neck are called A. torticollis B. tics C. dimpling D. webbing E. chloasma

Answer 13

Spasmodic muscular contractions of the head, face, or neck are called B. tics

Question 14

An inconsequential finding on the head of an adult is a palpable A. embryonic B. posterior fontanel C. sagittal suture ridge D. skull indentation E. nodule

Answer 14

An inconsequential finding on the head of an adult is a palpable C. sagittal suture ridge

Question 15

Which of the following is true regarding caput succedaneum? A. It is a subperiosteal collection of blood B. It is firm and its edges are well defined C. It develops several days after delivery D. It is seen over the presenting part of the head E. It is a head circumference increasing faster than expected

Answer 15

Which of the following is true regarding caput succedaneum? D. It is seen over the presenting part of the head

Question 16

Nuchal rigidity is most commonly associated with A. Systemic lupus erythematosus B. meningeal irritation C. Down syndrome D. cranial nerve V damage E. thyroiditis

Answer 16

Nuchal rigidity is most commonly associated with B. meningeal irritation

Question 17

During a head and neck assessment of a neonate, it is important to screen for A. the presence of torticollis B. signs and symptoms of cerebral palsy C. uneven movement of the eyes D. unilateral movement of the tongue E. the absence of fine motor skills

Answer 17

During a head and neck assessment of a neonate, it is important to screen for A. the presence of torticollis

Question 18

Coarse, dry, and brittle hair is associated with which metabolic disorder? A. Hypothyroidism B. Diabetes mellitus C. Addison disease D. Cushing syndrome E. Fetal alcohol syndrome

Answer 18

Coarse, dry, and brittle hair is associated with which metabolic disorder? A. Hypothyroidism

Question 19

When examining a skull of a 4-month old baby, you should normally find A. closure of the anterior fontanel B. closure of the posterior fontanel C. ossification of all the sutures D. overlap of the cranial bones E. closure of the sagittal and coronal sutures

Answer 19

When examining a skull of a 4-month old baby, you should normally find B. closure of the posterior fontanel

Question 20

The parotid, submandibular and sublingual salivary glands A. Initiate protein digestion B. Inhibit dental caries C. Lubricate nasal surfaces D. Promote dry mouth E. Initiate fat digestion

Answer 20

The parotid, submandibular and sublingual salivary glands B. Inhibit dental caries

Question 21

The trapezius and sternocleidomastoid muscles and the clavicle form a landmark called the ____ triangle. A. anterior B. posterior C. lateral D. medial E. ventral

Answer 21

The trapezius and sternocleidomastoid muscles and the clavicle form a landmark called the ____ triangle. B. posterior

Question 22

Which structures disproportionately enlarge in males during adolescence? A. Coronal sutures B. Hyoid and cricoid cartilages C. Mandible and maxilla bones D. Nose and thyroid cartilages E. Mastoid processes and ears

Answer 22

Which structures disproportionately enlarge in males during adolescence? D. Nose and thyroid cartilages

Question 23

RJ presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a A. torticollis B. branchial cleft cyst C. Stensen duct stone D. thyroglossal duct cyst E. parotid gland tumor

Answer 23

RJ presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a D. thyroglossal duct cyst

Question 24

Which is the best way to position a patient’s neck for palpation of the thyroid? A. Flexed away from the side being examined B. Flexes directly forward C. Flexed toward the side being examined D. Hyperextended directly backward E. Rotated away from the side being examined

Answer 24

Which is the best way to position a patient’s neck for palpation of the thyroid? C. Flexed toward the side being examined

Question 25

The most common form of birth trauma of the scalp is A. caput succedaneum B. cephalhematoma C. cranial bossing D. torticollis E. dilated scalp veins

Answer 25

The most common form of birth trauma of the scalp is A. caput succedaneum

Question 26

Observation during history taking is the best way to examine for A. head position B. scalp lice C. thyroid size D. tracheal alignment E. thickening of the temporal arteries

Answer 26

Observation during history taking is the best way to examine for A. head position

Question 27

Tracheal tug suggests the presence of a(n) A. enlarged thyroid B. swallowing disorder C. aortic aneurysm D. thoracic carcinoma E. hyperparathyroidism

Answer 27

Tracheal tug suggests the presence of a(n) C. aortic aneurysm

Question 28

Ms. G is a 22-year-old secretary who comes to the clinic with headaches of 6 weeks’ duration. She tells the office assistant about her heavy schedule, including part-time work and evening classes. Her vital signs are normal. Which information is the most appropriate to Ms G’s history? A. Current medication B. Elimination patterns C. Immunization status D. Previous pregnancies E. Pervious abdominal surgeries

Answer 28

Ms. G is a 22-year-old secretary who comes to the clinic with headaches of 6 weeks’ duration. She tells the office assistant about her heavy schedule, including part-time work and evening classes. Her vital signs are normal. Which information is the most appropriate to Ms G’s history? A. Current medication

Question 29

Closure of the anterior skull fontanel should occur by ____ months A. 3 B. 6 C. 12 D. 18 E. 24

Answer 29

Closure of the anterior skull fontanel should occur by ____ months E. 24

Question 30

The correct way to transilluminate an infant’s skull is to A. hold the light 18 inches from the skull B. move the light toward and then away from the head C. hold the light firmly against the ears D. place the light firmly against the skull E. shine the light inside the infant’s mouth

Answer 30

The correct way to transilluminate an infant’s skull is to D. place the light firmly against the skull

Question 31

When noting a bulging fontanel with marked pulsations in a 6-month-old infant, you suspect A. normal development B. Down syndrome C. increased intracranial pressure D. fever response to a viral infection E. cephalhematoma

Answer 31

When noting a bulging fontanel with marked pulsations in a 6-month-old infant, you suspect C. increased intracranial pressure

Question 32

The medial border of the sternocleidomastoid muscles and the mandible form the ___ triangle. A. dorsal B. posterior C. lateral D. medial E. ventral

Answer 32

The medial border of the sternocleidomastoid muscles and the mandible form the ___ triangle. E. ventral

Question 33

What abnormal palpable cystic mass in the neck rises from the foramen cecum at the junction of the anterior two thirds and posterior third of the tongue? A. Branchial cleft cyst B. Thyroglossal duct cyst C. Lacrimal duct D. Submandibular lymph node E. Stensen duct

Answer 33

What abnormal palpable cystic mass in the neck rises from the foramen cecum at the junction of the anterior two thirds and posterior third of the tongue? A. Branchial cleft cyst

Question 34

What is the significance of a patient with asymmetry of the entire side of the face? A. A degenerative process may be developing. B. A peripheral trigeminal nerve problem exists. C. Asymmetry of body sides is a normal finding. D. Visual and hearing problems will be present. E. Facial nerve paralysis may be present

Answer 34

What is the significance of a patient with asymmetry of the entire side of the face? E. Facial nerve paralysis may be present

Question 35

The premature union of cranial sutures that involves the shape of the head without mental retardation is A. craniosynostosis B. encephalocele C. microcephaly D. myxedema E. fetal alcohol syndrome

Answer 35

The premature union of cranial sutures that involves the shape of the head without mental retardation is A. craniosynostosis

Question 36

Which of the following is true regarding cephalhematoma? A. It is bound by suture lines B. The affected part feels soft C. It is obvious at birth D. The margins are poorly defined E. It never feels fluctuant on palpation

Answer 36

Which of the following is true regarding cephalhematoma? A. It is bound by suture lines

Question 37

Which of the following is a chronic autoimmune disorder? A. Microcephaly B. Hashimoto disease C. Salivary gland tumor D. Down syndrome E. Hurler syndrome

Answer 37

Which of the following is a chronic autoimmune disorder? B. Hashimoto disease

Question 38

You are palpating a patient’s thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data indicate A. a congenital anomaly B. a normal thyroid gland C. a multinodular goiter D. thyroiditis E. A hypothyroid goiter

Answer 38

You are palpating a patient’s thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data indicate B. a normal thyroid gland

Question 39

Which cranial nerves innervate the face? A. II and V B. II and VI C. V and VII D. VIII and IX E. I and VII

Answer 39

Which cranial nerves innervate the face? C. V and VII

Question 40

The ____ cartilage is shaped like a shield, with its notch on the upper edge marking the level of bifurcation of the common carotid artery. A. cricoid B. hyoid C. thyroid D. sternocleidomastoid E. external jugular

Answer 40

The ____ cartilage is shaped like a shield, with its notch on the upper edge marking the level of bifurcation of the common carotid artery. C. thyroid

Question 41

The thyroid gland should A. be slightly left of the midline B. have a clear vascular sound C. feel nodular D. tug with each heartbeat E. move when the patient swallows

Answer 41

The thyroid gland should E. move when the patient swallows

Question 42

You are examining Ms. L, age 78 years. You find a sunken appearance of her eyes, cheeks, and temporal areas, Her skin is dry, and her nose appears sharp. Ms. L’s facies description is associated with A. cutis laxa syndrome B. Hurler syndrome C. old age D. terminal illness E. myxedema

Answer 42

You are examining Ms. L, age 78 years. You find a sunken appearance of her eyes, cheeks, and temporal areas, Her skin is dry, and her nose appears sharp. Ms. L’s facies description is associated with D. terminal illness

Question 43

The brown or tan pigmentation on the forehead, nose, and malar prominence of some pregnant women is called A. hormonal acne B. erythema C. alopecia D. chloasma E. craniotabes

Answer 43

The brown or tan pigmentation on the forehead, nose, and malar prominence of some pregnant women is called D. chloasma

Question 44

The largest endocrine gland in the body lies in the ____ triangle. A. anterior B. posterior C. lateral D. medial E. ventral

Answer 44

The largest endocrine gland in the body lies in the ____ triangle. A. anterior