abnormal*rational for head/face/neck

Question 1

tension headache characteristics

Answer 1

occipital, frontal, band-like tightness

vicegrip pain

Question 2

migraine (vascular) characteristics

Answer 2

supraorbital, retro-orbital, or frontotemporal
throbbing pain
severe pain
occurs 2/month last 1-3 days
alcohol, stress, mensuration, chocolate, cheese precipitates

Question 3

cluster (vascular) headache characteristics

Answer 3

produce pain around the eye, temple, forehead, cheek
pain always unilateral/always on same side of head
excruciating pain
occurs 1-2/day last 1/2-2 hours
durration for 1-2 months
alcohol/napping precipitates

Question 4

N/V & visual disturbances associated with what type of headache?

Answer 4

migraine

Question 5

eye reddening, tearing, eyelid drooping, rhinorrhea, and nasal congestion associated with what type of headache?

Answer 5

cluster

Question 6

anxiety and stress are associated with what type of headache?

Answer 6

tension

Question 7

nuchal rigidity and fever are associated with what illness?

Answer 7

meningitis or encephalitis

Question 8

hypertension, fever, hypothyroidism, and vasculitis produce what?

Answer 8

headaches

Question 9

What 5 things that you ingest/meds produce headaches?

Answer 9

oral contraceptives, bronchodialaters, alcohol, nitrates, and carbon monoxide inhalants

Question 10

With migraines, what can you do to feel better?

Answer 10

lie down

Question 11

with cluster headaches, what makes you feel better?

Answer 11

move- even to pace the floor

Question 12

loss of consciousness before a fall may be caused by?

Answer 12

cardiac cause (e.g. heart block)

Question 13

what is the most important evaluation with a neurological deficit?

Answer 13

evaluate change in level of consciousness

Question 14

presyncope is:

Answer 14

a light headed, swimming sensation or feeling of fainting/falling

Question 15

vertigo is:

Answer 15

true rotational spinning often from labyrinthine-vestibular disorder

Question 16

discribe OBJECTIVE vertigo

Answer 16

PERSON feels like the room is spinning

Question 17

describe SUBJECTIVE vertigo

Answer 17

person feeling like HE/SHE is spinning

Question 18

dysphaGia

Answer 18

difficulty swallowing

Question 19

dysphaSia

Answer 19

difficulty speaking

Question 20

what 2 factors together increase risk for cancer

Answer 20

smoking and large alcohol consumption

Question 21

smoking and chewing tobacco increase risk for:

Answer 21

oral and respiratory cancer

Question 22

Surgery for head/neck cancer increases risk for:

Answer 22

body image disturbance

Question 23

microcephaly

Answer 23

abnormal small head

Question 24

macrocephaly

Answer 24

abnormal large head

Question 25

rigid head and neck occurs with

Answer 25

arthritis

Question 26

the trachea is pushed to the UNAFFECTED side is seen in:

Answer 26

aortic aneurism tumor unilateral thyroid lobe enlargement pneumothorax

Question 27

the trachea is pulled toward the AFFECTED side seen in:

Answer 27

large atelectasis pleural adhesions fibrosis

Question 28

acute infection in nodes:

Answer 28

``` acute onset <14 days bilateral enlarged warm tender firm moveable ```

Question 29

chronic inflammation in nodes:

Answer 29

clumped nodes | seen in TB

Question 30

cancerous nodes:

Answer 30

``` hard >3 cm unilateral nontender matted fixed ```

Question 31

HIV infected nodes:

Answer 31

enlarged firm nontender mobile

Question 32

occipital node enlargement is common in what infection?

Answer 32

HIV

Question 33

single, enlarged, nontender, hard, LEFT supraclavicular node may indicate:

Answer 33

neoplasm in thorax or abdomen (Virchow node)

Question 34

painless, rubbery, discrete node occur with:

Answer 34

Hodgkin's lymphoma

Question 35

Bruit sounds like:

Answer 35

soft, pulsatile, whooshing, slowing sound

Question 36

goiter is a:

Answer 36

chronic enlargement of the thyroid gland | common in regions with low iodine

Question 37

pillar cyst is:

Answer 37

(also called wen) smooth, firm, fluctuant swelling on scalp contains sebum/keratin benign

Question 38

parotid gland enlargement occurs when:

Answer 38

rapid, painful inflammation of the parotid | occurs with mumps,bloackage of a duct, access, or tumor

Question 39

stensen duct obstruction can occur in aging adult from:

Answer 39

dehydration related to diuretics or anticholinergics

Question 40

graves disease:

Answer 40

(hyperthyroidism) ^ production of thyroid hrms causes goiter/budging eyeballs

Question 41

exophthalmos is:

Answer 41

budging eyeballs | seen in graves disease

Question 42

myxedema is:

Answer 42

(hypothyroidism) decrease in thyroid hrm production when severe causes non-pitting edema

Question 43

acromegaly is:

Answer 43

excessive secretion of growth hrm | creates enlarged skull, thickened cranial bones

Question 44

Cushing syndrome is:

Answer 44

excessive secretion of ACTH & chronic steroid use | causes "moonface", red cheeks...ect

Question 45

bell palsy is:

Answer 45

CN VII paralysis | unilateral paralysis of face

Question 46

what is the difference between bells palsy and stoke symptoms:

Answer 46

cannot wrinkle forehead with bells palsy

Question 47

cachectic appearance is:

Answer 47

accompanies chronic wasting diseases such as cancer, dehydration, starvation sunken eyes, hollow cheeks, exhaustion, defeated expression

Question 48

Summary check list:

Answer 48

1. inspect and palpate skull 2. inspect face 3. inspect and palpate neck 4. auscultate thyroid (if enlarged) for bruit