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N1109 - Physical Assessment > Exam 2 - Chpt 13 > Flashcards

Exam 2 - Chpt 13 Flashcards

(69 cards)

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1
Q

8 cranial bones

A 
ethmoid
spenoid
frontal
parietal
temporal
occipital
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2
Q

Where are the parotid glands?

A

over mandible, in front of and below the ear

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3
Q

largest gland

A

parotid

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4
Q

where are the submandibular glands located?

A

beneath mandible at angle of jaw

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5
Q

where are the sublingual glands located?

A

floor of mouth

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6
Q

how many vertebrae does the neck have?

A

7

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7
Q

C 1 is the …

A

atlas carries the skull

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8
Q

C 2 axis allows

A

movement of the head

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9
Q

C 4, 5, 6 allows

A

greatest mobility

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10
Q

C 7 has the

A

largest spinous process

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11
Q

primary muscles of the neck

A

sternocleidomastoid
trapezius

form the anterior and posterior triangles of the neck

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12
Q

sternocleidomastoid muscles are innervated by which cranial nerve?

A

CN XI

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13
Q

gland part of the endocrine system

A

thyroid

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14
Q

where is the thyroid gland?

A

anterior portion of neck

lies of trachea

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15
Q

trachea is aka the

A

windpipe

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16
Q

role of lymph nodes

A

to drain

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17
Q

lymph nodes location

A 
pre, post auricular
occipital
submental
submandibular
retropharyngeal/tonsillar
anterior, superficial cervical
posterior, deep cervical
supraclavicular
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18
Q

stressors can result in

A 
HA
neck pain
mouth ulcers
TMJ
tics (involuntary muscle movement)
hair twisting, pulling
lip biting
excessive blinking
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19
Q

subjective health hx - lymphatics

A 
neck pain
lumps, swelling
HA
head injury
dizziness
Hx of head, neck surgery
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20
Q

when a pt has hyperthyroidism, is the gland palpated?

A

no - can release additional hormones

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21
Q

which lymph node should you begin with when palpating?

A

preauricular

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22
Q

documentation must include…

A 
location
color
texture
size
tenderness
other descriptors as necessary
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23
Q

increased cortisol levels

A

Cushing syndrome

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24
Q

s/sx of Cushing syndrome

A

round, moonlike face
red cheeks
Hirsutism
Striae

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25
Bell's palsy effects which CN?
CN VII sudden, temporary
26
FAST
facial drooping arm weakness speech difficulty time - call 911
27
Parkinson's causes which facial expression?
masked
28
3 types of HA
migraine cluster HA tension HA
29
migraine without aura s/sx
HA N/V photophobia phonophobia
30
untreated or unsuccessfully tx'd migraines can last how long?
4-72 hours
31
25% of people with migraines experience these s/sx
``` aura, prodrome flashing lights tingling numbness change in mood ```
32
episodes that occur over a period of days or even months followed by remission usually occurs in males
cluster HA
33
cluster HA causes
alcohol stress emotional distress
34
when do cluster HA usually begin?
suddenly, at night with pain to one side of the face, spreading upward behind one eye eye water, nasal congestion is common
35
how long do cluster HA last?
few minutes to hours
36
how to tx cluster HA?
antihistamine tylenol ibuprofen
37
tension HA is aka
muscle contraction HA
38
what causes tension HA
sustained contraction of the muscles in the head, neck, or upper back
39
are tension HA sudden?
no, they're gradually pain is steady, not throbbing
40
Grave's disease physical appearance
Goiter eyelid retraction exophthalmos --hyperthyroidism
41
hypothyroidism physical appearance
puffy edematous face periorbital edema coarse facial features coarse hair and eyebrows
42
what connects the cranial bones together?
sutures (nonmoveable joints)
43
when is the solidification process of sutures complete?
by the age of 2
44
how many bones form the anterior region of the skull aka the face
14
45
landmark for assessing structures of the neck, especially the trachea and thyroid gland
hyoid
46
external jugular vein location
superficial, lateral to the sternocleidomastoid
47
internal jugular vein location
larger, no visible; at the sternal notch
48
purpose of lymphnodes
defend against invasion of foreign substances by producing lymphocytes and antibodies
49
when are lymphnodes palpable?
infected or enlarged
50
Muslim pt considerations
direct segregation ask permission before touch, especially before removing a head covering
51
which type of foods are potential HA triggers?
tyramine-rich foods
52
example of tyramine-rich foods
``` aged cheese (Swiss, mozzarella, cheddar, blue cheese) avocados beer on tap canned soup cured meats homemade yeast breast nuts olives onions raisins red wine sauerkraut soy sauce ```
53
tension HA causes
``` stress overwork position dental problems PMS sinus inflammation other health problems ```
54
dim light will cause the iris to respond, enlarging the pupil
mydriasis
55
bright light causes the iris to respond, decreasing pupil size
miosis
56
where is aqueous humor
anterior chamber
57
where is vitreous humor
posterior chamber
58
chart used to test near vision
Rosenbaum
59
do you perform an eye test with or without glasses/contacts
first, with; then, without
60
what is considered legally blind?
20/200
61
vision changes are r/t which CN?
CN III
62
normal result for near vision testing
14/14
63
fluttering of the eyeball
nystagimus
64
how far to stand in front of pt for 6 cardinal fields of gaze test
2 feet
65
how far to hold the pen light in front of the pt for 6 cardinal fields of gaze test
18"
66
how far to hold the pen light for corneal light reflex test
12"
67
cross-eyed is aka
strabismus
68
inward turning of the eye
esophoria
69
outward turning of the eye
exophoria

N1109 - Physical Assessment (14 decks)

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