Extra and Intra Oral Exam

Question 1

What do you do before palpating?

Answer 1

Visually examine

Question 2

When does the EO begin?

Answer 2

When you first greet the patient, visually examining their posture, gait, etc.

Question 3

To detect abnormalities such as swelling, tumors, or enlarged lymph nodes, the structure must be compressed:

Answer 3

Against a firm structure (bone) or between examiners fingers

Question 4

Explain bi-digital palpation

Answer 4

Compression between fingers of ONE HAND

Question 5

Explain bi-manual palpation

Answer 5

Compression between fingers of BOTH hands

Question 6

Explain digital palpation

Answer 6

Compression against underlying structure (with fingers)

Question 7

Explain manual palpation

Answer 7

Compression OVER underlying structure, using both hands

Question 8

What are the 5 descriptors of head and neck findings using palpation

Answer 8

1. Surface (smooth, rough, raised, etc.)
2. Shape
3. Consistency (firm, spongy, etc.)
4. Mobility (mobile, fixed)
5. Tenderness

Question 9

What are the 4 subgroups of the head and neck exam?

Answer 9

1. Head, face, neck, skin
2. Lymph nodes of head and neck
3. Salivary and thyroid glands
4. TMJ

Question 10

What are the 5 imaginary zones?

Answer 10

1. Forehead
2. Eyes
3. Nose & cheeks
4. Lips
5. Neck

Question 11

What are abnormal findings?

Answer 11

Lesions or color changes of the skin (pimples/blemish?) Uneven pattern of hair loss
Masses in the neck
Wounds, bruises, scars
Swelling of face or neck
Asymmetry of face or neck

Question 12

How do you document findings?

Answer 12

Location
Landmarks (Shape, Borders, Color, Size)
Measure lesion/scar with periodontal probe.
Duration

Question 13

ABCDET

Answer 13

Anatomic location
Border (well demarcated or irregular)
Color
Diameter (in mm)
Evolving (has it changed)
Type/texture (macule, dry, etc.)

Question 14

True or False: Healthy lymph nodes can be felt?

Answer 14

FALSE!! HEALTHY LYMPH NODES CANNOT BE FELT!

Question 15

What is a goiter?

Answer 15

Enlarged lymph node

Question 16

What is crepitus

Answer 16

Popping or clicking in jaw

Question 17

What are some symptoms of oral cancer?

Answer 17

Sore, lump, numb, hoarseness, difficulty chewing/swallowing or moving jaw, ear pain

Question 18

Leukoplakia

Answer 18

White lesions

Question 19

Erythroplakia

Answer 19

Red lesions (greater potential for becoming caner than white)

Question 20

True or false? Cancer shows signs of haling within 2 weeks?

Answer 20

FALSE! CANCER DOES DOES NOT HEAL

Question 21

Petechiae

Answer 21

Bruising on lips or mucosa

Question 22

What is well-demarcated?

Answer 22

Easy to see where lesion begins and ends

Question 23

What is a patch?

Answer 23

Flat discolored spot larger than 1 cm

Question 24

What is a plaque?

Answer 24

Superficial raised lesion, larger than 1cm

Question 25

What is a nodule?

Answer 25

Marble-like lesion, larger than 1 cm

Question 26

What is a wheal?

Answer 26

A localized are of skin edema

Question 27

What is a vesicle?

Answer 27

Small blister filled with clear fluid, less than 1cm

Question 28

What is a bulla?

Answer 28

A larger fluid-filled lesion, larger than 1cm

Question 29

What is a pustule?

Answer 29

Small raised lesion filled with pus

Question 30

What is an erosion?

Answer 30

Loss of top layer of skin or mucosa

Question 31

What is an ulcer?

Answer 31

Crater like lesion where top two layers of skin or mucosa are lost

Question 32

What is a fissure?

Answer 32

A linear crack