HEAD AND NECK

Question 1

what should you first inspect with the head?

Answer 1

size, shape, symmetry, configuration, involuntary movement

Question 2

facial drooping

Answer 2

bell’s palsy

Question 3

diminished facial expressivity

Answer 3

parkinson’s disease

Question 4

sunken in face

Answer 4

cachexia

Question 5

swelling of face (lips, eyelids, tongue)

Answer 5

myxedema

Question 6

slanting eyes, small chin, round face, flat nasal bridge

Answer 6

down syndrome

Question 7

increased distance between orbits

Answer 7

hypertelorism

Question 8

moon face, buffalo hump

Answer 8

cushing’s syndrome

Question 9

the temporal artery should be (elastic / tender)

Answer 9

elastic

Question 10

how wide should the mouth normally open?

Answer 10

3-6 cm

Question 11

the lower jaw should move laterally ___ cm in each direction

Answer 11

1-2 cm

Question 12

true or false: the neck should be symmetric with head centered

Answer 12

true

Question 13

what parts of the neck should move upward as the patient swallows?

Answer 13

thyroid and cricoid cartilages, and thyroid gland

Question 14

which vertebrae is usally visible and palpable ?

Answer 14

c7

Question 15

normal range of movement of the neck

Answer 15

flexion - 45 degrees
extension - 55 degrees
lateral abduction - 40 degrees
rotation - 70 degrees

Question 16

true or false: the left thyroid lobe is 25% larger than the right

Answer 16

false: the right is 25% larger

Question 17

ENUMERATE THE LYMPH NODES OF THE HEAD AND NECK

Answer 17

• preauricular
• post auricular
• occipital
• tonsillar
• submandibullar
• submental
• superficial cervical
• posterior cervical
• deep cervical
• supraclavicular

Question 18

auscultation of the thyroid gland should only be done when the thyroid gland is?

Answer 18

enlarged