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Physical Diagnosis I Exam One > Head and Neck > Flashcards

Flashcards in Head and Neck Deck (81)
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1

Where can one place a finger to palpate the temporomandibular joint?

In front of triages or in the external auditory meatus

2

A patient should be able to open their jaw wide enough to insert how many fingers vertically into the mouth?

3

3

What is the primary source of TMJ disorder?

Malocclusions (bite problems)

4

The TMJ is a favorite site for what kind of joint disease?

Rheumatoid arthritis

5

What condition produces crepitus in the TMJ with movement?

Osteoarthritis

6

What condition is to be expected with tenderness of the TMJ?

Rheumatoid arthritis

7

What is a sign of a displaced TMJ cartilage?

Clicking when opening the mouth

8

What are usually the causes of unilateral swollen salivary glands?

Bacterial infection (like Parotitis)
Ductal calculus in Stenson's or Wharton's duct
Cyst or tumor

9

Which salivary duct opens by the second upper molar? By either side of the frenulum of the tongue?

Second upper molar - Stenson's
Frenulum - Wharton's

10

What are usually the causes of bilateral swollen salivary glands?

Viral infection (like mumps)
Drug reactions
Lymphomas

11

Every tissue in the body with blood vessels has lymphatic vessels except what two areas?

Placenta and brain

12

Fluid collected in the lymphatic system from the right and left sides of the head and neck eventually empty into what vessels?

Right and left subclavian veins

13

Both legs, abdomen, and left chest lymphatics all drain into which vein?

Left subclavian vein

14

Right chest lymphatics drain into which vein?

Right subclavian vein

15

What are the superficial lymph node sites?

Head and neck
Axillary
Inguinal

16

Superficial lymph nodes of the head and neck can be palpated anterior and posterior to which major muscle?

SCM

17

Where are the superficial lymph nodes of the head and neck palpated?

Under occiput and jaw
Anterior and posterior to ear and SCM
Supraclavicular
Pretrapezial

18

Where are the superficial lymph nodes of the axillary region palpated?

Pectoral
Subscapular
Humeral
Dome of armpit

19

Where are the superficial lymph nodes of the inguinal region palpated?

Above and below inguinal ligament

20

What kind of infection produces small, mobile, and tender lymph nodes?

Acute

21

What kind of infection produces multiple and less tender lymph nodes?

Chronic

22

Describe the lymph nodes seen with Hodgkin's disease.

Large rubbery nodes

23

Describe the lymph nodes seen with metastatic cancer.

Stony hard, non-tender nodes

24

What is a likely suspicion if a patient presents with large lymph nodes but no signs nor symptoms of infection?

Cancer

25

If a large lymph node but no signs nor symptoms of infection are seen in a patient, what other signs and symptoms may be present that are indicative of cancer?

Cachexia, skin changes, unhealed sores, digestion issues, nagging cough, unusual bleeding, etc.

26

What is the name of the swollen lymph node that can be found in the left supraclavicular group that lacks a typical explanation?

Virchow's node (signal node)

27

A Virchow's node is indicative of what condition?

Thoracic or abdominal cancer

28

Why is a Virchow's node indicative of thoracic or abdominal cancer?

Last and only location lymphadenopathy originating in majority of trunk can be detectable

29

True or false: lymphadenopathy in a primary care setting is most commonly due to serious illness.

FALSE

30

What things can cause tracheal deviation?

Head tilt/cervical rotation
Unilateral goiter
Extremely large lymph node
Unilateral pneumothorax or pleural effusion
Unilateral atelectasis
Pulmonary fibrosis