Head and Neck (Chapter 14)

Question 1

3 salivary glands

Answer 1

parotid
submandibular
sublingual

Question 2

are salivary glands palpable

Answer 2

no

Question 3

where is the parotid gland located at

Answer 3

cheek area over mandible

Question 4

where is submandibular gland located at

Answer 4

below mandible

Question 5

where is sublingual gland located at

Answer 5

below tongue
floor of mouth

Question 6

how do you palpate the thyroid gland

Answer 6

displace and palpate
- have patient tilt head and push gland to that same side

Question 7

what should you tell patient before palpating thyroid gland

Answer 7

I am going to place hands over neck

Question 8

what is the shape of thyroid gland

Answer 8

butterfly shape

Question 9

what is goiter

Answer 9

enlargement

Question 10

where is preaurical node located at

Answer 10

in front of ear

Question 11

where is posterior auricle located at

Answer 11

behind ear

Question 12

occipital node located at

Answer 12

behind ear down toward base of skull

Question 13

submental node located at

Answer 13

tip of chin

Question 14

submandibular node located at

Answer 14

under mandible, along jaw line

Question 15

jugulodiagastric node located at

Answer 15

below where earlobe connects to face above angle of mandible

Question 16

superficial cervical node located at

Answer 16

below where earlobe connects to face above angle of mandible down and back

Question 17

deep cervical chain node located at

Answer 17

angle of mandible down to clavicle

Question 18

posterior cervical node located at

Answer 18

right above clavicle up and back

Question 19

supracervical

Answer 19

right above clavicle from angle of mandible

Question 20

how do we assess lymphnodes

Answer 20

pads of index fingers in circular motion

Question 21

normal lymph node findings

Answer 21

freely moveable
soft
nontender
1 cm

Question 22

infection lymph node findings

Answer 22

enlarged >1cm
warm
bilateral
tender
freely moveable

Question 23

cancer lymph node

Answer 23

hard
unilateral
nontender
fixed

Question 24

tension head ache location

Answer 24

both sides, across frontal, temporal, and/or occipital region of head

Question 25

tension headache severity

Answer 25

mild-moderate

Question 26

tension headache onset

Answer 26

gradual 30mins to days

Question 27

tension head ache pain

Answer 27

dull aching pain

Question 28

migrane is cause by what nerve

Answer 28

vascular and trigeminal

Question 29

do migraines get an aura

Answer 29

yes

Question 30

migrane location

Answer 30

common one side behind eyes, temples, or forehead

Question 31

migrane type of pain

Answer 31

throbbing, pulsating

Question 32

migraine onset

Answer 32

rapid onset, peaks 1-2 hrs, last 4-72 hr

Question 33

migraine severity

Answer 33

moderate to severe

Question 34

cluster headache location

Answer 34

always one sided, around eye, temple, forehead, cheek

Question 35

cluster headache onset

Answer 35

peaks in min, 45-90 min

Question 36

cluster type of pain

Answer 36

intermittent, excruciating, unilateral, with automatic signs

Question 37

cluster headache duration

Answer 37

1-2/day, 1/2-2 hr for 1-2 months then remission for months/years

Question 38

aging adult may have

Answer 38

dizziness due to meds neck pain

Question 39

what is the term for normal head and skull

Answer 39

normoscephalic

Question 40

parkinsons is caused by a decrease in _____________ and degeneration in _______________

Answer 40

dopamine, basal ganglia

Question 41

parkinsons facial expression

Answer 41

flat

Question 42

cushings is caused by

Answer 42

increased ACTH

Question 43

how do cushings people look

Answer 43

moon face, red cheeks

Question 44

bells palsy is lower or upper motor neuron

Answer 44

lower (peripheral)

Question 45

onset of bells palsy

Answer 45

rapid

Question 46

bells palsy can be caused by

Answer 46

herpes simplex virus

Question 47

bells palsy face is half vertical or horizontal

Answer 47

vertical

Question 48

stroke/brain attack/CVA is upper or lower motor neuron

Answer 48

upper (central)

Question 49

what is a stroke/brain attack/CVA caused by

Answer 49

blood clot

Question 50

stroke/brain attack/CVA will have paralysis of

Answer 50

lower facial muscles

Question 51

how do we diferentiate bells palsy and stroke/brain attack/CVA

Answer 51

stroke/brain attack/CVA are still able to wrinkle forehead and close eyes