Head And Neck With Lymphatics

Question 0

Coronal Suture

Answer 0

Crosses the top of the scalp from ear to ear

Question 1

Sutures

Answer 1

Join bones together in head

Question 2

Sagittal suture

Answer 2

Crosses the skull from anterior to posterior

Question 3

Lambdoidal suture

Answer 3

Separates Occipital and parietal

Question 4

When documenting physical assessments, nurses must take care to describe the location of scalp or skull findings according to_______

Answer 4

Bones and sutures

Question 5

Major facial muscles

Answer 5

Frontalis
Temporalis
Zygomaticus
Masseter
Buccinators
Orbicularis oculi
Orbicularis oris

Question 6

Blood supply to the head is through __________

Answer 6

Carotid artery

Question 7

Trigeminal nerve V supplies _________

Answer 7

Motor and sensory innervations to forehead,checks and chin

Question 8

Major neck muscles

Answer 8

Sternocleidomastiod and trapezius

Question 9

Three pair of salivary glands

Answer 9

Parotid
Submandibular
Sublingual

Question 10

Neck is supported by

Answer 10

C1-7

Question 11

Useful neck landmark

Answer 11

Vertebral prominence (C7)

Question 12

What are the common measurable thyroid hormones?

Answer 12

T3 and T4, which control metabolic rate and can affect almost every body system

Question 13

If the posterior portion if the thyroid gland is enlarged, it may not________

Answer 13

Be palpable

Hard to palpate in healthy people

Question 14

Parathyroid gland produces?

Answer 14

Calcitonin-helps moves calcium into bones

Question 15

Approximately, how many lymph nodes are in head and neck?

Answer 15

80 lymph nodes

Question 16

Purpose of lymphatics?

Answer 16

Filter pathogens from the body and drain fluid that has moved outside circulation back into the body

Question 17

Enlarged lymph node indicates?

Answer 17

Inflammation that is “upstream” from it

Question 18

Silent thyroiditis

Answer 18

Women may present with signs and symptoms of hyperthyroidism followed by hypothyroid symptoms

Question 19

Why is it important to assess the size of the anterior or posterior fontanels?

Answer 19

To determine ossification is happening at appropriate time
3 months posterior
18 months anterior

Question 20

In children 1-5, nurses may palpate small, non tender, movable nodes in head and neck. Described as?

Answer 20

Shotty

Question 21

Any history of trauma to the head, neck or both warrants?

Answer 21

Careful assessment of these structures for bleeding, swelling, loss of mobility or pain

Question 22

If a patient is unable to provide a complete history due to a severe headache , it is still important to get?

Answer 22

A focused history and physical examination looking for neurological changes

Question 23

Neck pain is often related to?

Answer 23

Muscles spasms or tension

Question 24

Neck pain associated with fever and headache may indicate?

Answer 24

Meningitis

Question 25

Any patient with sudden neck or jaw pain should immediately be evaluated for?

Answer 25

Cardiac etiologies

Question 26

Lymphatics larger than cm 1 cm, fixed, irregular, or hard or rubbery require emergency investigation for?

Answer 26

Cancer

Question 27

Hyperthyroidism may present as?

Answer 27

Tachycardia, diarrhea, anxiety, fever, weakness, psychosis, coma and death

Question 28

Hypothyroidism

Answer 28

Fatigue, anorexia, cold intolerance, dry skin, brittle coarse hair, menstrual irregularities, weight gain or difficulty losing weight, decreased libido

Question 29

Hyperthyroidism

Answer 29

Fatigue, weight loss, anxiety, palpitations,rapid pulse, heat intolerance, fine limp hair diaphoresis, muscle weakness

Question 30

In older adults, arthritic changes in the cervical spine may present as?

Answer 30

Neck pain or loss of sensation or strength of extremities

Question 31

Do you have patient remove wig or hairpieces for exam?

Answer 31

Yes

Question 32

Before exam, what do you warn the patient about?

Answer 32

Neck will be palpated, manipulated, inspected mad the procedure will not hurt. Let pt know to inform you if any part of the exam causes pain

Question 33

Inspection of head

Answer 33

Check: Symmetry Deformities

Question 34

Inspection of hair:

Answer 34

``` Texture Color Cleanliness Distribution Density ```

Question 35

Inspection of neck

Answer 35

Lesions, limitations in movement | Look at neck muscles

Question 36

Palpitation of scalp

Answer 36

Masses or lesions | Wear gloves

Question 37

Palpitation of thyroid

Answer 37

Asses for enlargement Unilateral bulging may be thyroid goiter, cyst or tumor Tenderness is associated with acute infection, traumatic injury, radiation thyroiditis

Question 38

Palpitation of lymph nodes

Answer 38

Enlargement or tenderness

Question 39

Auscultation of the thyroid

Answer 39

Listen for bruit

Question 40

Facial asymmetry may indicate damage to what nerve or what?

Answer 40

CN VII or stroke

Question 41

Acromegaly

Answer 41

Enlarged bones or tissues

Question 42

Cushing's syndrome

Answer 42

Puffy "moon" face | Increased facial hair in females

Question 43

Periorbital edema

Answer 43

CHF and hypothyroidism

Question 44

Unusual distribution or patterns of hair growth on the face or skull are associated with?

Answer 44

Endocrine abnormalities

Question 45

Any nits (white or brown specs) attached to hair shaft may be signs of?

Answer 45

Pediculosis (lice)

Question 46

Traction alopecia

Answer 46

May occur with tight braiding

Question 47

Palpable, tender, and warm lymph nodes usually indicate?

Answer 47

Infection in the area from which the the lymph vessels drain to that node

Question 48

Chloasma

Answer 48

Present on face of pregnant women | Blotchy and hyper pigmented patch appears on cheeks and fades in postpartum period

Question 49

Asymmetry of am infant head can occur from?

Answer 49

Infant one one position for prolonged period of time and premature closing of sutures

Question 50

Hypothyroidism is more common in infants with?

Answer 50

Down's syndrome

Question 51

The lymph nodes that lie superficial to the mastoid bone are the

Answer 51

Posterior auricular nodes

Question 52

Hydrocephalus

Answer 52

Abnormal collection of cerebral spinal fluid in ventricles of brain causes enlargement of brain

Question 53

Fetal alcohol syndrome

Answer 53

Developmental delays and congenital abnormalities | Microcephaly, flattened check bones, small eyes, flattened upper lip

Question 54

Down's syndrome

Answer 54

Congenital condition with an extra chromosome or translocation of chromosome 14 or 15 with 21 or 22 Microcephaly, flattened occipital bone, slanted small eyes, depressed nasal bridge, low set ears and protruding tongue

Question 55

Cretinism (congenital hypothyroidism)

Answer 55

Puffy facial features often larger than normal tongue. Common in parts of the world where diet is deficient in iodine

Question 56

Bell's Palsy

Answer 56

Paralysis, usually unilateral, of facial nerve CN VII can be transient or permanent

Question 57

Parkin's disease

Answer 57

Degenerative neurological disease | Mask like facial appearance, rigid muscles, diminished reflexes and shuffling gait

Question 58

Scleroderma

Answer 58

Hardening of the skin, usually in hands and face first

Question 59

Goiter

Answer 59

Enlarged thyroid gland

Question 61

Myxedema

Answer 61

Severe hypothyroidism, preorbital swelling mad edema of face, hands and feet

Question 62

Acute situations include

Answer 62

head and neck injuries, neck pain, enlarged lymph nodes, thyrotoxicosis

Question 63

Bruit may be present with?

Answer 63

hyperthyroidism and thyrotoxicosis

Question 64

Infant should be able to hold head up by?

Answer 64

four months

Question 65

caput succedanem

Answer 65

swollen and ecchymotic area caused by the birth process as the head is squeezed

Question 66

cephalahematoma

Answer 66

hemorrhage defined over single cranial bone