head, eye, nose, mouth

Question 1

Head inspection normal finding

Answer 1

size, shape varies
but normally round, symmetrical & no lesion

Question 2

Head inspection abnormal finding

Answer 2

Acromegaly: large skull & facial bone
Microcephaly: abnormally small head

Question 3

face inspection normal finding

Answer 3

symmetrical, no abnormal movement
wrinkles: loss of sucutaneous as aging

Question 4

face inspection abnormal finding

Answer 4

weakness on one side together with hemi-paralysis: stroke
masked face: parkinson’s disease

Question 5

Neck inspection normal finding

Answer 5

symmetrical, head centered, no bulging

Question 6

neck inspection abnormal finding

Answer 6

enlarged masses, swelling: thyroid enlargement

Question 7

movement of thyroid test for inspection

Answer 7

ask patient to take a sip of water

Question 8

movement of thyroid inspection normal finding

Answer 8

cartilage & thyroid ove upward & symmetrically when swallowing

Question 9

movement of thyroid inspection abnormal finding

Answer 9

asymmetrical/ enlargement of thyroid

Question 10

neck’s range of motion inspection normal finding

Answer 10

controlled & smooth & normal range of motion

Question 11

neck’s range of motion inspection abnormal finding

Answer 11

stiffness, ridigity, reduced range of motion: neck msucle spasm, inflammation
elderly: due to arthritis, decreased flexion, extension, bending, rotation

Question 12

Cervical Vertebra (C7) inspection normal finding

Answer 12

visible & palpable

Question 13

cervical vertebra (C7) inspection abnormal finding

Answer 13

increased curvature: kyphosis
reduced curvature: due to fat accumulation in cervical vertebra

Question 14

Head palpation normal finding

Answer 14

hard, smooth, no lesion

Question 15

Head palpation abnormal finding

Answer 15

lesion lump: trauma

Question 16

temporal artery palpation normal finding

Answer 16

non-tender, elastic

Question 17

temporal artery palpation abnormal finding

Answer 17

tender, hard, thick: inflammation, temporal arteritis

Question 18

trachea palpation normal finding

Answer 18

midline

Question 19

trachea palpation abnormal finding

Answer 19

shift to affected side: atelectasis
shift to unaffected side: pneumonthorax

Question 20

lymph node palpation normal finding

Answer 20

soft, round, <1cm not palpable, mobile

Question 21

lymph node palpation abnormal fnding

Answer 21

tender, >1cm: enlargement & inflammation
fixed, delmitation

Question 22

eyeballs edge of eyelid & position inspection abnormal finding

Answer 22

ptosis (drooping of eyelid)
proptosis (protrusion of eyeball)
hyperthyroidism

Question 23

eyeballs edge of eyelid & position inspection normal finding

Answer 23

no sclera is seen above/ below iris
upper (lower) eyelid lie the uppper (lower) part of iris & pupil

Question 24

Ability to close eye inspection abnormal finding

Answer 24

unable to cloes: CN III damage/ swelling > risk of cornea damage

Question 25

ability to close eyes inspection normal finding

Answer 25

upper & lower eyelid should close easily & met completely

Question 26

Eyelid inspection:

Answer 26

swelling, lesion, turning, discharge, colour

Question 27

eyelid inspection: normal finding

Answer 27

no inversion/ eversion, no swelling, normal discharge of tears to keep eyes moist

Question 28

eyelid inspection abnormal inspection

Answer 28

lower eyelid inverted: cause cornea & conjunctiva injury & inflammation Everted lower eyelid: cause drying exposure of conjunctiva, lead to increase tear dischage swelling & redness & discharge: inflammation

Question 29

eyeball inspection normal finding

Answer 29

symmetrical aligned

Question 30

eyeball inspection abnormal finding

Answer 30

sunken eye protrusion of eye misalignment of eyeball

Question 31

conjuntiva & sclera inspection abnormal finding

Answer 31

yellow sclera: jaundance bright red sclera: subconjunctival hemorhage generalized redness in conjunctiva: conjunctivitis

Question 32

conjuntiva & sclera inspection normal finding

Answer 32

sclera: white, smooth Conjunctiva: clear, moist, with tiny vessels