Head/Neck

Question 1

The ______muscle rotates and flexes the head, whereas the ______ muscle extends the head and moves the shoulders.

Answer 1

sternomastoid; trapezius

Question 2

Lymph nodes in front of ears

Answer 2

preauricular nodes

Question 3

Lymph nodes behind ears

Answer 3

post auricular

Question 4

Lymph nodes at posterior base of skull

Answer 4

occipital

Question 5

Lymph nodes at angle of mandible on anterior edge of sternocleidomastoid

Answer 5

tonsillar nodes

Question 6

Lymph nodes on medial border of mandible

Answer 6

submandibular nodes

Question 7

Lymph nodes a few centimeters behind the tip of the mandible

Answer 7

submental nodes

Question 8

Lymph nodes superficial to the stern mastoid muscle

Answer 8

superficial cervical nodes

Question 9

Posterior to the sternomastoid and anterior to the trapezius in the posterior triangle

Answer 9

Posterior cervical nodes

Question 10

Deep within and around the stern mastoid muscle

Answer 10

Deep cervical chain

Question 11

Hook fingers over clavicles and feel deeply between the clavicles and the sternomastoid muscle

Answer 11

Supraclavicular nodes

Question 12

Produces a round or moon face with red cheeks. Excessive hair growth may be present as well.

Answer 12

Cushing’s syndrome

Question 13

Face is edematous and often pale. Swelling usually around eyes in morning. Eyes make become slitlike.

Answer 13

Nephrotic Syndrome

Question 14

Patient has severe hypothyroidism with dull, puffy facies.

Edema around eyes does not pit with pressure. Hair and eyebrows coarse, dry and thinned, skin is dry.

Answer 14

Myxedema

Question 15

Local swelling anterior to ear lobe and above angles of jaw.

Answer 15

Parotid gland enlargement

Question 16

Enlargement of bone and soft tissues. Head is elongated, with bony prominence of jaw, forehead and nose. Facial features appear coarsened.

Answer 16

Acromegaly

Question 17

Decreased facial mobility blunts expression, resulting in a mask like face, decreased blinking and characteristic stare. Facial skin oily.

Answer 17

Parkinson’s disease

Question 18

Kind of thyroid enlargement. Includes the isthmus and lateral lobes; no discretely palpable lobes.

Answer 18

Diffuse enlargement

Question 19

Kind of thyroid enlargement,; may be a cyst, benign tumor or one nodule within a multinodular gland. Raises question of malignant.

Answer 19

Single nodule

Question 20

Enlarged thyroid gland with two or more nodules suggests a metabolic rather than neoplastic process.

Answer 20

Multinodular goiter

Question 21

Symptoms include nervousness, weight loss w/ increased appetite, sweating/heat intolerance, palpitations, frequent bowel movements, muscular weakness of proximal type and tremor

Answer 21

Hyperthyroidism

Question 22

Symptoms include fatigue, weight gain w/ anorexia, dry coarse skin, swelling, constipation, weakness, muscle cramps and impaired memory

Answer 22

Hypothyroidism

Question 23

Signs include warm/moist skin; increased systolic and decreased diastolic bp, tachycardia, tremor/muscle weakness, and stare w/ Grave’s disease

Answer 23

Hyperthyroidism

Question 24

Signs include dry/coarse skin, sometimes yellow; decreased systolic and increased diastolic bp; bradycardia; impaired memory and hearing loss

Answer 24

Hypothyroidism

Question 25

Treatment of ______ may include antithyroid drugs, radioactive iodine, surgery or a combo

Answer 25

Hyperthyroidism

Question 26

Treatment of ______ includes thyroid hormone replacement, generally in form of levothyroxine.

Answer 26

Hypothyroidism

Question 27

Most often, thyroid disease is _____

Answer 27

autoimmune

Question 28

Physical assessment of head/skull consists of looking for (4)______

Answer 28

Size, shape, configuration Involuntary movement Palpate the Head/Skull

Question 29

Inspecting the face consists of looking for (5) _______

Answer 29

``` Symmetry Features Movement Expression Skin condition ```

Question 30

Don't forget to palpate the ______ artery | and ______ joint

Answer 30

temporal; temporomandibular

Question 31

When inspecting the neck, look for (4)_______

Answer 31

neck, movement of neck structures, cervical vertebrae, neck ROM

Question 32

Palpate the thyroid gland, but ________an enlarged thyroid gland

Answer 32

auscultate

Question 33

When you palpate the trachea it should be ______

Answer 33

midline

Question 34

When palpating the thyroid gland, _____ hand displaces and ______ hand palpates

Answer 34

left; right

Question 35

When palpating the lymph nodes, look for (5)________

Answer 35

``` Size and Shape Delimitation Mobility Consistency Tenderness and Location ```

Question 36

under the hyoid bone; the area that widens at the top of the trachea), also known as the “Adam’s apple.”

Answer 36

thyroid cartilage

Question 37

smaller upper tracheal ring under the thyroid cartilage

Answer 37

cricoid cartilage

Question 38

Normally lymph nodes, which are round and smaller than 1 cm, are not ____

Answer 38

palpable

Question 39

When lymph node enlargement exceeds 1 cm, the client is said to have _______

Answer 39

lymphadenopathy

Question 40

Normally lymph node delimitation (the lymph node’s position or boundary) is _____. In chronic infection, however, the lymph nodes become _______. In acute infection, they remain _____.

Answer 40

discrete; confluent (merge); discrete

Question 41

Typical lymph nodes are _____ both from side to side and up and down. In metastatic disease, the lymph nodes enlarge and become ____ in place.

Answer 41

mobile; fixed

Question 42

Somewhat more fibrotic and fatty in older clients, the normal lymph node is _____, whereas the abnormal node is ________

Answer 42

soft; hard/firm

Question 43

Tender, enlarged nodes suggest ______ infections; normally lymph nodes are not sore or tender.

Answer 43

acute