HEENT

Question 1

Inspection of the head face skull and scalp

Answer 1

head, facial features, skull, scalp

Question 2

Inspection of the head

Answer 2

position, tremor

Question 3

inspection of facial features

Answer 3

features, shape, symmetry, involuntary movmeents

Question 4

inspection of skull

Answer 4

size, shape, symmetry

Question 5

inspection scalp

Answer 5

flakiness, lesions, nits, hair loss

Question 6

Palpation of the skull

Answer 6

depressions lumps tenderness or hair texture

Question 7

palpation of the temporal arteries

Answer 7

thickening, hardness, tenderness

Question 8

palpation of the TMJ

Answer 8

pain, crepitus, locking popping

Question 9

palpation of the salivary glands

Answer 9

parotid & submandibular, symmetry enlargements, tenderness, texture

Question 10

percussion of the skull

Answer 10

bone thinning via higher pitched tone

Question 11

auscultation for temporal artery

Answer 11

bruits, supraorbital, temporal occipital areas

Question 12

inspection of lymph node chains

Answer 12

edema, erythema, red streaks, lesions

Question 13

palpate lymph node chains

Answer 13

location, size, shape, consistency, mobility, discreteness, tenderness, warmth

Question 14

inspection of neck and thyroid…. tangential light/neck extended/patient swallows

Answer 14

symmetry, alignment of trachea and thyroid gland

Question 15

inspection of landmarks ant/posterior triangle

Answer 15

anterior/posterior triangle

Question 16

inspection of base of neck

Answer 16

fullness at the base

Question 17

note structural abnormalities

Answer 17

masses, webbing, excess skin folds, unusual shortness, asymmetry

Question 18

note vascular abnormalities

Answer 18

JVD or carotid artery prominence

Question 19

palpation of trachea

Answer 19

position, symmetry

Question 20

palpation of hyoid, thyroid and cricoid cartilage

Answer 20

movement with swallowing

Question 21

neck slightly flexed palpate thyroid

Answer 21

size, shape, symmetry, consistency, nodules, enlargement, tenderness

Question 22

Chvostek’s tests

Answer 22

+ twitching lip

Question 23

Meningeal irritation, Brudzinski’s sign

Answer 23

+ painful neck, reflexive flexion of knees and hips

Question 24

Cardarelli sign

Answer 24

+ palpable heart beat with lateral deviation

Question 25

Oliver sign

Answer 25

+ palpable heart beat with upward tug

Question 26

Parotid & submandibular intraoral exam

Answer 26

+ visible exudate, palpable stone obstruction