HEENT Assessment Flashcards

(41 cards)

1
Q

If lymph nodes are palpable they should be?

A

smooth, firm, mobile, can be tender

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2
Q

Measure head circumference every visit until age…

A

2

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3
Q

Measure head circumference yearly until age…

A

6

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4
Q

Normal of thyroid gland?

A

no enlargement
no nodules

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5
Q

Fontanels should be?

A

soft and flat

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6
Q

When does the frontal fontanel close?

A

closes by 2 years

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7
Q

When does the posterior fontanel close?

A

closes by 2 months

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8
Q

When do kids gain head control?

A

4 months

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9
Q

Cervical lymph node enlargement up to 1ccm is a normal finding until age…

A

12

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10
Q

What characteristics do you note with drainage?

A

color
consistency
presence of blood

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11
Q

Epistaxis

A
  • sit upright and lean forward
  • pinch nostrils shut for 5-10minutes
  • seek care if nose bleed lasts for more than 20min
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12
Q

How do you grade tonsils?

A

1+ to 4+

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13
Q

What grade of tonsils is normal for pediatrics?

A

2+

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14
Q

How far do you have patients stand from a Snellen chart?

A

10 to 20ft

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15
Q

What does the bottom number stand for on a Snellen test?

A

how far away someone with perfect vision can see that item

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16
Q

What does the top number stand for on a Snellen test?

A

feet away from sign (10 or 20)

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17
Q

What score for 3 year-olds should be referred for a comprehensive eye exam?

A

20/50 in either eye

18
Q

What score for 4 year-olds should be referred for a comprehensive eye exam?

A

20/40 in either eye

19
Q

At what age is it considered normal to develop near vision?

20
Q

How far away from the eye do you hold the handheld screener?

21
Q

What is a confrontation test?

A

assesses peripheral vision with using visual fields

22
Q

If asymmetry is found with the corneal light reflex test what does it mean?

A

eye muscle weakness or paralysis

23
Q

What does the cover test assess for?

A

lazy eye or strabismus

24
Q

What does the diagnostic position test assess for?

A

uses the 6 positions of gaze to look for nystagmus

25
Unequal size of the pupils during a light reflex test indicates?
increased intracranial pressure
26
What does the red reflex assess for?
cataracts
27
At what age can a child fixate on an object?
3-4 months
28
Most children are born near-sighted or far-sighted?
farsighted which gradually improves by age 7-8
29
Color blindness?
inherited recessive X-linked trait rare in females
30
Older adult eye changes?
- presbyopia - nyctalopia
31
Early treatment is important for what cause of vision loss?
glaucoma
32
Macular degeneration leads to a loss of?
central vision
33
Pinguecula?
yellowish elevated nodules due to prolonged exposure to sun, wind, and dust
34
Arcus senilis?
gray- white arc or circle around iris due to lipid deposits
35
Ectropion?
lower eyelid drooping and rolls away from the eyeball causes excessive tearing, dry itchy eyes
36
How are sunken eyes caused?
dehydration and/or chronic malnutrition
37
How are sunken eyes caused?
dehydration and/or chronic malnutrition
38
What is blepharitis?
red, scaly, flakes at lid margin caused by clogged oil glands
39
What is a hardeolum?
stye caused by staph infection
40
How often should you have a comprehensive eye exam?
every 2 years
41
How often should you have a comprehensive eye exam once you reach the age of 61?
yearly