HEENT & PHYS. EXAMINATION W3 Flashcards

1
Q

The outer ear consist of

A
  1. Auricle (external ear)
  2. Ear canal
  3. Eardrum (tympanic membrane)
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2
Q

The inner ear consists of

A
  1. Balance organ
  2. Hearing organ - Cochlea (snail-like structure)
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3
Q

The middle ear consist of

A
  1. Malleus
  2. Incus
  3. Stapes
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4
Q

What is the function of the auditory tube?

A

Connects the middle ear to the nasopharyngeal cavity.
Maintains equal air pressure on both sides of the eardrum.
Allows for fluid to drain out of the middle ear

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5
Q

Otitis media refers to?

A

Infection of the middle ear

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6
Q

Infection of the middle ear may cause?

A

Rubture of eardrum if auditory tube is obstructed

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7
Q

The olfactory nerve (CN I) is responsible for?

A

Smelling sensation in the nasal cavity

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8
Q

Important structures of the throat to examine during HEENT?

A
  1. Tounge
  2. Uvula
  3. Soft palate
  4. Hard palate
  5. Tonsils
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9
Q

The hard white part of the tooth is called…

A

The enamel

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10
Q

Name 4 types of teeth?

A
  1. Incisors (front teeth)
  2. Canine (pointy teeth)
  3. Premolar (chin teeth)
  4. Molar (largest teeth)
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11
Q

What is the important steps in treating tooth avulsion (loose tooth)?

A
  1. Handle by crown only
  2. Clean in saline
  3. Replace and splint if possible
  4. Place in saline if not replaceable
  5. Antibiotics
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12
Q

Fracture of the maxilla causing it to be completely loose is called…

A

Le fort fracture

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13
Q

Which cranial nerves do you test when making facial expressions and mastication (chewing)?

A

CN VII (7)
CN V (5)

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14
Q

Which cranial nerve do you test for with a light touch of the face?

A

CN V (5)

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15
Q

Which cranial nerve do you test in PERRL and what does it stand for?

A

CN III (3)
Pupils Equal Round & Reactive to Light

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16
Q

Which cranial nerve do you test with the Snellen chart or by reading letters from a distance?

A

CN II (2)

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17
Q

Which cranial nerves are tested in the H-Test?

A

CN III (3)
CN IV (4)
CN VI (6)

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18
Q

Which cranial nerve do you test In the hearing section?

A

CN VIII (8)

19
Q

Which cranial nerve do you test for in gag reflex and soft palate symmetry during speech?

A

CN IX (9)
CN X (10)

20
Q

What body parts do you assess in HEENT?

A
  1. Head
  2. Eyes
  3. Ears
  4. Nose
  5. Throat
21
Q

Touching the cornea (eyebulb) with a cuetip causes what reflex?

A

Corneal reflex (fast closing of the eyelid)

22
Q

What does OD stand for regarding eye examination?

A

Oculus Dexter
Dexter being RIGHT
(You’re damm right)

23
Q

If vision is equal on both eyes, what do you cross of regarding eye examination?

A

OU
Oculus Uterque

24
Q

What is the medical term for left eye?

A

Oculus Sinister
Sinister being LEFT

25
Q

What is the most common sign visible on the ear drum when equalising the pressure?

A

Light cone may move

26
Q

Benign means?

A

Tissue is not associated with cancerous disease

27
Q

ROM stands for?

A

Range Of Motion

28
Q

Name 3 tests regarding the shoulder joint?

A
  1. Crossover test (AC-Joint)
  2. Apley’s scratch test (Rotater cuff)
  3. Painful arc test (Subacrominal)
29
Q

Describe/show how you would test the integrity of ACL/PCL

A

Using the “Anterior/posterior drawer - test”

30
Q

The “Tompson - test” will tell something about the integrity of…

A

Achilles tendon

31
Q

How can you test for supraspinatus pain/malfunction?

A

“Empty can - Test”

32
Q

“Internal rotation lag - Test” will show signs of pain/malfunction of what muscle?

A

Subscapularis

33
Q

To test pain/function of the infraspinatus muscle what can you do?

A

“External rotation lag - test”

34
Q

The “Painful arc - test” can between 60-120° show pain/function of what muscle group?

A

Rotator cuff muscles (shoulder)

35
Q

How can you test for ulnar nerve compression/damage in the forearm?

A

“Tinel sign-test” is done by tapping on the ulnar nerve at the medial epicondyle of the ulnar bone. If the nerve is irritated it will send a tingling sensation into the pinky and ring finger (indicating cubital tunnel syndrome)

36
Q

What do you asses with the “triangle of points - test”?

A

The integrity of the elbow joint (if a bone is dislocated in the joint or not)

37
Q

The patient grips around two of your fingers. If this causes pain what can it indicate?

A

Arthritis, epicondylitis or carpal tunnel syndrome

38
Q

“Phalen’s - test” is done by pressing the dorsal side of the hands together for 60 seconds. If this causes tingling sensation to the fingers it is a sign of what condition?

A

Carpal tunnel syndrome. Which is compression of the median nerve in the ligaments of the wrist (e.g. due to inflammation of a tendon next to it)

39
Q

In “Mill’s - test” you apply pressure to the lateral epicondyle, slightly pronate the hand and then extend the forearm slowly. If the patient feels pain around the epicondyle its called?

A

Tennis elbow

40
Q

What is normal gait?

A

When the footsteps of a person is 5-10cm apart when walking in a straight line

41
Q

Which lymph nodes do you palpate on the lower extremities?

A

The inguinal lymph nodes (in the crotch)

42
Q

When you supinate (inwards) the patients foot it hurts. What is this a sign of and what is the test called?

A

Damage/pain of the calcanofibular ligament (CFL)
“Talar tilt / inversion stress - test”

43
Q

You can test for “Morton’s neuroma” by…

A

Pressing between the 3. and 4. toe. If this causes pain the patient has an inflamed nerve (neuroma). This can be caused by poor footwear.