MSK, Head & Neck Flashcards

(38 cards)

1
Q

What are the 7 bodily structures relevant to a head & neck assessment?

A
Skull
Muscles
Salivary glands
Temporal Artery
Lymph Nodes
Trachea
Thyroid Gland
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2
Q

On your own head, point to the following bones of the skull:
Frontal bone, parietal bone, temporal bone, occipital bone, maxilla, mandible, mastoid process, and temporomandibular joint

A

look at a diagram on google or in notes to confirm

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3
Q

On your own head, point to the following muscles/parts of the head:
palpebral fissure, nasolabial fold, masseter, sternomastoid, trapezious

A

look at a diagram on google or in notes to confirm

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4
Q

On your own head, point to the following lymph nodes of the head:
posterior auricular, preauricular, occipital, jogulodigastric, superficial cervical, deep cervical chain, posterior cervical, supraclavicular, submandibular, submental

A

look at a diagram on google or in notes to confirm

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5
Q

What are the 3 salivary glands in the jaw? Name them from top of the mandible down to the chin.

A

parotid gland
submandibular gland
sublingual gland

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6
Q

What are the major arteries (2) that stem from the common carotid artery and veins (2) surrounding the sternomastoid muscle and the one artery that carries on to the face?

A
Internal jugular vein
External jugular vein
Temporal artery (face)
external carotid artery
internal carotid artery
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7
Q

What are the two salivary glands you can see by inspection if they are infected?

A

Parotid & sublingual

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8
Q

Name the major structures of the neck (9) [in order from highest to lowest]

A
hyoid bone
thyroid cartilage
cricoid cartilage
thyroid gland
isthmus of the thyroid
trachea
sternomastoid musle
clavicle
manubrium (of sternum)
check notes for diagram
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9
Q

What anatomical structure is also known as the adams apple

A

thyroid cartilage

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10
Q

What are some developmental considerations for the head/neck of infants?

A
  • Fontanels “soft spots”
  • Caput Succedaneum (swelling/bruising on the presenting part; will self-resolve)
  • Cephalohematoma (hemorrhage between the periosteum and the skull; will self-resolve)
  • Molding
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11
Q

What are some developmental considerations for the head/neck of pregnant women and older persons?

A

pregnant persons
- thyroid hyperplasia (enlargement)

older persons
- decrease elasticity and fat stores in the skin may cause facial bones to appear more prominent

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12
Q

What are the components of a subjective head & neck assessment? (5) What do you do if you find any abnormalities?

A
  • unusual/ frequent headaches
  • history of head injuries & lasting symptoms; surgeries
  • dizziness/vertigo
  • neck pain and/or limited neck movement
  • lumps or swelling
    If any of these are found -> PQRSTU AAA
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13
Q

Describe the difference b/w objective and subjective vertigo.

A
obj = room spinning
subj = the person feels like they're spinning
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14
Q

What things should you inspect and palpate for during the objective assessment of the head and neck?

A
  • size and shape of head
  • temporal area (symmetry + temporomandibular joint)
  • face (symmetry)
  • neck (symm, ROM, enlarged lymph nodes, enlarged salivery glands)
  • trachea
  • thyroid gland
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15
Q

Describe difference b/w microcephaly and macrocephaly

A

micro - small head

macro - large head

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16
Q

What is the technique for palpating lymph nodes? What are we looking for?

A

Using gentle circular motions. Looking for size, shape, location, mobility, consistency (hard/soft), tenderness.

17
Q

Describe what a normal healthy node should feel like?

A

moveable, soft, and non-tender nodes

18
Q

Describe what an infected node should feel like?

A

enlarged (palpable), tender, firm, and movable nodes

19
Q

Describe what a possibly cancerous node should feel like?

A

hard, fixed, non-tender node

20
Q

Name the functions of the MSK system (6)

A
  • Support (ex. for standing)
  • Movement
  • Protection (of internal organs)
  • RBC production (bone marrow)
  • Storage for essential minerals (Ex. Ca and phosporous)
  • Framework (of the body)
21
Q

What are the relevant structures of the MSK system?

A
Bones
Muscles
Cartilage
Joints
Bursa
Ligaments (remember ACL tears)
Tendons
22
Q

Describe the difference between synovial and non synovial joints.

A

Nonsynovial Joints – only slightly moveable joints Ex. between vertebrae or bones of the skull
Synovial Joints – freely moveable joints, contain synovial fluid and a layer of cartilage between the two bones

23
Q

What is the function of muscle and what are the 3 types of muscle?

A

Fxn: create movement by contracting
Types: skeletal, smooth, cardiac

24
Q

Go through the skeletal muscle movements on the back of this card

A
Flexion 
Extension
Abduction
Adduction
Pronation
Supination
Circumduction
Inversion
Eversion
Rotation 
Protraction
Retraction
Elevation 
Depression
25
``` Which of the following are hinge joints (select all that apply): Temporomandibular Joint (TMJ) Spine/vertebral joints Shoulder Elbows Wrist & carpal joints Hips Knee Ankle and Foot ```
``` Hinge: TMJ Elbows Knee Ankle and Foot ``` Ball and socket: Hips Shoulder
26
What are some developmental considerations in MSK assessments of a) infants and children b) pregnant persons c) older persons
a) hip dysplasia (dislocation) & growing pains b) increased mobility of joints Ex. Lordosis (postural change) c) Loss of bone density – osteoporosis may occur Muscle mass decreases Decreased height b/c of shortening of the vertebral column Kyphosis = curving of the thoracic spine
27
What are the components of a subjective MSK assessment? (5)
Joints - pain, stiffness, swelling, redness, limitations to ROM Muscles - pain, weakness Bones - Pain, congenital anomaly, injury, numbness/tingling Functional assessment - ADLs Self-care - exercise, occupational hazards, medds
28
Name all ROMs for each joint in the body.
TMJ - Open-close, Protrusion-retraction, side to side Spine/vertebral joints - flexion, extension, abduction, rotation Shoulder - flexion, hyperextension, internal rotation, abduction, adduction, external rotation, circumduction Elbows - flex/extend Wrist - flex/extend, side to side Carpal joints - finger flex/extend Hips - flexion, internal and external rotation, abduction, adduction, circumduction Knee - flex/extend Ankle and Foot - flex/extend, inversion/eversion
29
What are the characteristics of the spine?
``` - 33 vertebrae 7 cervical 12 thoracic 5 lumbar 5 sacral 3-4 coccygeal (sometimes fused in people = 3 or not = 4) - Between each bone is an intervertebral cartilage - Paravertebral muscles - Double S curve ```
30
Name the three bones that meet to make the elbow. Point to the the epicondyles (2) and olecranon process.
humerus radius ulna medial and lateral epicondyles
31
What joints allows for pronation/supination? Where are they?
radioulnar joints at elbow and wrist
32
Name the joints found in the hand (excluding wrist joint)
mid-carpal joints mid-carpal (carpal as in "carpal-tunnel" aka base of hand) Metacarpophalangeal Interphalangeal joints
33
What are the bony landmarks of the hip? (4)
``` Iliac crest (anterior + posterior iliac spine) ischial tuberosity greater trochanter ```
34
Knee: - articulation of which 3 bones? - what muscle attaches here? - what are the 2 bony landmarks nearby
- Articulation of the femur, tibia and patella - Quadriceps muscle – assess symmetry - Bony landmarks: lateral and medial condyles of the tibia & lateral and medial epicondyles of the femur
35
What are the two joints of the ankle/foot that you need to know?
Tibiotalar joint - Hinge joint -> flexion & extension - Bony land marks: medial malleolus & lateral malleolus Subtallar joint - Movements: inversion & eversion of ankle
36
What are the components of an objective MSK assessment? (4)
Inspection - Size, contour(shape/symmetry), colour (redness), swelling, masses, anomalies Palpation - Temperature, tenderness, swelling, masses, muscles, bony articulations, crepitation (cracking sound) ROM - passive and active (look up definition if udk) Muscle Testing - for strength against opposing force
37
T or F: | audible clicking of joints is a normal sign.
True as long as there is no pain
38
Carpal Tunnel Syndrome is the impingement of the _____ nerve. What two tests are used to assess possible presence of CTS?
Medial nerve Phalen’s Test - Hands back to back, fingers pointing down - Numbness or burning = concern Tinel’s Sign - Tap in the middle of the inside of wrist - Numbness or burning = concern