Nose, Mouth, Throat (Chapter 17)

Question 1

what do we assess of the external nose

Answer 1

symmetry
midline
equal

Question 2

nasal cavity parts

Answer 2

septum
turbinates

Question 3

4 paranasal sinuses

Answer 3

frontal
maxillary
ethmoid
sphenoid

Question 4

what are the 2 paranasal sinuses able to palpate

Answer 4

frontal
maxillary

Question 5

how do we asses the frontal sinus

Answer 5

push up under eyebrow

Question 6

how do we assess the maxillary

Answer 6

push up under cheek bone

Question 7

what do we ask when we assess the paranasal sinuses

Answer 7

tenderness

Question 8

who might have pain and tenderness of paranasal sinuses

Answer 8

chronic allergies/infection

Question 9

uvula is within

Answer 9

midline

Question 10

why do we ask people to say ah

Answer 10

causes arch to rise and brings in tonsils

Question 11

tongue

Answer 11

papillae/pink and moist

Question 12

teeth

Answer 12

present
absent

Question 13

teeth assessment is important for

Answer 13

intubation

Question 14

who might have tooth losses

Answer 14

older adults

Question 15

what is important to know about mucosa of different skin tones

Answer 15

color of mucosa is the same

Question 16

mucosa is still skin so it can break and lead to

Answer 16

infection

Question 17

what medication might cause bleeding in gums

Answer 17

blood thinners

Question 18

3 salivary glands

Answer 18

parotid
submandibular
sublingual

Question 19

what salivary gland is the largest

Answer 19

parotid

Question 20

where is parotid located

Answer 20

in front of ear

Question 21

where is submandibular located

Answer 21

under mandible

Question 22

where is sublingual located

Answer 22

under tongue

Question 23

aging adult has diminished

Answer 23

smell and taste

Question 24

what does the diminished smell and taste in older adults contribute to

Answer 24

not wanting to eat which leads to decreased nutrition

Question 25

aging adults have what type of tissue

Answer 25

atrophic

Question 26

aging adults have what kind of changes

Answer 26

dental

Question 27

ill patient

Answer 27

dehydrated = dry mucosa/deep fissures/pilling

Question 28

trauma

Answer 28

broken nose, deviated septum

Question 29

epistaxis

Answer 29

bloody nose

Question 30

dysphagia

Answer 30

difficulty swallowing

Question 31

where is olfactory receptor located

Answer 31

nose

Question 32

mucosa of nose

Answer 32

red, moist, smooth

Question 33

chronic allergies nasal mucosa

Answer 33

grey, pale, swollen

Question 34

upper respiratory infection nasal mucosa

Answer 34

swollen, bright, red, drainage

Question 35

test for patency

Answer 35

occulde one nostril and sniff/blow

Question 36

perforated septum biggest indicator

Answer 36

penlight in one nostril and light on the other side

Question 37

lips in darker skin

Answer 37

lips are darker skin collor

Question 38

uvula

Answer 38

midline, rise and fall when saying ahhh, rises in midline on phonation

Question 39

tonsils appearance

Answer 39

oval, granular, rough

Question 40

tonsils normal grading

Answer 40

1+ or not visible

Question 41

indentation of tonsils name

Answer 41

crips

Question 42

are crips normal

Answer 42

yes

Question 43

what is abnormal about crips

Answer 43

white exudate

Question 44

what color should crips be

Answer 44

pink

Question 45

where are tonsil stones located

Answer 45

crips

Question 46

how do infected tonsils look like

Answer 46

red, swollen, could have exudate

Question 47

what is one other thing that is noticeable with exudate

Answer 47

bad breath

Question 48

tonsils touching or overriding the uvula grade

Answer 48

4+

Question 49

decreased gag reflex means

Answer 49

decrease swallowing, increased aspiration do not feed

Question 50

herpes simplex 1

Answer 50

cold sore, lesions, clear vesicle, heals in 4-10 days

Question 51

carcinoma

Answer 51

lesions not healed after 2 weeks refere to a doctor

Question 52

leukoplakia

Answer 52

chalky, white, raised patches, tongue and cheek, pre cancerous, cannot scrape off, firmly attached history of smoking/alcohol

Question 53

candidiasis/monilial infection

Answer 53

white patchy, can scrape off, elderly/cancer = increased antibiotics, babies=oral thrush

Question 54

aphthous ulcers

Answer 54

canker sore

Question 55

acute tonsillitis

Answer 55

fever, sore throat, exudate, painful swallowing, >1+

Question 56

pharyngitis

Answer 56

strep throat= rheumatic fever

Question 57

why does rheumatic fever appear

Answer 57

lack of antibiotic use

Question 58

what is rheumatic fever

Answer 58

multisystem inflamatory disease