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Flashcards in Qui 2 Deck (85):
0

In front of the ear

Preauricular

1

Superficial to the mastoid process

Posterior auricular (mastoid)

2

At the base of the skull

Occipital

3

Midline, behind the tip of mandible

Submental

4

Halfway between the angle and the tip of the mandible

Submandibular

5

Under the angle of the mandible

Jugulodigastric

6

Overlying the mastoid muscle

Superficial cervical

7

And the posterior triangle along the edge of the trapezius muscle

Posterior cervical

8

At the sternomastoid muscle

Supraclivicle

9

Technique for palpating lymph nodes

Gentle circular motion with finger pads

10

Can salivary glands being palpated?

Normally no

11

No it's in the neck muscle should be palpated with (one hand or two hands) with gentle but strong pressure comparing the two side____

2 // Symmetrically

12

Deep cervical chain you need to ___person's head toward the side being examined to relax the ____muscle and press your fingers.

Tip
Ipsilateral

13

___ Node-have person hunch this shoulders and opals forward (this relaxes the skin)

Supraclavicular

14

Notes that are palatable note the L__, S____, D___(Discrete or matted together), M___, C___, T___

Location, size, shape, delimitation, mobility, consistency, and tenderness

15

Know where to assess a live node if enlarged it if it is enlarged or tender, check the area where they ___for the ____of the problem.

Drain,
source

16

Enlarged upper cervical or submandibular often relate to inflammation or a __ in the __ and ___

Neoplasm, head, neck

17

Acute infection usually last___, nodes are ____enlarged warm tender and firm but (do not move or freely movable)

<14 days,
bilateral,
Freely movable

18

Chronic inflammation (example in TB the nodes are__)

Clumped

19

Cancers nodes are harder or soft.
Over or under 3 cm.
Bilateral or unilateral.
Tender nontender.
Freely movable or fixed

Hard
>3 cm.
Unilateral.
Non-tender.
Fixed

20

Accept the node enlargement is common with

HIV

21

A single and large, nontender hard, stay left supraclavicular node Virchow node may indicate neoplasm in the ___ or ___

Thorax or abdomen

22

Painless, robbery, discrete nodes that gradually appear occur with___ ___

Hodgkins lymphoma

23

___ ___ Is located just below the temporal artery and interior to the tragus

Temporomandibular

24

Temporal area of abnormal finding. Artery looks ____, feels ___and tender temporal arteries (c___, limited ROM, or tenderness)

Torturous, hardened, crepitation

25

___ glands Are in the cheeks over the mandible, interior two and below the ear. They are the largest of the salivary glands but are normally ____palpable

Parotid glands

26

Glands are beneath the mandible at the jawline

Submandibular

27

____Glands lie beneath the floor of the mouth

Sublingual

28

Temporal artery lies superior to the ____muscle; it's pulsation is palpable (((in front or behind )))the ear

Temporalis
Anterior

29

When palpating the thyroid gland(((It is easy or difficult)) your fingers go between the trachea and ___muscle. When the person swallows the thyroid will move ((up or down))). But normal adult thyroid (((can or cannot))) usually be palpated

Difficult.
Sternomastoid.
Up.
Cannot

30

When checking the thyroid, ____lobes usually ((((are or are not))) palpable. With abnormalities enlarged Lobes are easily palpated (((before or after))) swallowing.
Look for D __ E__or a N__ L__
Check for enlargement, consistency, symmetry, and for presence of nodules

Lateral
NOT
Before
Diffuse Enlargement or Nodular Lump

31

It's a thyroid is enlarged auscultated for

Bruit

32

___ Is a soft, pulsatile, whooshing, blowing sound heard best with the ____of the stethoscope.
These occur with accelerated or turbulent bloodflow, indicating ___the thyroid

Bruit
Bell
Hyperplasia

33

And aortic aneurysm, a tumor, unilateral thyroid enlargement or pneumothorax occurs when the trachea is___ side

Unaffected

34

An Atelectasis, pleural adhesions, or fibrosis.
Trachea is

Pulled toward the affected side

35

Tracheal ___ Is rhythmic downward pull that is synchronous with and occurs with___ ___ __

Tug
Aortic arch aneurysm

36

___ Is enlargement of the lymph nodes (< or > 1 cm) from infection, allergy, or neoplasm

Lymphadenopathy

37

___ A round, symmetric skull that is appropriately related to body size

Normocephalic

38

Thyroid gland---multiple nodules usually indicate ___ or a ___rather than neoplasm

Inflammation.
Multinodular goiter

39

Thyroid-single nodules are mostly____. Although a solitary nodular possesses a greater risk for malignancy then do multiple nodules and possess a greater risk for (((a younger or older))) person

Benign
Young

40

Cancerous nodules tend to be __and are __ to surrounding structures

Hard
Fixed

41

____Gland enlargement---Rapid painful inflammation occurs with mumps
Can also occur with blockage of duct, abscess or tumor

Parotid

42

Stetson duct obstruction (In the ____gland) can occur in aging adults due to dehydration from ___or___

Parotid. Diuretic. Or antichlorgenic

43

_____ Characteristic feces develop by 3 to 6 months of age: low hairline, hirsute forehead, swollen eyelids, narrow palepbral fissures, widely spaced eyes, depressed nasal bridge, puffy face, that tongue protruding through an open mouth.
Head sizes normal, but the anterior and posterior__are wide open

Congenital hypothyroidism
Fontanels

44

_____Exhausted face, blue shadows below the eyes due to sluggish venous return, a double or single crease on the lower eyelids (Morgan's lines), central facial pallor and open breathing.
Open mouth bringing breathing can lead to___of the teeth and malformed jaw

Atopic (allergic) facies.
Malocclusion

45

___transverse line on the nose is a feature. Formed when the child chronically uses a hand to push the nose up in back to relieve itching into free swollen turbinates, which allows air passage

Allergic salute and crease

46

A deficiency of dopamine transmitter and degeneration of the basal ganglia in the brain. Causes immobility of features that make a face plant and expressionless, mask like, with elevated eyebrows, staring gaze, oily skin, and drooling_____

Parkinson's syndrome

47

Symptoms: nervousness, fatigue, weight loss, muscle cramps, and heat intolerance.
Signs tachycardia, shortness of breath, excessive sweating, find muscle tremor, then silky hair and skin, and infrequent blinking, and a staring appearance ____

Hyperthyroidism

48

Hyperthyroidism can cause ___disease which is manifested by a __and bulging eyes(___)

Graves. Goiter. Exophthalmos

49

Lower motor neuron lesion (peripheral) produced by cranial nerve paralysis which is almost always unilateral. Rapid onset due to ___Cannot wrinkle his forehead, raise eyebrows, close eye, whistle, or showed teeth unaffected side_____

herpes simplex virus.
Bell's palsy

50

Chronic lymphocytic thyroiditis. Autoimmune system attacks thyroid gland. Inflammation that leads to an underactive thyroid gland. Commonly affects middle-age.
Fatigue, depression, modest weight gain, cold intolerance, excessive sleepiness, dry-course hair, constipation, dry skin, muscle cramps___

Hashimoto's thyroiditis and hypothyroidism

51

The external ear is separated From the middle ear by the ___which is translucent, & pearly gray

Tympanic membrane (or eardrum)

52

Small airfield cavity inside the temporal bone that's functions are to conduct sound vibration, protects the inner ear and contains the estachian tube Is this external, middle,or inner ear

Middle ear

53

Equalizes air pressure at each side of the tympanic membrane

Eustachian tube

54

Contains the bony labyrinth, which holds the sensory organs for equilibrium and hearing

Inner ear

55

Vertigo can because by what

(Inner ear problem) can be caused by Noise, medication,

56

When feeling that room is spinning around you

Subjective vertigo

57

When feeling that you are spinning around room

Objective vertigo

58

Nontender, hard cream colored nodule on helix or antihelix. It is gout due to uric acid

Tophi

59

Cone of light is at 7 o'clock position is that on the tympanic membrane of the left or right ear

Left

60

What should be performed and a client who has difficulty hearing conversation due to background noise or background conversation

Weber

61

Sensorineural hearing loss occurs when damage is located in

Inner ear

62

If a person's eyes are together closed and they've feet are apart and they start to lose balance this would indicate what type of disorder

Vestibular

63

Red, bulging eardrum and distorted with diminished or absent light reflex

Acute otitis Madia

64

Foul-smelling, sticking, yellow discharge is associated with

Otitis externa or impacted form body

65

Tenderness behind the ear may occur with

Otitis media

66

Painful auricle or tragus is associated with

Oh Titus external or postauricular cyst

67

Inability to hear high frequency sounds may be due to

Presbycusis

68

Sudden decrease in ability to hear in one ear may be due to

Otitis media

69

Inability to hear whisper sounds indicates

Presbycuis

70

The person that has presbycusis gradual sensorinueral hearing loss would have difficulty hearing consonants or vowels

Consonants

71

Otalgia

Earache

72

Compares air and bone conduction sound by striking a tuning fork and placing fork on clients mastoid process.

Rinne test

73

Helps to evaluate conduction of waves sounds through bone to distinguish between conductive hearing (sound waves transmitted by external and middle ear) and sensorinureal hearing (always transmitted through my inner ear)

Weber test

74

Normal findings vibrations will be heard equally in both ears

Weber test

75

Will have air conduction sound heard longer than phone conduction (twice as long)

Rinne test

76

Transmission of sound waves through external and middle ear

Conductive hearing

77

Involves mechanical dysfunction of the external or middle ear. If the sound amplitude is increased enough, the person can hear

Conductive hearing loss

78

Hey lost that indicates a pathologic condition of cranial nerve eight. Presbycusis, And age-related gradual degeneration of the nerve, may be the cause

Sensorineural Or Perceptive

79

Size and shape, position, alignment, skin color. Movement of the Pana, tragus, and mastoid process. The meatus noting size, swelling, redness, discharge wax, lesions, or form bodies. What is this

Objective data external ear

80

Color and characteristic. Positions of the tympanic membrane which may be flat, blogging, or retracted. Also assess integrity of the membrane what assessment is this

Middle ear

81

To assess the vestibule or apparatus which evaluates ___which test would be performed

Standing
Romberg

82

Severe swelling of canal, inflammation, tenderness. (The picture shows canal lumen that is narrowed ton1/4 normal size)

Otitis externa

83

__infection of the outer ear, with severe painful movement of the pinna and tragus, redness and swelling of pinna and canal, scanty purulent discharge, scaling, itching, fever and enlarged tender regional lymph nodes. Hearing is normal or slightly diminished. More common in hot, humid weather.___ become infected. Prevent by using __ or__

Otitis Externa (Swimmers Ear)
Skinfolds
Alcohol or 2% acetic ear drops after swimming

84

Aging--__lining ear canal become coarse & stiff. Causes ___to accumulate get drier because of atrophy of the ___gland

Cilia
Cerumen
Apocrine