phys di I exam 4 head and neck

which cranial nerves innervate the face?

V and VII

the parotid, submandibular, an sublingual salivary glands

inhibit dental caries

the greatest degree of cervical mobility is at

C4 to C5 and C5 to C6

the uppermost ridge of the tracheal cartilage is at the

cricoid

which structures disproportionately enlarge in the mal during adolescence?

nose and thyroid cartilages

spaces between the cranial bones accommodate

brain growth

when examining the skull of a 4 month old you should normally find

closure of the posterior fontanel

the brown or tan pigmentation on the forehead, nose, and malar prominence of some pregnant people is called

chloasma

which of the following is an expected change in the assessment of the thyroid during pregnancy?

a bruit is auscultated

a bruit over the thyroid is suggestive of

hyperthyroidism

Ms Galvin is a 22 year old secretary who comes to the clinic with headaches of 6 weeks’ duration. she tells the office assistant about her heavy schedule, including part-time work and evening classes. her vital signs are normal. which information is most appropriate to Ms Galvin’s history?

current medications

observation during history taking is the best way to examine for

head position

during a head and neck assessment of a neonate, it’s important to screen for

the presence of torticollis

to detect bruits in the head and neck region, you should place the bell of the stethoscope on the

temporal region and below the occiput

someone comes in with a slight asymmetry of their face but the cranial nerve exam is normal,; your best action is to

record the finding in the patient’s chart

a bruit, or blowing sound, over the skull or temporal region of an adult indicates a

vascular anomaly

spasmodic muscular contractions of the head, face, or neck are called

tics

coarse, dry, and brittle hair is associated with which metabolic disorder?

hypothyroidism

an inconsequential finding on the head of an adult is a palpable

sagittal suture ridge

which is the best way to position a patient’s neck for palpation of the thyroid?

flexed toward the side being examined

a stethoscope is used in a head and neck examination to assess

thyroid vascular sounds

tracheal tug suggests the presence of

an aortic aneurysm

the thyroid gland should

move when the patient swallows

the right lobe of someone’s thyroid is 25% larger than the left - this would indicate

a normal thyroid gland

the correct way to transilluminate an infant’s skull is to

place the light firmly against the skull

the most common form of birth trauma of the scalp is

caput succedaneum

which of the following is true regarding a cephalohematoma?

it is bound by suture lines

which of the following is true regarding caput succedaneum?

it is seen over the presenting part of the head

nuchal rigidity is most commonly associated with

meningeal irritation

when noting a bulging fontanel with marked pulsations in a 6 month old, you suspect

increased intracranial pressure

which type of headache usually occurs at night, is precipitated by alcohol consumption, and occurs more often in men than in women?

cluster

a 29 year old woman presents to the urgent care center with a history of a severe headache of 2 hours’ duration. she describes it as bandlike and constricting. in interviewing the women about her complaint, you would ask

whether she is particularly stressed or overworked (tension headache)

someone presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue - this is most likely a

thyroglossal duct cyst

moist skin with fine hair, prominent eyes, lid retraction, and a staring expression are characteristics associated with

gaves disease

a facies with a sunken appearance of the eyes, cheeks, and temporal areas with dry skin and sharp nose is indicative of

terminal illness

which of the following findings would be consistent with fetal alcohol syndrome?

mild ptosis

what structure is located in the upper third of the SCM?

branchial cleft cyst

which of the following is a chronic autoimmune disorder?

Hashimoto disease

the premature union of cranial sutures that involves the shape of the head without mental retardation is

craniosynostosis

what’s the first step with palpating the head of someone with a complaint of headaches?

palpate the skull from front to back

the trapezius and SCM and the clavicle form a landmark called the

posterior triangle

the medial border of the SCM and the mandible from the

anterior triangle

the largest endocrine gland in the body lies in the

anterior triangle

closure of the anterior skull fontanel should occur by

24 months of age