so no head?
How many facial bones are there?
14
What gland straddles trachea in the middle of the neck?
Thyroid
What is the leading cause of acute pain and lost productivity?
Headaches
Hematoma in one sternomastoid muscle, results in head tilt to one side
Congenital torticollis
The nurse notices that a patients palpebral fissures are not symmetric. On examination, the nurse may find that damage has occurred to which cranial nerve (CN)?
a. III
b.V
c. VII
d. VIII
ANS: C
Facial muscles are mediated by CN VII; asymmetry of palpebral fissures may be attributable to damage to CN VII (Bell palsy).
What cranial nerve controls facial expressions?
VII (7)
What do T4 and T3 stimulate?
Regulates metabolism
2nd most common headache made worse by light and sound; can be genetic
Migraine
Endemic goiter due to iodine deficiency, results in chronic enlargement of the thyroid gland?
Simple diffuse goiter
A patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The nurse suspects:
a. Bell palsy.
b. Damage to the trigeminal nerve.
c. Frostbite with resultant paresthesia to the cheeks.
d. Scleroderma.
ANS: B
Facial sensations of pain or touch are mediated by CN V, which is the trigeminal nerve. Bell palsy is associated with CN VII damage. Frostbite and scleroderma are not associated with this problem.
Where are the parotid glands located?
In cheeks over mandible; largest salivary glands and NONpalpable!
How many lymph nodes are in the head/neck?
50-60
3x more common in women in present with the feeling of a tight band around one’s head?
Tension type headache
Multiple nodules indicating inflammation rather than a neoplasm (cancer); however be suspicious of any rapidly enlarging or firm nodules!
Multinodular goiter
When examining the face of a patient, the nurse is aware that the two pairs of salivary glands that are accessible to examination are the and glands.
a. Occipital; submental
b. Parotid; jugulodigastric
c. Parotid; submandibular
d. Submandibular; occipital
ANS: C
Two pairs of salivary glands accessible to examination on the face are the parotid glands, which are in the cheeks over the mandible, anterior to and below the ear; and the submandibular glands, which are beneath the mandible at the angle of the jaw. The parotid glands are normally nonpalpable.
Sternomastoid controls what? Trapezius controls what? And which cranial nerve are they innervated by?
Sternomastoid control head rotation and flexion
Trapezius control shoulders and extend and turn head
Both of these are inner gated by cranial nerve V (11)
Not a question but a DIRECTION MUAHAHAH. Name the order of drainage of the lymph nodes!
Preauricular
Postauricular
Occipital
Submental
Submandibular
Jugulodigastric (tonsillar)
Superficial Cervical
Deep cervical
Posterior cervical
Supraclavicular
If thyroid is enlarged, what do we listen for and use?
We listen for bruit with bell of stethoscope
Condition presents with goiter, eye lid retraction and exophthalmos. What is it?
Graves’ disease (hyperthyroidism)
A patient says that she has recently noticed a lump in the front of her neck below her Adams apple that seems to be getting bigger. During the assessment, the finding that leads the nurse to suspect that this may not be a cancerous thyroid nodule is that the lump (nodule):
a. Is tender.
b. Is mobile and not hard.
c. Disappears when the patient smiles.
d. Is hard and fixed to the surrounding structures.
ANS: B
Painless, rapidly growing nodules may be cancerous, especially the appearance of a single nodule in a young person. However, cancerous nodules tend to be hard and fixed to surrounding structures, not mobile.
Which glands in the head are palpable?
Submandibular
What is the results of hyperplasia and increased vascular tissue in pregnant woman?
Enlarged thyroid
More common in men, usually on one side behind the eye, and made worse by perfumes and alcohol? (For extra points… how often do they occur and for how long?)
Cluster headaches, occur once or twice per day and last to 2 hours each
Condition presents with puffy edematous face, periorbital edema, course facial features, course hair and eyebrows. What is it?
Myxedema (Hypothyroidism)
A patient has come in for an examination NanUdRsStaINteGs,TIBh.aCvOeMthis spot in front of my ear lobe on my cheek that seems to be getting bigger and is tender. What do you think it is? The nurse notes swelling below the angle of the jaw and suspects that it could be an inflammation of his:
a. Thyroid gland.
b. Parotid gland.
c. Occipital lymph node.
d. Submental lymph node.
ANS: B
Swelling of the parotid gland is evident below the angle of the jaw and is most visible when the head is extended. Painful inflammation occurs with mumps, and swelling also occurs with abscesses or tumors. Swelling occurs anterior to the lower ear lobe.