Health Assessment exam 3- HEENT CORRECT
100%
Facial expressions are formed by which cranial nerve? - ANSWER VII
Which artery has a pulsation palpable anterior to the ear? - ANSWER temporal
Head is composed of - ANSWER cranial bones, sutures, and facial bones
Which endocrine gland straddles the trachea in the middle of the neck? What is the small palpable gland
in the upper notch only in males? - ANSWER Thyroid; adam's apple
Skull of Infants and children - ANSWER bones of the neonatal skull are separated by sutures and
fontanelles
*sutures aren't ossified in infants so they can fit through vaginal canal
These membrane-covered soft spots allow for the growth of the brain (fontanels)
In infants, where is the triangle shaped fontanel and when does it close? Where is the diamond shaped
fontanel and when does it close? - ANSWER posterior and 1-2 mos
anterior and 9 mos- 2 yrs
During fetal years, what growth predominates and reaches 90% at 6 yo? During infancy what growth
causes the head to be in proportion? - ANSWER head; trunk
When does lymphoid tissue grow to adult size? - ANSWER 6 yo
In pregnant women, what gland enlarges as a result of hyperplasia and increased vascularity? - ANSWER
thyroid
, What are some things that happen in the aging adult? - ANSWER facial bones and orbits appear more
prominent, facial skins sag, decreased subcutaneous fat, decreased moisture
When inspecting the head, what do you need to look for? - ANSWER size and shape, symmetry,
involuntary movements, tremors
What are some abnormals? - ANSWER Acromegaly- large head
Paget's disease-evolution of course facial features
Hydrocephalus - ANSWER due to built up CSF, preemies at risk; babies with this will have large fontanels
Cushing syndrome - ANSWER usually in kids, they grow really fat and moon faced due to steroids
When inspecting the neck, look for - ANSWER symmetry, positioning, alignment, (midline?), ask pt to
swallow, JVD? (indicated increased cardiac resistance), check thyroid (you can do anterior or posterior
approach, auscultate for bruits if enlarged)
Goiters are a result of - ANSWER iodine deficiency
Migraine symptoms? Onset? Location? Duration? Quality of pain? - ANSWER -n/v, photophobia, sensitive
to noise
-there is usually an aura or a precipitating event
-kids: mostly on one side, adults: around the head
-hours to days
-pulsating, throbbing
Tumor headache symptoms? Onset? Duration? Quality of pain? - ANSWER -neuro symptoms such as
ataxia, weak on one side, n/v
-no prodromal stage, worse with coughing/sudden movement of head
-varies
100%
Facial expressions are formed by which cranial nerve? - ANSWER VII
Which artery has a pulsation palpable anterior to the ear? - ANSWER temporal
Head is composed of - ANSWER cranial bones, sutures, and facial bones
Which endocrine gland straddles the trachea in the middle of the neck? What is the small palpable gland
in the upper notch only in males? - ANSWER Thyroid; adam's apple
Skull of Infants and children - ANSWER bones of the neonatal skull are separated by sutures and
fontanelles
*sutures aren't ossified in infants so they can fit through vaginal canal
These membrane-covered soft spots allow for the growth of the brain (fontanels)
In infants, where is the triangle shaped fontanel and when does it close? Where is the diamond shaped
fontanel and when does it close? - ANSWER posterior and 1-2 mos
anterior and 9 mos- 2 yrs
During fetal years, what growth predominates and reaches 90% at 6 yo? During infancy what growth
causes the head to be in proportion? - ANSWER head; trunk
When does lymphoid tissue grow to adult size? - ANSWER 6 yo
In pregnant women, what gland enlarges as a result of hyperplasia and increased vascularity? - ANSWER
thyroid
, What are some things that happen in the aging adult? - ANSWER facial bones and orbits appear more
prominent, facial skins sag, decreased subcutaneous fat, decreased moisture
When inspecting the head, what do you need to look for? - ANSWER size and shape, symmetry,
involuntary movements, tremors
What are some abnormals? - ANSWER Acromegaly- large head
Paget's disease-evolution of course facial features
Hydrocephalus - ANSWER due to built up CSF, preemies at risk; babies with this will have large fontanels
Cushing syndrome - ANSWER usually in kids, they grow really fat and moon faced due to steroids
When inspecting the neck, look for - ANSWER symmetry, positioning, alignment, (midline?), ask pt to
swallow, JVD? (indicated increased cardiac resistance), check thyroid (you can do anterior or posterior
approach, auscultate for bruits if enlarged)
Goiters are a result of - ANSWER iodine deficiency
Migraine symptoms? Onset? Location? Duration? Quality of pain? - ANSWER -n/v, photophobia, sensitive
to noise
-there is usually an aura or a precipitating event
-kids: mostly on one side, adults: around the head
-hours to days
-pulsating, throbbing
Tumor headache symptoms? Onset? Duration? Quality of pain? - ANSWER -neuro symptoms such as
ataxia, weak on one side, n/v
-no prodromal stage, worse with coughing/sudden movement of head
-varies
