CHAPTER 11: HEAD AND NECK

C HAPTER 11: H EAD AND N ECK
Ball: Seidel’s Guide to Physical Examination, 9th Edition



MULTIPLE CHOICE


1. Which cranial nerves innervate the face?
a. II and V
b. III and VI
c. V and VII
d. VIII and IX



ANS: C



Facial nerves are controlled by cranial nerves V and VII; cranial nerves II,
III, and VI control the eyes, cranial nerve VIII deals with hearing, and cranial
nerve IX deals with swallowing.



DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation



2. Mrs. Britton brings her 16-year-old son in with a complaint that he is not
developing correctly into adolescence. Which structures disproportionately
enlarge in the male during adolescence?
a. Coronal sutures
b. Hyoid and cricoid cartilages
c. Mandible and maxilla bones

, d. Nose and thyroid cartilages



ANS: D

In adolescent males, the nose enlarges and the thyroid cartilage becomes the
largest component of the anterior larynx, known as the Adam's apple.



DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation



3. Which of the following is an expected change in the assessment of the thyroid
during pregnancy?
a. Palpation of the gland becomes difficult.
b. A bruit is auscultated.
c. Inspection reveals a goiter.
d. The gland is tender on palpation.



ANS: B



During pregnancy, the thyroid gland hypertrophies (not to the point of a
goiter), palpation is easier and, because the gland also has increased
vascularity, bruits are common. It is an abnormal finding for the thyroid to
feel fibrotic, tender, or smaller.



DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—
assessment MSC: Physiologic Integrity: Physiologic Adaptation