NR 509 MIDTERM EXAM QUESTIONS WITH
COMPLETE SOLUTION
assessing cervical lymph nodes
use pads of index and middle finger, palpate in a gentle rotary motion,
moving the skin over the underlying tissues in each area. pt should be
relaxed w/ neck flexed slightly forward and if needed turned slightly toward
the side being examined.
-for submental nodes helpful to feel w/ one hand while bracing the top of
the head w/ other hand
submental lymph nodes
palpate in the midline few cm behind the tip of mandible
submandibular nodes
halfway between the angle and the tip of the mandible
-usually smaller & smoother than the lobulated submandibular gland
against which they lie
Preauricular node
palpate in front of ear
posterior auricular node
palpate behind ear & superfacial to mastoid process
tonsillar (jugulodigastric) lymph nodes
palpate at angle of the mandible
small harder tender "tonsillar node: high & deep b/w the mandible and
the SCM is likey a....
elongated temporal styloid process
occipital node
palpate at the base of the skull posteriorly
anterior superficial cervical node
palpate nodes anterior and superfacial to the SCM muscle
posterior cervical node
palpate along the anterior edge of trapezius by flexing patient's neck
slightly forward toward the side being examined
deep cervical chain node
deep to sternomastoid muscle & often inaccessible to examination . hook
thumb & fingers around either side of SCM muscle to find them
Supraclavicular node
palpate deep in angle formed by the clavicle & SCM muscle
what suggests possible metastasis from a thoracic or abd malignancy
COMPLETE SOLUTION
assessing cervical lymph nodes
use pads of index and middle finger, palpate in a gentle rotary motion,
moving the skin over the underlying tissues in each area. pt should be
relaxed w/ neck flexed slightly forward and if needed turned slightly toward
the side being examined.
-for submental nodes helpful to feel w/ one hand while bracing the top of
the head w/ other hand
submental lymph nodes
palpate in the midline few cm behind the tip of mandible
submandibular nodes
halfway between the angle and the tip of the mandible
-usually smaller & smoother than the lobulated submandibular gland
against which they lie
Preauricular node
palpate in front of ear
posterior auricular node
palpate behind ear & superfacial to mastoid process
tonsillar (jugulodigastric) lymph nodes
palpate at angle of the mandible
small harder tender "tonsillar node: high & deep b/w the mandible and
the SCM is likey a....
elongated temporal styloid process
occipital node
palpate at the base of the skull posteriorly
anterior superficial cervical node
palpate nodes anterior and superfacial to the SCM muscle
posterior cervical node
palpate along the anterior edge of trapezius by flexing patient's neck
slightly forward toward the side being examined
deep cervical chain node
deep to sternomastoid muscle & often inaccessible to examination . hook
thumb & fingers around either side of SCM muscle to find them
Supraclavicular node
palpate deep in angle formed by the clavicle & SCM muscle
what suggests possible metastasis from a thoracic or abd malignancy
