Chapter 13: Head, Face, and Neck Questions and Answers
with Complete Solutions UPDATED!!!
Hydrocephalus - ANSWER obstruction of drainage of CSF results
in excessive accumulation, increasing intracranial pressure and
head enlargement, face looks small, dilated scalp veins, frontal
bossing, downcast eyes, cracked pot sound (Maceqen's sign)
Paget's Disease of Bone (Oteitis Deformans) - ANSWER Askeletal
disease of increased bone resorption and formation, softens,
thickens and deforms bone, affects 10% of those older than 80
and more often in males, characterized by bowed long bones,
sudden fractures, frontal bossing, enlarged skull bones that
form acorn shaped cranium, enlarged skull bones press on
cranial nerves causing headache, vertigo, tinnitus, progressive
deafness and optic atrophy and compression of spinal cord
Acromegaly - ANSWER excessive secretion of growth hormone
from pituitary gland after puberty creates enlarged skull and
thickened cranial bones, elongated head, massive face,
prominent nose, lower jaw, heavy eyebrow ridge.
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Torticollis Wry Neck - ANSWER hematoma in one sternomastoid
muscle probably injured by intrauterine malposition, results in
head til to one side and limited ROM on opposite side, feel firm
discrete nontender mass in mid muscle involved side, requires
treatment or muscle becomes fibrotic and permanently
shortened with permanent limitation of ROM
Goiter - ANSWER chronic enlargement of thyroid gland occurs
in some regions of world where soil is low in iodine
Pilar Cyst (Wen) - ANSWER smooth firm fluctuant swelling on
scalp contains sebum and keratin, tense pressure of contents
causes overlying skin to be shiny and taut, benign growth
Parotid Gland Enlargement - ANSWER painful inflammation of
parotid occurs with mumps, or blockage of a duct, abscess or
tumor, swelling anterior to lower ear lobe, Stensen duct
obstruction can occur in aging adults dehydrated from diuretic
or anticholinergics
Fetal Alcohol Syndrom - ANSWER characteristic facies include
narrow lapebral fissures, epicanthal folds, midfacial hypoplasia,
low nasal bridge, short nose, flat midface, thin upper lip