Advanced Health Assessment HEENT 100% SOLUTION 2023//2024

Advanced Health Assessment HEENT 100% SOLUTION 2023//2024 The skull is composed of how many bones? - ANSWER Seven 2 frontal 2 parietal 2 temporal 1 occipital Facial muscles are innervated by what cranial nerves? A. V B. VIII C. VII D. XII E. Both V & VII F. All of the above - ANSWER E. V - trigeminal VII - Facial What is the major artery of the face, passing just anterior to the ear, over the temporal muscle and onto the forehead? - ANSWER Temporal artery The ____________ is the major endocrine gland and is located at the notch on the upper edge marking of the bifurcation of the common carotid artery - ANSWER Thyroid Produces two homorns Thyroxine (T4) Triiodothryonine (T3) The posterior fontanel usually closing by __________ months of age while the anterior fontanel closes by _______________ months of age. - ANSWER Posterior - 2 months Anterior - 24 months The rate of T4 production and degradation gradually decreases with aging, the thyroid becomes fibrotic? T/F - ANSWER True a horizontal jerking or bobbing of the head may be associated with? - ANSWER A tremor What condition causes a shortening of a sternocleidomastoid muscle? - ANSWER Torticollis Can also be caused by inability to see out of one eye or hear out of one ear. An expression or appearance of the face and features of the head and neck that when considered together is characteristic of a clinical condition or syndrome is? A. Smile B. Facies C. Torticollis D. Frown - ANSWER B. Facies Develop slowly Could be a sign of acromegaly When facial asymmetry is present on the entire side of the face suspect? A. Peripheral trigeminal nerve paralysis B. Facial Nerve Paralysis C. Hippocratic facies D. Myxedema facies - ANSWER B. Facial nerve paralysis C. Hippocratic facies - sunken appearance of eyes, cheeks and temporal areas; shape nose; and dry rough skin (terminal stages of throat cancer) D. Myxedema facies - dull, puffy, yellowed skin; coarse sparse hair; temporal loss of eyebrows, periorbital edeam and prominent tongue A rounded or moonshaped face with thin erythematous skin is associated with? A. Systemic lupus erythematosus B. Bell's Palsy C. Early Acromegaly D. Cushing syndrome - ANSWER D. Cushing syndrome SLE - butterfly rash over malar surfaces and bridge of nose. Either a blush with swelling or scaly, red maculopapular lesions Bell's Palsy - (CN VII) Asymmetrial face on one side, eyelid doesn't close, drooping of lower eyelid and corner of mouth and loss of nasolabial fold Cushing syndrome - rounded or moonshaped face with thin, erythematous skin Any thickening, hardness or tenderness over the temporal arteries may be associated with what? - ANSWER Temporal arteritis A bruit is highly suggestive of a vascular anomaly and can be associated with? - ANSWER Temporal arteritis Listen over the temporal region with the bell of the stethoscope. Webbing, excessive posterior cervical skin, or an unusually short neck may be associated with chromosomal anomalies such as ? - ANSWER Turner syndrome A thyroid gland does not move when a patient swallows? T/F - ANSWER False The thyroid gland moves with swallowing; subcutaneous fat mimicking a goiter does not The thyroid is fibrotic and feels more nodular or irregular in what population? A. Older adult B. Newborn C. Young Child D. Pregnancy - ANSWER A. Older adult What disease is characteristic of weight gain, constipation, fatigue and cold intolerance? - ANSWER Hypothyroidism Hyperthyroidism has weight loss, tachycardia, and heat sensitivity Autoimmune, a