NSG-316 Topic 7 Exam Questions
Complete Solutions New Update
parotid glands - Answer- ✔✔in cheeks over mandible anterior to or below ear
not palpable
temporal artery - Answer- ✔✔can feel pulse
carotid pulses - Answer- ✔✔occlude one at a time
don't massage it(can stimulate vagus nerve and drop BP), unless indicated
thyroid gland - Answer- ✔✔secretes thyroid hormone
not palpable
check for enlargement, consistency, symmetry
if enlarged, listen for presence of bruit
lympatic system - Answer- ✔✔part of immune system
greatest in head and neck
drains down and out
preauricular - Answer- ✔✔in front of the ear
posterior auricular - Answer- ✔✔mastoid, superficial to mastoid process
superficial cervical lymph nodes - Answer- ✔✔inner of sternocleidomastoid
deep cervical - Answer- ✔✔deep under the sternomastoid muscle
posterior cervical - Answer- ✔✔in posterior triangle along edge of trapezius muscle
supraclavicular - Answer- ✔✔just above and behind clavicle, at sternomastoid muscle
occipital - Answer- ✔✔base of skull
submental - Answer- ✔✔midline, behind tip of mandible
submandibular - Answer- ✔✔halfway between angle and tip of mandible
jugulodigastric (tonsillar) - Answer- ✔✔under angle of mandible
what is abnormal in temporomandibular joint - Answer- ✔✔clicking, popping and pain
, exopthalamus - Answer- ✔✔bulging eyes
seen in graves(hyperthyroidism)
what are we looking for in the neck? - Answer- ✔✔inspect any swelling
head centered, accessory muscles symmetric
head has full ROM
thyroid gland: anterior or posterior approach
have them swallow a drink while you palpate the thyroid
lymph nodes - Answer- ✔✔normals if palpable: moveable, discrete, soft, and tender
abnormal: hard(cancer)
assess with 2-3 fingers in a circular motion
lymphadonopathy - Answer- ✔✔swollen, enlarged lymph nodes
trachea - Answer- ✔✔normal: midline
pneumothorax can make it deviate
abrnormal: deviation
bruit - Answer- ✔✔A whooshing sound with auscultation
occurs with accelerated or turbulent blood flow
if we find that thyroid is enlarged
use the bell side
inspect and palpate the skull - Answer- ✔✔General size and contour
Note any deformities
Palpate temporal artery and temporomandibular join (TMJ) joint
inspect and palpate the face - Answer- ✔✔General size and contour
Note any deformities
Palpate temporal artery and temporomandibular join (TMJ) joint
Paget disease - Answer- ✔✔thickening and softening of the bone
over age 40
acromegaly - Answer- ✔✔excess GH
larger bones
torticollis - Answer- ✔✔hematoma in one sternomastoid muscle
results in head tilt
common in utero
thyroid, multiple nodules - Answer- ✔✔usually indicate inflammation if soft and
moveable
Complete Solutions New Update
parotid glands - Answer- ✔✔in cheeks over mandible anterior to or below ear
not palpable
temporal artery - Answer- ✔✔can feel pulse
carotid pulses - Answer- ✔✔occlude one at a time
don't massage it(can stimulate vagus nerve and drop BP), unless indicated
thyroid gland - Answer- ✔✔secretes thyroid hormone
not palpable
check for enlargement, consistency, symmetry
if enlarged, listen for presence of bruit
lympatic system - Answer- ✔✔part of immune system
greatest in head and neck
drains down and out
preauricular - Answer- ✔✔in front of the ear
posterior auricular - Answer- ✔✔mastoid, superficial to mastoid process
superficial cervical lymph nodes - Answer- ✔✔inner of sternocleidomastoid
deep cervical - Answer- ✔✔deep under the sternomastoid muscle
posterior cervical - Answer- ✔✔in posterior triangle along edge of trapezius muscle
supraclavicular - Answer- ✔✔just above and behind clavicle, at sternomastoid muscle
occipital - Answer- ✔✔base of skull
submental - Answer- ✔✔midline, behind tip of mandible
submandibular - Answer- ✔✔halfway between angle and tip of mandible
jugulodigastric (tonsillar) - Answer- ✔✔under angle of mandible
what is abnormal in temporomandibular joint - Answer- ✔✔clicking, popping and pain
, exopthalamus - Answer- ✔✔bulging eyes
seen in graves(hyperthyroidism)
what are we looking for in the neck? - Answer- ✔✔inspect any swelling
head centered, accessory muscles symmetric
head has full ROM
thyroid gland: anterior or posterior approach
have them swallow a drink while you palpate the thyroid
lymph nodes - Answer- ✔✔normals if palpable: moveable, discrete, soft, and tender
abnormal: hard(cancer)
assess with 2-3 fingers in a circular motion
lymphadonopathy - Answer- ✔✔swollen, enlarged lymph nodes
trachea - Answer- ✔✔normal: midline
pneumothorax can make it deviate
abrnormal: deviation
bruit - Answer- ✔✔A whooshing sound with auscultation
occurs with accelerated or turbulent blood flow
if we find that thyroid is enlarged
use the bell side
inspect and palpate the skull - Answer- ✔✔General size and contour
Note any deformities
Palpate temporal artery and temporomandibular join (TMJ) joint
inspect and palpate the face - Answer- ✔✔General size and contour
Note any deformities
Palpate temporal artery and temporomandibular join (TMJ) joint
Paget disease - Answer- ✔✔thickening and softening of the bone
over age 40
acromegaly - Answer- ✔✔excess GH
larger bones
torticollis - Answer- ✔✔hematoma in one sternomastoid muscle
results in head tilt
common in utero
thyroid, multiple nodules - Answer- ✔✔usually indicate inflammation if soft and
moveable
