Deck 3: Assessment of Head and Neck

Question 1

To visualize the ear canal and tympanic membranes, hold the otoscope close to the head in the upright or upside-down position-either is correct.

Answer 1

True

Question 2

Allergic salute is caused when a child rubs the end of the nose upward many times.

Answer 2

True

Question 3

The ethmoid sinuses develop between 4 and 7 years of age.

Answer 3

False

Question 4

Overgrowth of the gums is usually seen when the child is on anticonvulsants or has heavy metal exposure.

Question 5

The ducts of the parotids (Stenson's ducts)are located inside the oral cavity just below the second lower molar. They are dimpled in appearance.

Question 6

Match each item to the statement or sentence listed below.

-halfway between the tonsillar pillars and the uvula.

A)1+
B)2+
C)3+
D)4+Tonsil size is graded as:

Question 7

Match each item to the statement or sentence listed below.

-visible.

A)1+
B)2+
C)3+
D)4+Tonsil size is graded as:

Question 8

Match each item to the statement or sentence listed below.

-touching each other.

A)1+
B)2+
C)3+
D)4+Tonsil size is graded as:

Question 9

Match each item to the statement or sentence listed below.

-touching the uvula.

A)1+
B)2+
C)3+
D)4+Tonsil size is graded as:

Question 10

Match each item to the statement or sentence listed below.

-White patches

A)Sinus drainage
B)Streptococcal infection
C)Diphtheria
D)Viral or bacterial etiology
E)Allergic rhinitis.The types of pharyngeal drainage with their etiology:

Question 11

Match each item to the statement or sentence listed below.

-Gray film

A)Sinus drainage
B)Streptococcal infection
C)Diphtheria
D)Viral or bacterial etiology
E)Allergic rhinitis.The types of pharyngeal drainage with their etiology:

Question 12

Match each item to the statement or sentence listed below.

-Yellow/green discharge

A)Sinus drainage
B)Streptococcal infection
C)Diphtheria
D)Viral or bacterial etiology
E)Allergic rhinitis.The types of pharyngeal drainage with their etiology:

Question 13

Match each item to the statement or sentence listed below.

-Cobblestoning

A)Sinus drainage
B)Streptococcal infection
C)Diphtheria
D)Viral or bacterial etiology
E)Allergic rhinitis.The types of pharyngeal drainage with their etiology:

Question 14

Match each item to the statement or sentence listed below.

-Beefy red

A)Sinus drainage
B)Streptococcal infection
C)Diphtheria
D)Viral or bacterial etiology
E)Allergic rhinitis.The types of pharyngeal drainage with their etiology:

Question 15

Match each item to the statement or sentence listed below.

-Petechiae

A)Sinus drainage
B)Streptococcal infection
C)Diphtheria
D)Viral or bacterial etiology
E)Allergic rhinitis.The types of pharyngeal drainage with their etiology:

Question 16

Match each item to the statement or sentence listed below.

-Turner's syndrome

A)Nuchal rigidity
B)Normal
C)Webbing
D)Torticollis

Question 17

Match each item to the statement or sentence listed below.

-Compazine ingestion

A)Nuchal rigidity
B)Normal
C)Webbing
D)Torticollis

Question 18

Match each item to the statement or sentence listed below.

-Sternocleidomastoid muscle damage

A)Nuchal rigidity
B)Normal
C)Webbing
D)Torticollis

Question 19

Match each item to the statement or sentence listed below.

-Side-to-side neck movement

A)Nuchal rigidity
B)Normal
C)Webbing
D)Torticollis

Question 20

Match each item to the statement or sentence listed below.

-Back and forth neck movement limited

A)Nuchal rigidity
B)Normal
C)Webbing
D)Torticollis

Question 21

Match each item to the statement or sentence listed below.

-White streak

A)Turner's syndrome
B)Waardenberg's syndrome
C)Kwashiorkor
D)MalnutritionHair abnormalities:

Question 22

Match each item to the statement or sentence listed below.

-Dry gray

A)Turner's syndrome
B)Waardenberg's syndrome
C)Kwashiorkor
D)MalnutritionHair abnormalities:

Question 23

Match each item to the statement or sentence listed below.

-Coarse red patches

A)Turner's syndrome
B)Waardenberg's syndrome
C)Kwashiorkor
D)MalnutritionHair abnormalities:

Question 24

Match each item to the statement or sentence listed below.

-Low-set posterior hairline

A)Turner's syndrome
B)Waardenberg's syndrome
C)Kwashiorkor
D)MalnutritionHair abnormalities:

Question 25

Match each item to the statement or sentence listed below.

-Thrush

A)Big
B)Beefy red, smooth
C)Dry
D)Small
E)White patches
F)Increased saliva
G)Ulcers older than 2 weeks
H)Strawberry tongue

Question 26

Match each item to the statement or sentence listed below.

-Anemia

A)Big
B)Beefy red, smooth
C)Dry
D)Small
E)White patches
F)Increased saliva
G)Ulcers older than 2 weeks
H)Strawberry tongue

Question 27

Match each item to the statement or sentence listed below.

-Acromegaly

A)Big
B)Beefy red, smooth
C)Dry
D)Small
E)White patches
F)Increased saliva
G)Ulcers older than 2 weeks
H)Strawberry tongue

Question 28

Match each item to the statement or sentence listed below.

-Dehydration

A)Big
B)Beefy red, smooth
C)Dry
D)Small
E)White patches
F)Increased saliva
G)Ulcers older than 2 weeks
H)Strawberry tongue

Question 29

Match each item to the statement or sentence listed below.

-Malnutrition

A)Big
B)Beefy red, smooth
C)Dry
D)Small
E)White patches
F)Increased saliva
G)Ulcers older than 2 weeks
H)Strawberry tongue

Question 30

Match each item to the statement or sentence listed below.

-Neurological dysfunction

A)Big
B)Beefy red, smooth
C)Dry
D)Small
E)White patches
F)Increased saliva
G)Ulcers older than 2 weeks
H)Strawberry tongue

Question 31

Match each item to the statement or sentence listed below.

-Aphthous ulcers

A)Big
B)Beefy red, smooth
C)Dry
D)Small
E)White patches
F)Increased saliva
G)Ulcers older than 2 weeks
H)Strawberry tongue

Question 32

Match each item to the statement or sentence listed below.

-Strep infection

A)Big
B)Beefy red, smooth
C)Dry
D)Small
E)White patches
F)Increased saliva
G)Ulcers older than 2 weeks
H)Strawberry tongue

Question 33

Examine the placement of the ears:

A)From the front.
B)Draw a straight line from the inner canthus of the eye to the ear.
C)Hold the otoscope close to the head in the upright or upside-down position.
D)Make sure part of your hand touches the child's head.

Question 34

Evaluate the ear canal by:

A)Pulling the pinna back for the child under 6 years of age; pull it up.
B)Pulling the pinna up and back if the child is older than 5 years of age.
C)Using the smallest speculum that will fit in the ear.
D)Directing the speculum upward.

Question 35

Observe the tympanic membrane (TM). Abnormal finding would be:

A)TM is pink and gray.
B)Red TM if the child has been crying or has a fever.
C)Light reflex at 5 or 7 o'clock.
D)A fluid line or air bubbles present.

Question 36

Palpate or percuss the sinuses gently. The maxillary sinuses are located:

A)Below the eye orbits and above the upper teeth.
B)Medial corner of the eye orbit.
C)Against the sides of the nasal bridge.
D)Over and under the eyebrow.

Question 37

There are two sets of teeth: temporary (deciduous)and permanent. Temporary teeth are lost and replaced by permanent teeth by:

A)2 1/2 years of age.
B)By gender-specific age; boys are earlier than girls.
C)Either an underbite (mandibular protrusion)or an overbite (maxillary protrusion).
D)Between 6 and 12 years of age

Question 38

Note the movement of the tongue. It should be freely moveable without:

A)Constant quivering or trembling.
B)Pinkish color.
C)Roughened areas due to papillae.
D)Geographic tongue.

Question 39

When inspecting the nasal mucosa, you may find __________________ in the child with allergies.

A)Red swollen mucosa
B)Pale mucosa or polyps
C)Bilateral nasal discharge
D)Unilateral nasal discharge

Question 40

_________________ is a sign of congenital hypothyroidism (cretinism)and Down's syndrome.

Question 41

There are two frenulums in the mouth. One is between the upper lip and gingivae in the maxillary area. The other is _________________.

Question 42

Because children are ticklish, touching a child's neck may elicit squirming, scrunching the neck, and giggling. Therefore, sit the child on a chair and ask him _____________________________.

Question 43

Encourage proper teeth-cleaning techniques of brushing all surfaces at a ____________angle twice daily and flossing once daily.

Question 44

Green or black discharge in the ear canal is usually caused by _____.

Question 45

Do not use the otoscope as a pry bar because this is very painful to the child. Instead, ____________________ to straighten the canal.