Head, Neck, and Neuro Assessment Techniques, Exams of Advanced Education

Download Head, Neck, and Neuro Assessment Techniques and more Exams Advanced Education in PDF only on Docsity! NUFT 204 (EXAM 2): HEAD, NECK, AND NEURO & ASSESSMENT TECHNIQUES QUESTIONS AND ANSWERS 2024 chronic conditions that affect eyes, ears, nose, mouth, head, or neck regions include: - Correct Answer-cataracts glaucoma migraine headaches hearing loss oral cancer hypothyroidism other chronic conditions include: - Correct Answer-hypertension human immunodeficiency virus (HIV) infection diabetes mellitus autoimmune disorders neurological assessment includes: - Correct Answer-AAOx3 mental and emotional status level of consciousness behavior / appearance language motor function intellectual function cranial nerve function sensory function reflexes AAOx3 - Correct Answer-alert, awake and oriented to person, place and time mini mental state exam (MMSE) - Correct Answer-A test that is used to measure cognitive ability, especially in late adulthood (memory test we did in lab) Glascow Coma Scale - Correct Answer-tests level of consciousness with eye opening, verbal response, and motor response aphasia - Correct Answer-inability to speak (can be because of stroke or neurological disability) motor function is tested with - Correct Answer-coordination strength balance romberg test - Correct Answer-used to evaluate cerebellar function and balance intellectual function is tested with: - Correct Answer-Memory Knowledge Abstract thinking Association Judgment reflex scale - Correct Answer-0: no response 1+: sluggish/diminished 2+: active/expected response 3+: more brisk than expected, slightly hyperactive 4+: brisk and hyperactive with intermittent or transient clonus steps for testing reflexes - Correct Answer-1. position 2. tap tendon briskly 3. compare corresponding sides head and neck assessment areas are: - Correct Answer-head eyes ears nose mouth pharynx neck lymph nodes carotid arteries thyroid gland and trachea steps for head and neck assessment - Correct Answer-inspection palpation auscultation normal lymph node characteristics - Correct Answer-pea sized non-palpable not tender movable lymph node sites - Correct Answer-Preauricular Submental Submandubular Anterior + Posterior cervical Superclavicular Tonsilar stethoscope - Correct Answer-used to hear and amplify sounds produced by the heart and other organs (and for aucultation) bell of stethoscope - Correct Answer-cup-shaped endpiece used for soft, *low-pitched heart sounds* diaphragm of stethoscope - Correct Answer-flat endpiece of the stethoscope used for hearing relatively *high-pitched heart sounds* _____ may be mistaken for an abnormal lung sound - Correct Answer-friction (bc hair rubbing on stethoscope) also called crackles percussion is performed to: - Correct Answer-Evaluate size, borders, and consistency of internal organs Detect tenderness Determine extent of fluid in a body cavity tap body with fingertips to produce _____ - Correct Answer-vibration sound determines: - Correct Answer-location size density of structures indirect percussion - Correct Answer-tapping over middle finger (ex. percuss over lung tissue) direct percussion - Correct Answer-involves striking a finger or hand directly against the patient's body --> can be done over the area with 2 fingers (ex. sinus evaluation or CVA evaluation) 5 percussion tones - Correct Answer-tympany resonance hyperresonance dullness flatness tympany - Correct Answer-loud, high-pitched (hollow) sound heard over abdomen resonance - Correct Answer-heard over normal lung tissue hyperresonance - Correct Answer-*more exaggerated hollow sound* heard in overinflated lungs, as in emphysema (ppl with COPD have bilateral hyperresonance) dullness - Correct Answer-heard over the liver (shows denseness) flatness - Correct Answer-is heard over bones and muscle palpation - Correct Answer-*to examine by touch* use of hands to feel texture, size, shape, consistency, location of certain parts, and identify painful or tender areas skin is palpated to assess: - Correct Answer-temperature moisture texture turgor tenderness thickness abdomen is palpated to assess: - Correct Answer-tenderness distension masses palmar surface of fingers and finger pads are more sensitive than fingertips - Correct Answer-palmar ______ surface of hand to fifth finger is most sensitive to vibration - Correct Answer- ulnar _____ surface is better for assessing temperature - Correct Answer-dorsal light palpation - Correct Answer-press to a depth of 1 cm deep palpation - Correct Answer-press to a depth of 4 cm bimanual technique - Correct Answer-uses both hands, one anterior, one posterior, to entrap an organ or mass between fingertips to assess size and shape when palpating, start in _______ quadrant, and move clockwise - Correct Answer-right lower (bc thats the direction your intestine moves)