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Clinical Exam
Chapter 10
66
Medical
Professional
03/09/2010

Additional Medical Flashcards

 


 

Cards

Term
What nerves innervate the facial muscle?
Definition
CN 5 ( trigeminal) and CN7 ( Facial)
Term
What are the functions of the parotid, submandibular, and sublingal gland?
Definition

Moisten mouth

Inhibit dental caries

initiates digestion of carbohydrate

Term
Horizontal mobility is greatest between which vertebrae?
Definition
C4 and 5 or C5 and 6
Term
The sternocleidomastoid extends from what to where?
Definition
upper sternum and medial third of the clavicle to the mastoid porcess
Term
The trapezius extend from what to where?
Definition
From scapula, the lateral third of the clavicle, and the vertebrae to the occipital prominence
Term
What forms the posterior triangle? What does it contain?
Definition

trapezius and sternocleidomastoid muscle and the clavicle

Contains the posterior cervicle lymph nodes

Term

What forms the anterior triangle?

What are its contents?

 

Definition

Formed by the medial border of the sternocleidomastoid muscles, mandible, and the midline

 

Contents: hyoid bone, cricoid cartilage, trachea, thyroid, and anterior cervical lymph node

Term
What lies deep and run parallel to the sternocleidomastoid msucle along its medial margin?
Definition
Internal juglar vein and common carotid artery
Term
What vein crosses the surface of the SCM diagonally?
Definition
external jugular vein
Term
The notching on the upper edge of the thyroid cartilage marks the level of what?
Definition
bifurcation of the common carotid
Term
what is the largest gland in the body?
Definition
thyroid
Term
Isthmus of the thyroid gland lies where in respect to the cricoid cartilage?
Definition
below
Term
When does ossification of the cranial bones begin? end?
Definition
Begins at the end of brain growth at age 6 and ends in adulthood
Term
when does the posterior fontanel ossify? anterior?
Definition

Posterior: 2 months

Anterior: 24 months

Term
What is the facial hair growth pattern in men?
Definition

upper lip

cheeks

lower lip

chin

Term
hCG causes an increase in what hormones?
Definition
T4 and T3
Term
What happens to the thyroid gland with age?
Definition
Becomes fibrotic, and the rate of T4 production and degradation graudally decreases
Term
Horizontal jerking or bobbing motion may be associated with a_____. Nodding movement may be associated with________________
Definition

tremor

aortic insufficieny

Term
Shortening of the SCM is called
Definition
toritcollis
Term
If one side fo the face is affected suspect____ if only the lower half the the face is affected suspect_______. If only the mouth is affected, supsect________
Definition

Facial nerve paralysis if one side of face is affected

Facial nerve weakness when the lower face is afffected

If only mouth is affected suspect peripheral trigeminal nerve

Term
What are some causes of tics?
Definition

Pressure on or degenerative changes of the facial nerve

psychogenic

Term
Coarse, brittle, and dry hair is associated with what symptoms?
Definition
Hypothyroidism
Term
Fine, silky hair is asscoiated with?
Definition
Hyperthyroidism, or familial
Term
Enlarged tender gland is associated with what?
Definition
viral or bacterial infection, ductal stone preventing saliva from exiting the gland
Term
Discrete nodule may represent a
Definition
cyst or tumor, either benighn or malignant
Term
A bruit indciated what?
Definition
vascular anomaly
Term
By asking the patient to push against your hand while it rest on their cheek and jaw tests for which cranial nerve?
Definition
CN11
Term
Asking the patient to shrug shoulders against resistent exams which cranial nerve?
Definition
CN 11
Term
Tugging sensation of the trachea suggests the presence of what?
Definition
aortic aneurysm
Term
The widest point of the thyroid is ____ cm
Definition
4
Term
Coarse or gritty sensation of the thyroid gland implicates
Definition
that an inflammatory process has been present
Term
Enlarged, tender thyroid may indicate what?
Definition
thyroiditis
Term
If you find an enlarged thyroid what should you do?
Definition
Auscultate,  in hypermetabolic state, the blood supply is dramatically increased and a vascular bruit, a soft, rushing sound may be heard
Term
Subcutaneous edema over the presenitng part of the head at delivery is called
Definition
caput succedaneum
Term
Subperiosteal collection of blood and is therefore bound by the suture lines is called
Definition
cephalhematoma
Term
Caput succedaneus usually occurs over what?
Definition
occiput and crosses suture lines
Term
Cephalhematoma is commonly found where?
Definition
parietal region, and unlike caput, may not be immediately obvious at birth
Term
what fontanel is commonly found in infant with downs?
Definition
mastoid fontanel
Term
Infants younger then 6 months should have an anterior fontanel no larger then
Definition
4 to 5 cm
Term
When transilluminating an infants head, the ring should be no bigger then ____ cm and ___cm in the occiput
Definition

2

1

Term
IN children, direct percussion of th skull with one finger is useful to detect____
Definition
macewen sign, a cracked pot sound.
Term
Bruits are normal in children up to what age?
Definition
5 years or children with anemia
Term
What is chloasma?
Definition
"mask of pregnancy", begining after 16 weeks of gestation, many pregnant women develop blotchy, brownish hyperpigmentation of the face.
Term
_____ is defined as 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
Definition
facies
Term

Name the condition

"moon shaped", with thin erythematous skin, hirsutism may also be present

Definition
Cushing
Term

THis description

"Sunken appearance of the eyes, cheeks, and temporal areas, sharp nose, and dry rough skin"

Describes what facies?

 

 

Definition
Hippocratic facies, seen in the terminal stages of illness
Term

Name the facies

"dull, puffy, yellowed skin, coarse, sparse hair, temporal loss of eyebrows, periorbital edema, and prominent tongue"

Definition
Myxedema facies
Term

Name the facies

"fine moist skin with fine hair, prominent eyes and lid retraction, and staring or starteld expression"

Definition
hyperthyroid facies
Term
Asymetry of one side of the face, eyelid not closing completely, drooping lower eyelid and corner of mouth, and loss of nasolabial fold describes what condition?
Definition
facial palsy
Term
Name the condition associated with " depressed nasal bridge, epicanthal fold, mongoloid slant of eyes, low-set ears, and large tongue"
Definition
downs
Term

Name the condition

" mandibular prognathism, drooping lower lip, and short upper lip, parrot beak nose, and proptotic eyes"

Definition
craniofaical dysostosis
Term
Name the faices " enlarged skull, low forehead, corneal clouding, and short neck"
Definition
hurler syndrome
Term

Name the condition

" poorly fromed philtrum, widespread eyes, inner epicanthal folds and mild ptosis, hirsute forehead, short nose, and relatively thin upper lip"

Definition
Fetal alcohol syndrome
Term
Maxillary hypoplasia, micrognathia, and auricular deformity is associated with
Definition
treacher-collins syndrome
Term
Maxillary and midfacial hypoplasia is associated with
Definition
apert syndrome
Term
severe maxillary and midfacial hypoplasia with low set ears is asoociated with
Definition
crouzon syndrome
Term
Salivary gland tumor most commonly arise in what gland?
Definition
Parotid
Term
Benging tumor of the salivary gland tend to be _____ while malignant tumor  are often ______
Definition

Benign: smooth

Malignant: irregular

Term
Tumor in the parotid gland may damage what nerve?
Definition
CN7
Term
The deposition of ______ in all organ systems lead to the characteristic mucinous edema of fiacial feature in myxedema
Definition
glycosaminoglycan
Term
Autoimmunne Hyperthyroidism that affects multiple systems and is more common in women in the 3rd or 4th decade of life
Definition
Graves
Term
Hashimoto disease is a chronic autoimmune disorder that causes what?
Definition
Hypo or hyper thyroidism depending on duration
Term
Hashimoto disease is most common in
Definition
Children and women between 30 and 50
Term
____ is a protrusion of nervous tissue through a defect in the skull may occur any place on the scalp
Definition
encephalocele
Term
microcephaly is caused by
Definition
cerebral dysgenesis or craniostenosis
Term
What is craniosynostosis?
Definition
Premature union of cranial sutures
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