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head and neck
heent
171
Nursing
Undergraduate 2
09/26/2010

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Cards

Term
what are the 8 bones of the cranium?
Definition
frontal, parietal, temporal, occiptal, ethmoid, and sphenoid
Term
what are the names of the sutures that join the cranial bones of an adult?
Definition
saggital, coronal, squamosal, and lamdoid. 
Term
What are the facial bones?
Definition
maxilla, zygomatic bone, interior conchae, nasal, lacrimal, palantine, vomer, and mandible
Term

what 2 muscles allow for movement and provide support to the head and neck?

Definition
sternocleidomastoid and trapezius
Term
what does the sternocleidomastoid muscle do? 
Definition
it rotates and flexes the neck
Term
what does the trapezius muscle do?
Definition
it extends the neck and moves the shoulder
Term
what nerve allows for you to shrug your shoulders by the trapezius and turning the ehad without resistance by the sternocleidomastoid muscle?
Definition
the 11th cranial nerve
Term
what verterbrae do you use as a landmark for finding other vertebrae?
Definition
c7
Term
what is the largest endocrine gland of the body? What does it do?
Definition
the thyroid gland. it regulated the metabolic rate of most cells
Term
what connects the 2 lobes of the thyroid gland?
Definition
the isthmus
Term
how common is it to find a 3rd lobe in the thyroid gland?
Definition
it happens in about 1/3 of the population
Term
thyroid cartilage forms the characteristic...?
Definition
adams apple
Term
What do the lymph nodes do?
Definition
filter lymph. make antibodies. make lyphocytes. 
Term
what are signs of menigeal inflamation?
Definition
elevated temperature and neck stiffness
Term
trigeminal neuralgia
Definition
chracterized by sharp, shooting, and pericing facial pain. sec's to min's. occurs over 5th trigeminal cranial nerve. 
Term
hyperthyroidism
Definition
an increase in the thyroid hormone. symptoms can be insomnia, thinning hair, palpations, and weight loss
Term
hypothyroidism
Definition
a decrease in thyroid hormone. can result with insomnia, thicking of the skin and nails, constipation, and decreased energy levels
Term
acromegaly
Definition
skul; and facial bones are larger and thicker
Term
what shaped skull bones are seen in Paget's disease?
Definition
acorn shaped heads
Term
a head tilt can be a sign of?
Definition
unilateral vision, hearing loss, or shortening of the sternocleidomastoid muscle
Term
temperoral arthritis
Definition
temporal artery is hard, thick, and tender. it could lead to blindness
Term
tmj syndrom
Definition
limited range of motion, swelling, tenderness and crepitation of the tmj joint
Term
what is characteristic about the facial features of bell's palsy?
Definition
one sides facial paralysis
Term
when you swallow, what directions should the thyorid and cricoid cartilage and thyroid gland move?
Definition
when the patient swallows you should see them move UP symmetrically. 
Term
thyroiditis
Definition
an enlarged tender thyorid gland
Term
Where would you hear swishing on the body with hyperthyroidism?
Definition
you would hear it over the thyroid glands because of the increase in blood flow to the thyroid arteries
Term
Where is the temporal artery located?
Definition
between the eyes and top of the ear
Term
where are the submandibular glands located?
Definition
Under the tongue
Term
what is the first upper trachial ring?
Definition
the cricoid cartilage which has a notch in it
Term
is the thyroid cartilage located bellow or above the cricoid cartilage
Definition
it is located above
Term
What is the hyoid bone attached to?
Definition
the tongue
Term
what muscle covers the thyroid cartilage?
Definition
the sternocleidomastoid
Term
What are the important cervicle vertebrae?
Definition
Atlas= C1. Axis=C2. Vertabral prominens=C7
Term
What are the names of the lymph nodes
Definition
preauricular. postauricular. tonsillar. occipital. submandibular. submental. superficial cervical. posterior cervical. deep cervical. supraclavicular
Term
What bones make up the orbit of the eye?
Definition
frontal, ethmoid, lacrimal, maxillary, zygomatic. 
Term
the pharnx is divided into the 
Definition
nasopharnx, oropharanx, and laryngopharnx. 
Term
the sella turcica is located on top of what sinus? what does the sella turcica hold?
Definition
Sphenoidal sinus. it holds the pituitary gland
Term
what two sinus's are palpable?
Definition
frontal and maxillary
Term
When assesing the neck check for...?
Definition
swelling, pulsatons, enlargment of thyroid/ lymph nodesm neck masses, distension
Term
Epitaxis
Definition
a nose bleed. coagulation problems, trauma, hypetension, renal problems
Term
Why would we have stuffiness and discharge?
Definition
common cold, sinusitis, trauma, allergies, exposure to irritants, deviated septum
Term
flarring is a sign of...?
Definition
respiratory distress
Term
angioedema
Definition
associated with urticaria and is usually caused by an allergic reaction. produced non pitting swelling with deep large wheals all over the body. tingles. 
Term
leukoplakia
Definition
painless white patches on the tongue or the mucous membranes. results from chronic irritations such as dentures or tabacco use. Concidered precancerous lesions
Term
Candidiasis
Definition
cream colored white patches on the tongue, mouth, or pharynx. Caused by candida albicans (normal in body) until elevated glucose levels etc allow for sudden proliferation. 
Term
Dysphagia
Definition
difficulty swallowing. 
Term
Tonsilitis
Definition
MIld to severe sore throat, dsphagia, fever, swelling, tenderness of lymph nodes, redness of throat
Term
Diptheria
Definition
highly contagious, sore throat, rasping cough, leads to air way obstruction. Throat appears red with white patches.
Term
Simple non toxic goiter
Definition
thyorid enlargment that is sporadic and isn't caused by inflammation or neoplasm 
Term
Graves disease
Definition
A metabolic inbalance that results in an enlarged thyroid gland, nervousness, heat intolerance, weight loss, decreased appetite, sweating, tremors, and palpatations. Is caused by the overproduction of thyorid hormone
Term
Toxic multinodular goiter
Definition
Common in the elderly. results from overproduction of one or more autonomously functioning nodules within the enlarged gland. Multiple thyroid nodules can be felt on palpation
Term
What are the two lacrimal glands?
Definition
the top gland is the pars orbitalis. the one bellow is the pars palpebralis
Term
What is the purpose of the lacrimal caniculi?
Definition
it drains tears from the eye to the lacrimal sac
Term
the inner most layer of the eye is the...?
Definition
retina which recieves visual stimuli and sends them to the brain
Term
themiddle layer of the eye includes the...?
Definition
it includes the choroid, ciliary body, and iris. pupil size is controlled by involuntary muscles here
Term
the outtermost layer of the eye includes the...?
Definition
transparent cornea and the sclera. They maintain the size and form of the eyeball. 
Term
The anterior/posterior chamber is full of...?
Definition
aqueous humor
Term
what is the external ear composed of?
Definition
flexible elastic cartilage
Term
what is the function of the external ear?
Definition
it collects and transmites sounds to the middle ear
Term
What separates the external and middle ear?
Definition
the tympanic membrane
Term
The tympanic membrane is atached to the...?
Definition
Malleus
Term
What is the inner ear composed of?
Definition
fluid-filled spaces within the temporal bone. 
Term
What does the eustachian tube allow for?
Definition
equalizing air pressure on either side of the tympanic membrane
Term
The stapes is attached to the?
Definition
semicircular canals
Term
What is the normal vision for 6 year old and above?
Definition
20/20
Term
What is the normal vision for age 5?
Definition
20/30
Term
what is the normal vision for age 4?
Definition
20/40
Term
what is the normal vision for children age 3 and younger?
Definition
20/50
Term
Where is the vestibule located?
Definition
it is located inbetween the semicircular canals an the cochlea
Term
When grading pupil dilation we start with  what measurment to show EXTREME pupil constriction?
Definition
the smallest pupil constriction size is shown as 1 mm whereas the largest pupil
Term
strabismus
Definition
lack of muscle coordination
Term
how does the optic disk appear when using the opthalmoscope?
Definition
it appears creamy pink or orange yellow. it is round or oval in shape. 
Term
What is the macula? What does it look like when viewed with an ophthalmoscope?
Definition
the macula is the aprt of the eye most sensitive to light. it appears as a darker structure, with NO blood vessels
Term
the fovea has a high density of...?
Definition
cones
Term
otitis externa
Definition
tenderness of the auricle
Term
the handle of the malleus has 2 parts, what it the top part and what is the bottom part?
Definition
the top is the short handle of the malleus and the bottom part is the umbo. 
Term
where is the pars flaccida located?
Definition
it looks like a pocket located above the short process of the malleus
Term
where should the light reflex be located in the right ear?
Definition
in the 4 and 6 o'clock area
Term
where should the light reflex of the light ear be located?
Definition
in the 6 and 8 o'clock
Term
conjunctivitis
Definition
hyperemia of the conjunctiva. Redness of eye with discharge tearing. highly contageous. 
Term
acute angle-closure glaucoma
Definition
rapid onset of unilateral inflammation, severe eye pain and pressure, with photophobia. decreased vision, moderate pupil dilation, clouding of cornea, no eye discharge. 
Term
preiorbital edema
Definition
swelling around the eye which could be a result from allergies, local inflammation, crying, or fluid retention
Term
ptosis
Definition
dropping of the upper eyelid. Can be caused by damage to the occomotor nerve, muscle weaness, or an interruption in sympathetic innervation
Term
cataract
Definition
clouding of the len or lens capsule due to trauma, diabetes, and some medications
Term
myopia
Definition
vision at a distance is blurry
Term
hyperopia
Definition
vision up close is blurry
Term
diplopia
Definition
double vision. occur when the extraoccular muscles are misalligned
Term
what disease do we commonly find visual halos?
Definition
increased occular pressure such as in glaucoma
Term
acute otitis media
Definition
inflmmation of the middle ear due to infected fluid in the iddle ear. usually has a rapid onset and short duration. 
Term
cholesteatoma
Definition
abnormal kin growth or epithelial cyst in middle ear that results from repeated ear infections
Term
what are the meibomian glands? where are they located?
Definition
the meiobian glands are glands that secrete an oiley substance that lubricates the eye. it is found on the tarsal plates of the upper eyelid
Term
the caruncles contain...?
Definition
sebacious glands
Term
the palpebral conjunctiva lines the...?
Definition
it lines the inside of the eyelid
Term
what is the way that tears are excreted?
Definition
they move from the lacrimal gland to the puncta to the lacrimal canniculi to the lacrimal saq to the nasolacrimal duct to the nose. 
Term
the 4 rectus muscles are responsible for what kind of movement?
Definition
they are responsible for straight eye movement
Term
what do the 2 oblique muscles do for eye movement?
Definition
they are resonsible for diagonal movement
Term
what 3 nerves innervate the muscles of the eye?
Definition
the oculomotor nerve (III), trochlear nerve (IV), and the abductens nerve (VI)
Term
what is the sclera?
Definition
a dense protective whit covering of the eye.
Term
what permits light to enter the eye?
Definition
the cornea allows for light movement which will then pass from the lens to the retina
Term
what happens to the lens when seeing far away? what about up close? wht controls this change in lens shape?
Definition
the lens flattens to focus far away and bluges to see up close. this controlled by the ciliary body.  
Term
rods regulate what colors?
Definition
black and white
Term
What is the purpose of the aqueous humor?
Definition
it cleanes and nourishes the cornea and lens and well as maintains the intraoccular pressure.
Term
Why do we see light and pictures?
Definition
light rays strike the retina where they are changed into nerve impulses, conducted to the brain through the optic nerve, and interpreted
Term
what must light first penetrate before reaching the retina?
Definition
it must pass through the cornea, aqeous humor, lens, and vitreous body. 
Term
what area is highly concentrate with cones?
Definition
the fovea centralis and te macular region
Term
what refracts light?
Definition
the cornea and the lens
Term
what is the consensual reflex?
Definition
when light in the other eye causes constriction and thereby causes the toehr eye to immediately constrict too
Term
accomodation
Definition
allows for the eyes to focus on nearby objects. happens because of the ciliary muscles. 
Term
spots or floaters are common visual problems with....?
Definition
myopia and people over the age of 40
Term
scotoma
Definition
a blind spot
Term
night blindess is associated with?
Definition
optic atrophy, glaucoma, and vitamin a insufficiency
Term
epiphoria
Definition
excessive tearing
Term
how often should we have an eye exam?
Definition
every 2 years
Term
myopia
Definition
20/40. the larger the 2nd number the worse the vision
Term
what is legally blind?
Definition
20/200
Term
presbyopia
Definition
common with over the age of 45. it is when the eprson adjusts the paper from them closer or farther away to focus
Term
phoria
Definition
is a term used to describe misallignment that ocurs when a fusion reflex is blocked
Term
strabismus
Definition
is a constant misallignment of the eyes
Term
esotropia
Definition
an inward turn of the eye
Term
exotropia
Definition
an outward turn of the eye
Term
nystagmus
Definition
a shaking movement of the eye due to inner ear disorders, multiple sclerosis, brain lesions, and narcotic use. 
Term
entropion
Definition
an inverted lower lid. due to drying
Term
ectropion
Definition
an everted lower eyelid
Term
xanthelasma
Definition
normal yellow plaques on the inner canthus.
Term
true or false: entropian and ectropion are somewhat common with older clients
Definition
true
Term
exophthalmos
Definition
protrusion of eyeballs by retracted eyelids
Term
episcleritis
Definition
a local non infectious inflamation of the sclera
Term
cyanosis of the lower lid suggests...?
Definition
a heart of lung disorder
Term
pinguecula
Definition
yellowish nodules on the bulbar conjunctiva. harmless and common in older adults
Term
papilledema
Definition
swelling of the optic disc
Term
optic atrophy
Definition
optic disk is white with a lack of disk vessels
Term
how many sets of arterioles and venules should pass through the optic disc?
Definition
4
Term
true of false: arterioles have a light relex that appears as a thin white line in the center?
Definition
true
Term
how does hypertension affect the arterioles?
Definition
it causes a widening of the light reflex and the arterioles take on a copper hue. 
Term
hyphemia
Definition
occurs when injury causes red blood cells to collect in the lower half of the anterior chamber
Term
hypopyon
Definition
results from an inflmatory response in which white blood cells accumilate in the anterior chamber and produce cloudiness. 
Term
pseudostrabismus
Definition
cross eyed
Term
what is 6th nerve paralysis?
Definition
the eye cannot look to the other side
Term
4th nerve paralysis
Definition
the eye cannot look down when turned upward
Term
3rd nerve paralysis
Definition
can only look straight ahead
Term
miosis
Definition
pin point pupils
Term
aniscoria
Definition
pupils are a different size than eachother
Term
mydriasis
Definition
fixed and dilated pupils
Term
what nerve is used for hearing?
Definition
vestibular nerve, 8
Term
conductive hearing
Definition
sounds moving from the external to middle ear
Term
perceptive hearing
Definition
sound waves from the middle ear to the inner ear
Term
presbycuspis
Definition
a gradual hearing loss that is common in age 50 and older. it usually begins with a loss of ability to hear high pitch
Term
otalgia
Definition
ear ache
Term
tinnitus
Definition
ringing of the ear
Term
vertigo
Definition
 subjective- they feel like they are spinne. objective- they feel like the room is spinning
Term
tenderness over the mastoid process suggests...?
Definition
mastoiditis
Term
exostoses
Definition
non malignant nodular swellings
Term
yellowing bluging membrane with bubbled behind it....?
Definition
serous otitis media
Term
white spots on the tympanic membrane?
Definition
scars
Term
conductive hearing loss
Definition
patients hears sounds in the bad ear. 
Term
sensorineural hearing loss
Definition
client reports hearing noise in the good ear
Term
what does the weber test, test?
Definition
is evaluates the conduction of sound waves through bone
Term
what does the rhoberg test, test?
Definition
tests clients equilibrium
Term
rinorrhea
Definition
waterly clear nasal drainage
Term
dysphagia
Definition
difficulty swallowing
Term
bruxism
Definition
grinding teeth
Term
pallor or the lips can be from ...?
Definition
anemia or shock
Term
hyperplasia
Definition
enlraged red gums
Term
an atrophied tongue points to...?
Definition
cranial nerve 12-hypo glossal damage
Term
a very small tongue signals...?
Definition
severe malnutrition
Term
loss of taste can be found in damage to what nerve?
Definition
the 7th cranial nerve
Term
ammonia breath odor is a sign of?
Definition
kidney disease
Term
fruity breath odor is a sign of?
Definition
diabetic ketoacidosis
Term
palte fails to rise and uvula deviates is a sign of?
Definition
damage to cranial X- vagus nerve
Term
abscense of a red glow  during transillumination usually indicates?
Definition
fluid, pus, or thick mucous in the sinus's
Term
a smooth, red, shiny tongue is a sign of?
Definition
vitamin b 12 defficiency
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