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head and neck

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Which cranial nerves innervate the face?   V and VII  
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The parotid, submandibular, and sublingual salivary glands:   inhibit dental caries  
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As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at:   C4 to C5  
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In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the:   cricoid  
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A mom brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence?   Nose and thyroid cartilages  
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Spaces between the cranial bones accommodate:   brain growth  
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When examining the skull of a 4-month-old baby, you should normally find:   closure of the posterior fontanel  
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The brown or tan pigmentation on the forehead, nose, and malar prominence of some pregnant women is called:   chloasma  
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What is an expected change in the assessment of the thyroid during pregnancy?   A bruit is auscultated.  
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On examination, you have noted a bruit heard over the thyroid. This is suggestive of:   hyperthyroidism  
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a 24-year-old secretary who comes to the clinic with headaches of 6 weeks’ duration. She tells the office assistant about her heavy schedule, including part-time work and evening classes. Her vital signs are normal. What other information should be asked?   current medications  
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Observation during history taking is the best way to examine for:   head position  
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During a head and neck assessment of a neonate, it is important to screen for:   the presence of torticollis  
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_________ is usually caused by constraint of the newborn in utero or injury during vaginal delivery.   torticollis  
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To detect bruits in the head and neck region, you should place the bell of the stethoscope:   on the temporal region and below the occiput.  
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you notice slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to:   record the finding in the patient’s chart.  
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A bruit, or blowing sound, over the skull or temporal region of an adult indicates a:   vascular anomaly  
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Spasmodic muscular contractions of the head, face, or neck are called:   Tics  
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Coarse, dry, and brittle hair is associated with which metabolic disorder?   hypothyroidism  
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An inconsequential finding on the head of an adult is a palpable:   sagittal suture ridge  
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Which is the best way to position a patient’s neck for palpation of the thyroid?   Flexed toward the side being examined  
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A stethoscope is used in a head and neck examination to assess:   thyroid vascular sounds  
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Tracheal tug suggests the presence of a(n):   aortic aneurysm  
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The thyroid gland should:   move when the patient swallows  
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You are palpating a patient’s thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data would indicate:   a normal thyroid gland  
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The correct way to transilluminate an infant’s skull is to:   place the light firmly against the skull.  
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The most common form of birth trauma of the scalp is:   caput succedaneum.  
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____________ is seen over the presenting part of the head during delivery as the skull passes through the pelvis; the scalp usually feels edematous to touch, which fades after a few days.   caput succadaneum  
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A cepahlhematoma is bound by suture lines true or false?   true  
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Nuchal rigidity is most commonly associated with:   meningeal irritation  
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When noting a bulging fontanel with marked pulsations in a 6 month old, you suspect:   increased intracranial pressure  
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Which type of headache usually occurs at night, is precipitated by alcohol consumption, and occurs more often in men than in women?   cluster  
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A woman presents to the urgent care center with a history of a severe headache of 2 hours’ duration. She describes it as bandlike and constricting. In interviewing the woman about her complaint, you would ask:   whether she is stressed. This is usually a tension headache  
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A patient presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a:   thyroglossal duct cyst  
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Moist skin with fine hair, prominent eyes, lid retraction, and a staring expression are characteristics associated with:   graves disease  
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A _______ is associated with , the face may appear sunken, facial bones will be more visible, and the skin will be dry   terminal illness  
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Mild ptosis is consistent with ________   fetal alcohol syndrome  
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What structure is located in the upper third of the sternocleidomastoid muscle?   branchial cleft cyst  
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_________ is a chronic autoimmune thyroid disease that commonly affects children and women 30 to 50 years of age.   hashimoto disease  
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The premature union of cranial sutures that involves the shape of the head without mental retardation is:   craniosynostosis  
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The trapezius and sternocleidomastoid muscles and the clavicle form a landmark called the _____ triangle.   posterior  
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The medial borders of the sternocleidomastoid muscles and the mandible form the _____ triangle.   anterior  
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The largest endocrine gland in the body lies in the _____ triangle.   anterior  
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Closure of the anterior skull fontanel should occur by _____.   24 months of age  
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Preterm infants may have:   long, narrow heads  
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Neck webbing, excessive posterior cervical skin, and a short neck are signs associated with:   chromosomal anomalies.  
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Transillumination of the skull should be performed:   routinely in all newborn infants.  
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The major landmarks of the face are the:   palpebral fissures and nasolabial folds  
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Caput succedaneum, a form of birth trauma, is characterized by which of the following?   Subcutaneous edema over the presenting part of the head  
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Incorrect The anterior triangle is located:   under the mandible, medial to the sternocleidomastoid muscle.  
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A 45-year-old man tells you that he has headaches that are intense with a burning quality; they often occur at night. These characteristics are indicative of which type of headache?   Tension  
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Mrs. Jenkins is a 47-year-old woman who presents for a routine examination. On examination, the examiner percusses the skull and hears a low-pitched note. Which of the following identify the significance of this finding?   Hypoparathyroidism  
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