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How do we assess the neck? ✔Correct Answer-We auscultate major blood vessels
Why do we auscultate the neck? ✔Correct Answer-To detect bruits**, which are abnormal arterial
sounds, similar to murmurs, cause be increased turbulence over major blood vessels, such as the
carotid artery.
Why do bruits occur? ✔Correct Answer-When an artery is partially obstructed or distended, which
prevents blood flow from moving straight through the vessel
What are some questions to ask before doing a HEENT assessment? ✔Correct Answer-Do you have
headaches, problems with frequent headaches?
Do you wear glasses/contacts?
What problems do you have with vision?
Any recent head trauma or history of head injury?
Have you had a stroke?
What do we assess for in head position assessment? ✔Correct Answer-Should be in line with neck
(stroke may affect this), facial droop (stroke or other neuro problem)
Normocephalic, hydrocephalic
What does normocephalic mean? ✔Correct Answer-normal size and shape of head *also assess
scalp at this point*
What does hydrocephalic mean? ✔Correct Answer-enlarged head, build up of fluid!
*Hydrocephalis*= build up of CSF in brain!
What do we assess the facial features for? ✔Correct Answer-Symmetry of: eyelids, eyebrows,
nasolabial folds, mouth and facial droop
All of the above being unsymmetrical may indicate seizure/neuro problem
How do we assess the temporomadibular joint? ✔Correct Answer-Palpate the TMJ for crunching
(crepitis) or popping.
**assessing the TMJ also assesses for proper function of what cranial nerve? VII
What are some questions to ask before performing an eye inspection? ✔Correct Answer-Do you
wear glasses/ contacts?
Ask patient to read paper- make sure they are literate. If not literate, ask them to identify images
Ask patient to look at Snellen eye chart, 20 ft away, covering one eye.
What does cranial nerve II control? ✔Correct Answer-Oculomotor acitivity (pupillary reflex,
accommodation)
What does cranial nerves III, IV, and VI control? ✔Correct Answer-Six directions of gaze
What does EOM stand for? ✔Correct Answer-Extraocular Movements
, How do we assess EOM? ✔Correct Answer-"H" assessment
How do we assess visual acuity? ✔Correct Answer-Snellen or reading a piece of paper 14 inches
from face
What is nystagmus? ✔Correct Answer-If eyes are jaggedly, not smoothly, moving together in
parallel
How do we assess visual fields? ✔Correct Answer-Having client cover one eye, have patient say
when they can see your finger starting from out - in.
(Prof. Snelson did this to you with her finger)
What are we assessing for in position and alignment of eye inspection? ✔Correct Answer-That
eyes are parallel, bulging, and crossing
What is the medical term for bulging eyes? ✔Correct Answer-Exothalmos --> associated with
hypothalamic condition.
Concern with this is the moisture of the eye.
What is the medical term for crossing of eyes? ✔Correct Answer-Strabismus
What cranial nerve controls eyebrow movement? ✔Correct Answer-Cranial nerve VII
What are we assessing for with eyebrow inspection? ✔Correct Answer-Distribution, position,
alignment, movement (facial nerve)
What are we assessing for with eyelashes? ✔Correct Answer-Distribution, direction
What are we assessing for with eyelids? ✔Correct Answer-Color, motility, position, alignment,
lesions
What in particular with position? PTOSIS
What is ptosis? ✔Correct Answer-one eyelid drops lower than the other.
The concern is visual obstruction
If it hasn't been present since childhood, it can be a sign of underlying disease!
What can edema or lesions of the eye indicate? ✔Correct Answer-Edema can indicate black eye
resulting from abuse
Lesions could be cancer
What are we assessing in the lacrimal gland? ✔Correct Answer-just observing for generally good
moisture, the tear ducts will release extra liquid
What are we assessing for with the conjunctiva? ✔Correct Answer-Conjunctivas are pink and moist
What is conjunctivitis? ✔Correct Answer-Pink eye!!
What are we assessing for with pupils? ✔Correct Answer-Size (before light; measured in mm),
shape, equality, accommodation, reaction to light
What cranial nerve controls pupils? ✔Correct Answer-Cranial nerve III