NR 509 midterm | Questions and Answers |
2026 Update | Exam Review Pack
• submental lymph nodes -✓✓palpate in the midline few cm behind the tip of mandible
• submandibular nodes -✓✓halfway between the angle and the tip of the mandible
-usually smaller & smoother than the lobulated submandibular gland against which they
lie
• Preauricular node -✓✓palpate in front of ear
• posterior auricular node -✓✓palpate behind ear & superfacial to mastoid process
• tonsillar (jugulodigastric) lymph nodes -✓✓palpate at angle of the mandible
• small harder tender "tonsillar node: high & deep b/w the mandible and the SCM is likey
a.... -✓✓elongated temporal styloid process
• occipital node -✓✓palpate at the base of the skull posteriorly
• anterior superficial cervical node -✓✓palpate nodes anterior and superfacial to the
SCM muscle
• posterior cervical node -✓✓palpate along the anterior edge of trapezius by flexing
patient's neck slightly forward toward the side being examined
• deep cervical chain node -✓✓deep to sternomastoid muscle & often inaccessible to
examination . hook thumb & fingers around either side of SCM muscle to find them
• Supraclavicular node -✓✓palpate deep in angle formed by the clavicle & SCM muscle
• what suggests possible metastasis from a thoracic or abd malignancy -
✓✓enlargement of supraclavicular node, esp on left ( virchows node)
• note lymph nodes... -✓✓-size
-shape
-delimitations ( discrete or matted together)
-mobility
-consistency
-tenderness
• Normal lymph nodes -✓✓small, movable, discrete, soft, and nontender
2026 Update | Exam Review Pack
• submental lymph nodes -✓✓palpate in the midline few cm behind the tip of mandible
• submandibular nodes -✓✓halfway between the angle and the tip of the mandible
-usually smaller & smoother than the lobulated submandibular gland against which they
lie
• Preauricular node -✓✓palpate in front of ear
• posterior auricular node -✓✓palpate behind ear & superfacial to mastoid process
• tonsillar (jugulodigastric) lymph nodes -✓✓palpate at angle of the mandible
• small harder tender "tonsillar node: high & deep b/w the mandible and the SCM is likey
a.... -✓✓elongated temporal styloid process
• occipital node -✓✓palpate at the base of the skull posteriorly
• anterior superficial cervical node -✓✓palpate nodes anterior and superfacial to the
SCM muscle
• posterior cervical node -✓✓palpate along the anterior edge of trapezius by flexing
patient's neck slightly forward toward the side being examined
• deep cervical chain node -✓✓deep to sternomastoid muscle & often inaccessible to
examination . hook thumb & fingers around either side of SCM muscle to find them
• Supraclavicular node -✓✓palpate deep in angle formed by the clavicle & SCM muscle
• what suggests possible metastasis from a thoracic or abd malignancy -
✓✓enlargement of supraclavicular node, esp on left ( virchows node)
• note lymph nodes... -✓✓-size
-shape
-delimitations ( discrete or matted together)
-mobility
-consistency
-tenderness
• Normal lymph nodes -✓✓small, movable, discrete, soft, and nontender
