physical assessment quiz 2-10.

Physical Assessment Quiz 2

o Scarred tympanic membrane- eardrum has white patches of scar tissue
due to repeated ear infections
 Chronic irritation of the tympanic membrane without infection also
causes scarring
 Does not typically cause hearing loss
 Nose & sinuses assessment
o Inspection of nose and patency testing
 Looking to see if the septum is deviated
 Redness, swelling, allergies (pale)
 Observing for any polyps that could be blocking the nose and
preventing patient from breathing
o Palpation of external nose
o Inspection of nasal cavity using nasal speculum
o Palpation of sinuses → any tenderness?
o Percussion of sinuses → presence of dullness?
 DIRECT PERCUSSION- with fingertips
o Transillumination of sinuses
 Normal: sinus appears hollow and light shines through giving a
reddish glow
 Abnormal: inflamed and blocked with secretions or mucus →
light fails to shrine through and the sinus appears opaque
 Light source in the mouth = maxillary
 Light source on the cheek pointing towards the forehead OR
underneath the eyebrow = frontal
 Mouth and throat assessment:
o Inspection and palpation of lips
 Observe for dryness or cracking of the lips
o Inspection of teeth
 Are there any dental caries?
o Inspection and palpation of buccal mucosa, gums, and tongue
 Any inflammation?
o Inspection of salivary glands
 Any enlargements?
o Inspection of throat, tonsils
 Tonsil grading:
 1 & 2+ : normal
 3 + : abnormal; past posterior pillars of the mouth →
starting to obstruct airway


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