Advanced Health Assessment HEENT Exam Questions And ANSWERS( 100% SOLUTION )

Advanced Health Assessment HEENT Exam Questions And ANSWERS( 100% SOLUTION ) An expression or appearance of the face and features of the head and neck that when considered together is characteristic of a clinical condition or syndrome is? A. Smile B. Facies C. Torticollis D. Frown - ANSWER B. Facies Develop slowly Could be a sign of acromegaly When facial asymmetry is present on the entire side of the face suspect? A. Peripheral trigeminal nerve paralysis B. Facial Nerve Paralysis C. Hippocratic facies D. Myxedema facies - ANSWER B. Facial nerve paralysis C. Hippocratic facies - sunken appearance of eyes, cheeks and temporal areas; shape nose; and dry rough skin (terminal stages of throat cancer) D. Myxedema facies - dull, puffy, yellowed skin; coarse sparse hair; temporal loss of eyebrows, periorbital edeam and prominent tongue A rounded or moonshaped face with thin erythematous skin is associated with? A. Systemic lupus erythematosus B. Bell's Palsy C. Early Acromegaly D. Cushing syndrome - ANSWER D. Cushing syndrome SLE - butterfly rash over malar surfaces and bridge of nose. Either a blush with swelling or scaly, red maculopapular lesions Bell's Palsy - (CN VII) Asymmetrial face on one side, eyelid doesn't close, drooping of lower eyelid and corner of mouth and loss of nasolabial fold Cushing syndrome - rounded or moonshaped face with thin, erythematous skin Any thickening, hardness or tenderness over the temporal arteries may be associated with what? - ANSWER Temporal arteritis A bruit is highly suggestive of a vascular anomaly and can be associated with? - ANSWER Temporal arteritis Listen over the temporal region with the bell of the stethoscope. Webbing, excessive posterior cervical skin, or an unusually short neck may be associated with chromosomal anomalies such as ? - ANSWER Turner syndrome A thyroid gland does not move when a patient swallows? T/F - ANSWER False The thyroid gland moves with swallowing; subcutaneous fat mimicking a goiter does not The thyroid is fibrotic and feels more nodular or irregular in what population? A. Older adult B. Newborn C. Young Child D. Pregnancy - ANSWER A. Older adult What disease is characteristic of weight gain, constipation, fatigue and cold intolerance? - ANSWER Hypothyroidism Hyperthyroidism has weight loss, tachycardia, and heat sensitivity Autoimmune, antibodies to thyroid-stimulating hormones receptor leading to overactive thyroid is called? A. Myxedema B. Hypothyroidism C. Hashimotos D. Graves' Disease - ANSWER D. Graves - symptoms of hyperthyroidism prominent eyes (exophthalmos) Myxedema - caused by prolonged hypothyroidism, coarse thick skin, thickening nose, swollen lips, puffiness around eyes, slow speech, weight gain, brittle hair Hashimotos - caused by hypothyroidism What cranial nerve is responsible for visual acuity and central vision? - ANSWER Cranial nerve II - the optic nerve The superior, inferior, medial and lateral rectus muscles move what organ? - ANSWER The eye What cranial nerves innervates the superior, inferior, medial and lateral rectus muscles? A. CN II B. CN III C. CN V & VII D. CN III, IV, VI E. Both A & B - ANSWER D. Cranial nerves III (oculomotor), IV (trochlear) and VI (abducens) What nerve elevated and retracts the upper eyelid also innervates all extraocular muscles except for the superior oblique muscle and lateral rectus muscle? - ANSWER Cranial nerve III - oculomotor The superior oblique is the only muscle innervated by what nerve? - ANSWER IV - trochlear nerve