Health Assessment

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Health Assessment
2012-04-12 15:32:24
Health Assessment Nose Mouth Throat REVIEW

Health Assessment & Physical Examination Nose, Mouth, & Throat Assessment
Show Answers:

    • REVIEW
    • •Bridge
    • •Tip
    • •Ala
    • •Nares
    • •Columella
    • •Vesitibular: inferior & middle turbinates may be visible
    • REVIEW
    • •Frontal
    • •Maxillary
    • •Ethmoid
    • •Spehnoid
    • •More pronounced in adults than children
    • REVIEW
    • •Hard palate
    • •Soft palate
    • •Uvula
    • •Posterior Pillars
    • •Tonsils
    • •Anterior Pillars
    • •Tongue
    • •Teeth
    • REVIEW
    • •Parotid glands
    • •Opening of the parotid ducts
    • •Lingual Vein
    • •Frenulum
    • •Submanditubal glands & ducts
    • •Sublingual glands & ducts
  1. Teeth Mouth and Gum Review
    • TEETH - REVIEW -
    • •Central incisor
    • •Lateral incisor
    • •Canine
    • •First premolar
    • •Second premolar
    • •First molar
    • •Second molar
    • •Third molar
    • - Gums should be -
    • •Pink •Moist or shiny •Come to a point •Adhere to the teeth
    • - REVIEW -
    • •Rich lymphatic network
    • •Oropharynx
    • –Starts at the anterior tonsillar pillar
    • –Includes the tonsils
    • •Nasopharynx
    • –Continuous with the oropharynx
    • –Adenoids-pharyngeal tonsils
    • –Eustachian tube openings
  2. Developmental changes increas nasal stuffiness, epistaxis, hyperemic gums prone to bleeding occours when ?
  3. Increased nasal hair, olfactory changes, soft tissue & epithelial atrophy, dentures, abraded tooth surfaces, gum receding, teeth erosion, malocclusion, dry mouth & difficulty chewing dudring are developmental changes typical of what age?
    Aging adults:
  4. The nose and mouth should be midline and symmetrical in a normal assessment. T - F
  5. You should palpate the frontal, maxillary, ethmoid, spehnoid sinuses. T- F
    False the Ethmoid & Spehnoid are too deep to palpate.
  6. Healthy teeth, gums, tongue, buccal mucosa palate and lips tell you about a client?
    Good picture of over all health
  7. The lips should be inspected by using a tongue blade for which of the following (all that apply)?
    Color ___
    Moisture ____
    Cracking ____
    Lesions ____
    • Color ___Moisture ____Cracking ____Lesions ____
  8. Where is the Stenoson's duct located?
    What does it look like?
    Looks like a dimple in the buccal mucosa, opposie the 2nd upper molar.
  9. Leukoedema is a form of skin cancer in the mouth? T - F
    • False
    • –Luekoedema: gray opaque patch seen in persons with dark skin common bilatteraly goes away when cheeks are streached.
  10. Fordyce’s granules are painful sebaceous cyst in the mouth and are significant cause for concern? T - F
    • False
    • They are samll, isolated whie or yellow papules on the mucosa of the cheeks tongue and lips. These little sebaceous cyst are painless and not significant.
  11. If the tonsiles are enlarged and touching each other what will the grading be?
    4+ touching each other
  12. Gag reflex test for what Cranial nerve?
  13. When the tonsiles are just visible what will the grade be?
    1+ visible
  14. When the tonsiles are halfway between the tonsillar pillars & uvula is what grade
  15. When the tonsiles are touching the uvula what is the grade?
  16. What is halatosis?
    Bad Breath
  17. Testing the gag reflux test for which two cranial nerves?
    IX glossopharyngeal and X Vagus
  18. Asking the client to say "AHHH" test for which cranial nerve and what else are you looking for?
    TEst for Soft palate and uvual rise to mid line test for CN X Vagus
  19. Sticking your tongue out test for what cranial nerve?
    XII - Hypglossal
  20. Oral abnormal findings include which of the following?
    Angular Cheilitis
    Herpes Simplex 1
    Cleft lip
    Dental caries
    Gingival hyperplasis
    Aphthous ulcers (canker sores)
    Leukopakia – precancerous lesion
    Moist Pink skin
    All except Moist pink skin
  21. Nasel flairing is a sign of what?
    Difficulty breathing
  22. Epistaxis?
    Most common sit for nose bleeds
  23. Furuncle
    Small boil located in the skin or mucosa membrane - red and swollen.
  24. •Denies pain, allergies, dysphagia, mouth dryness or congestion
    •Nose midline, no drainage noted, nasal mucosa uniformly pink.
    •Lips, tongue & buccal mucosa moist & pink. No mouth
    lesions seen. Teeth white and free of decay. No signs of gingival hyperplasia. Able to move tongue smoothly. No fasciculations noted with tongue movement
    •No throat redness noted. Tonsils 1+. Gag reflex present. Uvula rises to the midline when says “Ah”
    Normal Documentation REVIEW
  25. Health Promotion Tips for the Nose would include all of the following except?
    Do not smoke or use snuff
    Avoid exposure to passive smoke
    Blow nose gently while having only one nare closed at a time
    Limit use of over the counter nasal inhalers
    Spray water in your nose when it feels clogged
    Do not put anything in your nose especially fingers
    Use a humidifier to moisten room air especially in the winter remember to change the water as directed by the manufacturer
    Spray water in your nose when it feels clogged
  26. Health Promotion Tips for the Mouth & Throat would include all except?
    No use of oral tobacco products
    Regular dental check-ups
    Do not smoke and drink alcohol simultaneously
    Products to strengthen teeth
    Brush teeth pc and at hs
    Floss dailyIf grind teeth, use a mouth guard for sleeping
    Diet high in calcium
    Consume Soda as often as possible to promote healthy clean mouth
    NOT - Soda is very corrosive to teeth if consumed in excess—Drink it with a straw
  27. Sweet fruity breath is a sign of what?
    (Ketosis) Ketoacidosis - Type I diabetes