Health Assessment

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Author:
cindyblalack
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147316
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Health Assessment
Updated:
2012-04-12 23:25:00
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Nose Mouth Throat Assessment
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Nose, Mouth & Throat Assessment Evolve Questions
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  1. Which of the following pairs of sinuses is absent at birth, is fairly well developed between 7 and 8 years of age, and is fully developed after puberty?
    A) Maxillary
    B) Frontal
    C) Sphenoid
    D) Ethmoid
    • B) Frontal Feedback: CORRECT
    • The frontal pair of sinuses is absent at birth, is fairly well developed between 7 and 8 years of age, and is fully developed after puberty.
  2. Mr. Winchett is a 48-year-old gentleman who comes to your office with complaints of sores on his tongue. As the health care provider, you know that the tongue’s mass of striated muscle, which is in a crosswise pattern, is used to:
    A) control the ability to swallow.
    B) change the shape and position of the tongue.
    C) prevent food from entering the respiratory passages.
    D) increase the surface area for optimal taste sensation.
    • B) change the shape and position of the tongue. Feedback: CORRECT
    • The tongue’s mass of striated muscle, which is in a crosswise pattern, is used to change the shape and position of the tongue.
  3. In addition to initiating digestion of food, saliva also:
    A) augments taste sensation.
    B) protects the mucosa from caustic substances.
    C) inhibits overgrowth of bacteria in the mouth.
    D) cleans and protects the mucosa.
    • D) cleans and protects the mucosa.
    • Feedback: CORRECT
    • In addition to initiating digestion of food, saliva also cleans and protects the mucosa.
  4. Deciduous teeth in children are also known as:
    A) bicuspids.
    B) odontoid.
    C) temporary.
    D) transient.
    • C) temporary.Feedback: CORRECT
    • Deciduous teeth in children are also known as temporary.
  5. Mrs. Coleman is a 28-year-old patient who is in her second trimester of pregnancy. She comes to the clinic with complaints of stuffiness and epistaxis. This is due to:
    A) increased vascularity of the upper respiratory tract.
    B) hyperemia and swelling of the sinuses due to increased vascular pressure.
    C) increased susceptibility to allergies due to a pregnancy-induced immune system hyperactivity.
    D) hypertrophy of the nasal mucosa due to a pregnancy-induced release of growth hormone.
    • A) increased vascularity of the upper respiratory tract. Feedback: CORRECT
    • In the second trimester of pregnancy, the woman may experience stuffiness and epistaxis, which is due to the increased vascularity of the upper respiratory tract.
  6. A cleft palate and lip are least common in which of the following ethnic/cultural groups?
    A) Native Americans
    B) Asians/Pacific Islanders
    C) Mexican Americans
    D) African Americans
    • D) African Americans Feedback: CORRECT
    • A cleft palate and lip are least common in African Americans.
  7. Ms. Tova is a 32-year-old patient who comes to your office with complaints of seasonal allergies. Which of the following questions would you ask to determine if she is experiencing epistaxis?
    A) "Do you have any difficulty with swallowing?"
    B) "Have you ever noticed any unusual lesions on the inside of your mouth?"
    C) "Do you experience nose bleeds?"
    D) "Do you experience a runny nose frequently?"
    • C) "Do you experience nose bleeds?"
    • Feedback: CORRECT
    • To determine if the patient is experiencing epistaxis, ask "Do you experience nose bleeds?"
  8. The two pairs of sinuses that are deep, small, and inaccessible for examination are the:
    A) sphenoid and maxillary.
    B) ethmoid and sphenoid.
    C) frontal and maxillary.
    D) maxillary and ethmoid.
    B) ethmoid and sphenoid. Feedback:CORRECT The two pairs of sinuses that are deep, small, and inaccessible for examination are the ethmoid and sphenoid.
    (this multiple choice question has been scrambled)
  9. Mr. Glover is a 69-year-old patient who comes to the office for a routine examination. When evaluating an older patient, you should determine whether medications are being taken for depression and high blood pressure. Which of the following conditions is frequently associated with older adults taking these medications?
    A) Dry mouth
    B) Difficulty swallowing
    C) Decreased ability to taste
    D) Teeth grinding during sleep
    • A) Dry mouth
    • Feedback: CORRECT
    • Dry mouth is frequently associated with older adults taking medications for depression and high blood pressure.
  10. The mucosa of an individual who is experiencing rhinitis would be:
    A) dry and pink in color.
    B) swollen, boggy, and gray in color.
    C) bright red and swollen.
    D) resistant to discharge.
    • C) bright red and swollen.
    • Feedback: CORRECT
    • The mucosa of an individual who is experiencing rhinitis would be bright red and swollen.
  11. Mr. Grainger is a 39-year-old gentleman who comes to the clinic with complaints of seasonal allergies. On examination of the tongue, which of the following is an expected finding and does not require further follow-up?
    A) A white, raised patch that is adherent to the surface of the tongue
    B) A beefy, red, swollen tongue that has smooth glossy areas
    C) A thin, white coating over the surface of the tongue
    D) A tongue that is dull and nonglistening and has deep vertical fissures
    • C) A thin, white coating over the surface of the tongue
    • Feedback: CORRECT
    • Patients with seasonal allergies may present with a thin, white coating over the surface of the tongue, which is an expected finding and does not require further follow-up.
  12. Mrs. Harris is a 45-year-old woman who comes to the office complaining of mouth sores. During your examination of the buccal mucosa, you note the presence of small, yellow-white papules on the cheek and tongue that may be identified as:
    A) leukoedema.
    B) Fordyce's granules.
    C) Epstein's pearls.
    D) leukoplakia.
    • B) Fordyce's granules. Feedback: CORRECT
    • The presence of small, yellow-white papules on the cheek and tongue may be identified as Fordyce's granules.
  13. Mr. Yates is a 16-year-old patient who comes to the office complaining of a sore throat. On examination, you note that the tonsils are enlarged to the point that they are about halfway between the tonsillar pillars and the uvula. These tonsils would be graded as:
    A) 1+.
    B) 2+.
    C) 3+.
    D) 4+.
    • B) 2+.Feedback: CORRECT
    • Tonsils that are enlarged to the point that they are about halfway between the tonsillar pillars and the uvula would be graded as 2+.
  14. When examining the mouth and throat, you ask the individual to stick out the tongue. Your observation of the tongue notes the presence of a fine tremor that accompanies which of the following conditions?
    A) Hyperthyroidism
    B) Diabetic ketoacidosis
    C) Halitosis
    D) Alcoholism
    • A) Hyperthyroidism Feedback: CORRECT
    • A tongue that has a fine tremor accompanies hyperthyroidism.
  15. Mrs. Bowers brings her 8-year-old son in for a routine physical examination. During the exam, you note a transverse ridge across his nose. This is often a sign that the child may be experiencing:
    A) tonsillitis.
    B) measles.
    C) allergies.
    D) choanal atresia.
    • C) allergies.
    • Feedback: CORRECT
    • A transverse ridge across a child’s nose is often a sign that the child may be experiencing allergies.
  16. A pregnant female may present with which of the following alterations in the oral cavity?
    A) Koplik's spots
    B) Angular cheilitis
    C) Macroglossia
    D) Gum hypertrophy
    • D) Gum hypertrophy
    • Feedback: CORRECT
    • A pregnant female may present with gum hypertrophy in the oral cavity.
  17. Mrs. Jones is a 69-year-old patient who comes to the clinic. During your examination, you keep in mind that the process of bone resorption in older adults predisposes them to which of the following conditions?
    A) Atrophy of the teeth
    B) Erosion of the enamel
    C) Loosening of the teeth
    D) Elongation of the margins of the teeth
    • C) Loosening of the teeth
    • Feedback: CORRECT
    • The process of bone resorption in older adults predisposes them to loosening of the teeth.
  18. The olfactory receptors located in the roof of the nasal cavity function to:
    A) determine the ratio of carbon dioxide to oxygen in the inspired air.
    B) transmit the sensations of smell to CN I. C) filter the inspired air.
    D) block the passage of bacteria into the respiratory system.
    • B) transmit the sensations of smell to CN I.
    • Feedback: CORRECT
    • The olfactory receptors located in the roof of the nasal cavity function to transmit the sensations of smell to CN I.
  19. One of the purposes of the paranasal sinuses is to:
    A) lighten the weight of the skull bones.
    B) warm and moisten the inspired air.
    C) amplify sound.
    D) augment the sensory sensation of smell.
    • A) lighten the weight of the skull bones.
    • Feedback: CORRECT
    • One of the purposes of the paranasal sinuses is to lighten the weight of the skull bones.
  20. The tongue's ability to change shape and position enhances its function in which of the following ways?
    A) Prevention of food from entering the trachea
    B) Secretion of fluid and enzymes to promote digestion
    C) Mastication and swallowing of food
    D) Exposing more taste buds to the predigested food to enhance taste sensation
    • C) Mastication and swallowing of food
    • Feedback: CORRECT
    • The tongue's ability to change shape and position enhances its function in mastication and swallowing of food.
  21. The parotid gland's duct that opens into the mouth opposite the second molar is:
    A) Wharton's duct.
    B) The submandibular gland.
    C) Stenson's duct.
    D) the sublingual duct.
    • C) Stenson's duct. Feedback: CORRECT
    • The parotid gland's duct that opens into the mouth opposite the second molar is Stenson's duct.
  22. The rich blood supply to the nasal mucosa performs which of the following functions?
    A) Warms inhaled air
    B) Filters inhaled air
    C) Delivers bacteria and trapped matter to the lymph system for destruction
    D) Moisturizes the air
    • A) Warms inhaled air Feedback: CORRECT
    • The rich blood supply to the nasal mucosa warms inhaled air.
  23. When comparing a child's mouth with that of an adult, which of the following would you expect to observe?
    A) Smaller tonsils
    B) A total of 20 teeth instead of 32
    C) Enlarged salivary glands
    D) A tongue that is less mobile due to an enlarged frenulum
    • B) A total of 20 teeth instead of 32
    • Feedback: CORRECT
    • When comparing a child's mouth with that of an adult, you would expect to observe a total of 20 teeth instead of 32.
  24. Drooling in an infant is due to which of the following?
    A) Lack of teeth
    B) Failure of the salivary gland ducts to develop
    C) Initiation of salivation by the salivary ducts
    D) Enlargement of the salivary glands
    • C) Initiation of salivation by the salivary ducts
    • Feedback: CORRECT
    • Drooling in an infant is due to the initiation of salivation by the salivary ducts.
  25. Mr. Featherlite is a 44-year-old patient who is a Native American. On examination of his mouth, you notice the presence of a bifid uvula. What should be your initial reaction to this finding?
    A) It is an expected variation associated with this individual.
    B) This condition is frequently associated with cleft palate.
    C) This individual needs to be followed up for the presence of oral cancer.
    D) It is an extremely rare finding and may be indicative of other congenital anomalies.
    • A) It is an expected variation associated with this individual.
    • Feedback: CORRECT
    • The presence of a bifid uvula is an expected variation associated with a Native American individual.
  26. Mr. Treaner is a 72-year-old gentleman who comes to the office complaining of dry mouth. Which question would be appropriate to ask the patient?
    A) "How many glasses of water do you drink during the day?"
    B) "What medications are you taking?"
    C) "Have you also noticed a change in your ability to taste?"
    D) "Do you breathe through your mouth or nose?"
    • B) "What medications are you taking?"
    • Feedback: CORRECT
    • An appropriate question to ask a patient with a dry mouth is "What medications are you taking?" to determine if the dry mouth is associated with the side effects from the drugs.
  27. During the history portion of the examination of an 8-year-old child, you notice that, for most of the time, the child was sucking his thumb. You know that prolonged thumb-sucking in a child can lead to:
    A) delayed eruption of permanent teeth.
    B) excessive dental caries.
    C) malocclusion.
    D) prognathism.
    • C) malocclusion. Feedback: CORRECT
    • Prolonged thumb-sucking in a child can lead to malocclusion.
  28. Mrs. Walker is a 54 -year-old patient who comes to the office for a routine examination. When you palpate over the maxillary sinus area, she indicates a sensation of discomfort during the procedure. This response might indicate the presence of:
    A) sinusitis.
    B) tooth impaction.
    C) nasal polyps.
    D) tonsillitis.
    • A) sinusitis. Feedback: CORRECT
    • When palpation over the maxillary sinus area produces a sensation of discomfort it might indicate the presence of sinusitis.
  29. Along the hard palate and on the gums of a newborn infant, you notice small, yellow-white, glistening papules. These are identified as:
    A) Epstein's pearls.
    B) Bednar's aphthae.
    C) Fordyce's granules.
    D) sucking tubercles.
    • A) Epstein's pearls. Feedback: CORRECT
    • Along the hard palate and on the gums of a newborn infant, you notice small, yellow-white, glistening papules, which are identified as Epstein's pearls.
  30. During examination of the buccal mucosa, you observe a chalky white, raised patch with well-defined borders. Which of the following indicates an appropriate response to this observation?
    A) These patches are normally found in black and East Indian individuals.
    B) These patches are generally indicative of malnutrition.
    C) These patches are precancerous and should be followed up.
    D) These patches frequently accompany candidiasis (thrush).
    • C) These patches are precancerous and should be followed up.
    • Feedback: CORRECT
    • During examination of the buccal mucosa, you observe a chalky white, raised patch with well-defined borders, and inform the patient that these patches are leukoplakia, and are precancerous and should be followed up.
  31. An individual has come into the clinic for a check-up. On examination, you note that the tonsils are visible. Which of the following is the correct way to grade these tonsils?
    A) 1+
    B) 2+
    C) 3+
    D) 4+
    • A) 1+ Feedback: CORRECT
    • Tonsils graded with a 1+ would be visible to the examiner.
  32. The loss of subcutaneous fat in older adults produces which of the following manifestations?
    A) A nose that appears more prominent
    B) A tongue that becomes atrophic
    C) Gums that recede
    D) Teeth that loosen in their sockets
    • A) A nose that appears more prominent
    • Feedback: CORRECT
    • The loss of subcutaneous fat in older adults produces a nose that appears more prominent.
  33. An enlarged tongue (macroglossia) may accompany which of the following conditions?
    A) Cleft palate
    B) Hairy tongue
    C) Down syndrome
    D) Fissured tongue
    • C) Down syndrome Feedback: CORRECT
    • An enlarged tongue (macroglossia) may accompany Down syndrome.

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