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Health Assessment: Assessing Head and Neck

Total questions: 148

Worksheet time: 1hrs 22mins

Name
Class
Date
1.

All of the facial bones are immovable except for

a)

mandible (jaw)

b)

maxilla

c)

lacrimal

d)

nasal

2.

What major artery is located between the eye, and the top of the ear?

a)

femoral artery

b)

temporal artery

c)

radial artery

d)

brachial artery

3.

These glands are located on each side of the face, anterior and inferior to the ears and behind the mandible.

a)

paratoid glands

b)

parotid glands

c)

submandibular glands

d)

mandibular glands

4.

These glands are located inferior to the mandible, underneath the base of the tongue.

a)

paratoid glands

b)

parotid glands

c)

submandibular glands

d)

mandibular glands

5.

These are two of the paired muscles that allow movement and provide support to the head and neck. Select two answers.

a)

sternomastoid (sternocleidomastoid)

b)

trapezius muscles

c)

anterior triangle

d)

mandible

6.

What muscle rotates and flexes the head?

a)

sternomastoid muscle

b)

trapezius muscle

c)

temporalis muscle

d)

frontalis muscle

7.

This muscle extends the head and moves the shoulders.

a)

sternomastoid muscle

b)

trapezius muscle

c)

temporalis muscle

d)

frontalis muscle

8.

What nerve is responsible for muscle movement that permits shrugging of the shoulders by the trapezius muscles and turning the head against resistance by the sternomastoid muscles?

a)

ninth cranial nerve

b)

tenth cranial nerve

c)

eleventh cranial nerve

d)

twelfth cranial nerve

9.

The anterior triangle is located under the where?

(a)  

10.

The posterior triangle is located between what and what?

(a)  

11.

The cervical vertebrae are located in the posterior neck and support the cranium, from what c's are they located?

a)

C1 - C5

b)

C1 - C6

c)

C1 - C7

d)

C1 - C8

12.

The cranium houses and protects the brain and major sensory organs. It consists of eight bones, what are these bones?

a)

Frontal (1)

Parietal (2)

Temporal (2)

Occipital (1)

Ethmoid (1)

Sphenoid (1)

b)

Frontal (1)

Parietal (1)

Temporal (3)

Occipital (1)

Ethmoid (1)

Sphenoid (1)

c)

Frontal (1)

Temporal (2)

Occipital (1)

Ethmoid (3)

Sphenoid (1)

d)

Frontal (2)

Parietal (2)

Occipital (1)

Ethmoid (2)

Sphenoid (1)

13.

Facial bones give shape to the face. How many bones does the face consist of?

(a)  

14.

What are the 14 bones of the face?

a)

• Maxilla (2)

• Zygomatic (cheek) (2)

• Inferior conchae (2)

• Nasal (2)

• Lacrimal (2)

• Palatine (2)

• Vomer (1)

• Mandible (jaw) (1)

b)

• Maxilla (2)

• Zygomatic (cheek) (2)

• Inferior conchae (2)

• Nasal (2)

• Lacrimal (2)

• Palatine (1)

• Vomer (2)

• Mandible (jaw) (1)

15.

It is important to avoid (a)   compressing the carotid arteries when assessing the neck, as bilateral compression can reduce the blood supply to the brain.

16.

This is the largest endocrine gland in the body.

a)

thyroid gland

b)

parathyroid gland

c)

lymph gland

d)

pituitary gland

17.

The thyroid gland consists of two lateral lobes that curve posteriorly on both sides of the trachea and esophagus and are mostly covered by what kind of muscles?

a)

sternomastoid muscles

b)

trapezius muscles

18.

These filter lymph, and are located located throughout the body.

a)

lymph nodes

b)

lymph cells

c)

lymphocytes

d)

lymph filterers

19.

This is a process wherein removes bacteria and tumor cells from lymph.

a)

Cleansing

b)

Cleaning

c)

Filtering

d)

Decontamination

20.

Lymph nodes these as produce these as defense against invasion by foreign substances. Select two answers.

a)

lymphocytes

b)

antibodies

c)

red blood cells (RBC)

d)

leukocyte

21.

Sizes of lymph nodes may vary but most are sized as what?

a)

less than 1 cm long

b)

less than .5 cm long

c)

1 cm long

d)

.5 cm long

22.

Lymph nodes are located where?

a)

buried deep in the connective tissue

b)

near the bones and muscles

c)

buried under muscles, and alongside joints

d)

at nerve highways

23.

Lymph nodes usually appear in clusters that vary in size from

a)

4 - 100 nodes

b)

3 - 100 nodes

c)

2 - 100 nodes

d)

1 - 100 nodes

24.

True or False: Normally lymph nodes are either not palpable or they may feel like very small beads.

a)

True

b)

False

25.

When lymph nodes become overwhelmed by microorganisms, what happens to them?

a)

lymph nodes swell and form abrasions.

b)

lymph nodes swell only.

c)

lymph nodes become painful and secrete pus.

d)

lymph nodes swell and become painful.

26.

What are the most common head and neck lymph nodes?

a)

Proauricular; Postauricular; Tonsillar; Occipital; Submandibular; Submental; Superficial cervical; Posterior cervical; Deep cervical; and Supraclavicular

b)

Preauricular; Postauricular; Tonsillar; Occipital; Submandibular; Submental; Artificial cervical; Posterior cervical; Deep cervical; and Supraclavicular

c)

Preauricular; Postauricular; Tonsillar; Occipital; Submandibular; Submental; Superficial cervical; Posterior cervical; Deep cervical; and Supraclavicular

d)

Preauricular; Postauricular; Tonsillar; Occipital; Submandibular; Submental; Superficial cervical; Posterior cervical; Precervical; and Supraclavicular

27.

The most common types of headaches are related to what? Select the correct answers.

a)

vascular (e.g., migraine),

b)

muscle contraction (tension)

c)

retraction

d)

inflammatory causes

28.

Sudden head and neck pain seen with elevated temperature and neck stiffness may be a sign of what?

a)

head trauma

b)

meningeal inflammation

c)

migraine

d)

heat stroke

29.

According to Moloney & Johnson (2011) ______ of women have migraine headaches provoked by hormone fluctuations.

a)

15%

b)

18%

c)

21%

d)

24%

30.

What type of headaches is caused by fever or high blood pressure?

a)

sinus headache

b)

traction and inflammatory headaches

c)

muscle contraction headaches

d)

cluster headaches

31.

What type of headaches is caused by tightening of facial and neck muscles?

a)

sinus headache

b)

traction and inflammatory headaches

c)

muscle contraction headaches

d)

cluster headaches

32.

What type of headaches is are warning signs of other illnesses such as stroke, sinus or gum infections, and meningitis ?

a)

sinus headache

b)

traction and inflammatory headaches

c)

muscle contraction headaches

d)

cluster headaches

33.

A sudden, severe headache with no known cause may be a sign of what?

a)

head trauma

b)

meningeal inflammation

c)

migraine

d)

stroke

34.

What is manifested by sharp, shooting, piercing facial pains that occur over the divisions of the fifth trigeminal cranial nerve that last from seconds to minutes.

(a)  

35.

Lumps and lesions that do not heal or disappear may indicate what?

a)

low platelet count

b)

goiter

c)

cancer

d)

trauma

36.

What may appear as a large swelling at the base of the neck that the client may notice when shaving or putting on cosmetics?

a)

lymph node

b)

Adam's apple

c)

cancer

d)

goiter

37.

According to Mayo Clinic (2011) goiters may have the following symptoms. Select these symptoms.

a)

tight

feeling in the throat

b)

cough with phlegm

c)

difficulty swallowing

d)

hoarseness in the voice

38.

Sudden trouble seeing in one or both eyes or sudden trouble walking, dizziness, or loss of balance or coordination may be a sign of what?

a)

stroke

b)

migraine

c)

vertigo

d)

seizure

39.

This has been linked to the development of thyroid cancer.

a)

stem cell transplant

b)

immunotherapy

c)

radiation therapy

d)

chemotherapy

40.

True or False: Radiation to the neck area may also cause thyroid strictures, leading to difficulty with swallowing.

a)

True

b)

False

41.

The risk of hypothyroidism increases with increased doses of what?

a)

radiation doses

b)

chemo therapy doses

c)

sodium doses

d)

cultured antibodies

42.

Migraine headaches commonly have a what kind of association?

a)

familial association

b)

sexual association

c)

hormonal association

d)

lifestyle association

43.

Use of this substance increases the risk of head and neck cancer. Eighty-five percent of head and neck cancers are from this substance use.

a)

solvents

b)

tobacco

c)

alcoholic beverages

d)

drugs

44.

Symptoms of Head and neck cancer include the following. Select these symptoms.

a)

a lump or sore that does not heal

b)

a sore throat that does not go away

c)

trouble swallowing

d)

cough with phlegm

45.

Uses of this substance is also a risk factor for head and neck cancers. Headaches can be precipitated by the use of this substance.

a)

solvents

b)

tobacco

c)

alcoholic beverages

d)

drugs

46.

What are the symptoms and signs of early stages of hypothyroidism?

a)

Increased sensitivity to cold; Constipation; Depression; Fatigue; Heavier menstrual periods; Pale, dry skin; Thin, brittle hair or nails; Weakness; and Unintentional weight gain

b)

Increased sensitivity to heat; Constipation; Depression; Fatigue; Heavier menstrual periods; Pale, dry skin; Thin, brittle hair or nails; Weakness; and Unintentional weight gain

c)

Increased sensitivity to cold; Constipation; Depression; Heavier menstrual periods; Pale, dry skin; Thin, brittle hair or nails; Weakness; and Unintentional weight gain

d)

Increased sensitivity to cold; Diarrhea; Depression; Fatigue; Heavier menstrual periods; Pale, dry skin; Thin, brittle hair or nails; Weakness; and Unintentional weight gain

47.

If hypothyroidism is not treated the client may develop later symptoms as follows.

a)

Decreased taste and smell; Hoarseness; Puffy face, hands, and feet; Fast speech; Thickening of the skin; and thinning of eyebrows

b)

Decreased taste and smell; Hoarseness; Puffy face, hands, and feet; Inability to speak; Thickening of the skin; and thinning of eyebrows

c)

Decreased smell; Hoarseness; Puffy face, hands, and feet; Slow speech; Thickening of the skin; and thinning of eyebrows

d)

Decreased taste and smell; Hoarseness; Puffy face, hands, and feet; Slow speech; Thickening of the skin; and thinning of eyebrows

48.

Symptoms of hyperthyroidism include what?

a)

Sudden weight loss, without changes in appetite and diet; Increased appetite; Rapid heartbeat (tachycardia)

irregular heartbeat (arrhythmia), or palpitations; Nervousness, anxiety, and irritability; Tremor in the hands and fingers; Sweating; Changes in menstrual patterns; Increased sensitivity to heat; Changes in bowel patterns, more frequent bowel movements; Enlarged thyroid gland (goiter); Fatigue, insomnia; and Muscle weakness

b)

Decreased appetite; Rapid heartbeat (tachycardia)

irregular heartbeat (arrhythmia), or palpitations; Nervousness, anxiety, and irritability; Tremor in the hands and fingers; Sweating; Changes in menstrual patterns; Increased sensitivity to heat; Changes in bowel patterns, more frequent bowel movements; Enlarged thyroid gland (goiter); Fatigue, insomnia; and Muscle weakness

c)

Sudden weight loss, without changes in appetite and diet; Increased appetite; Rapid heartbeat (tachycardia)

irregular heartbeat (arrhythmia), or palpitations; Nervousness, anxiety, and irritability; Tremor in the hands and fingers; Sweating; Changes in menstrual patterns; Increased sensitivity to cold; Changes in bowel patterns, more frequent bowel movements; Enlarged thyroid gland (goiter); Fatigue, insomnia; and Muscle weakness

49.

What do you call an abnormally small head?

a)

microcephaly

b)

hydrocephaly

c)

lilliputian

d)

baby head

50.

True or False: The skull and facial bones are larger and thicker in ptolemy.

a)

True

b)

False

51.

Acorn-shaped, enlarged skull bones are seen in what disease of the bone.

a)

Rhys' syndrome

b)

Murk's disease

c)

Paget's disease

d)

Louis's disease

52.

These types of disorders may cause a horizontal jerking movement in the head.

a)

traumatic

b)

neurologic

c)

hormonal

d)

genetic

53.

An involuntary nodding movement may be seen in patients with what?

a)

aortic insufficiency

b)

micronutrient deficiency

c)

past trauma (PTSD)

d)

Down syndrome

54.

Head tilted to one side may indicate what? Select more than one answer.

a)

unilateral vision

b)

hearing deficiency

c)

micronutrient deficiency

d)

shortening of the sternomastoid

muscle.

55.

Lesions or lumps on the head may indicate what? Select more than one answer.

a)

hormonal imbalance

b)

trauma

c)

drug abuse

d)

cancer

56.

Asymmetry in front of the earlobes occurs with parotid gland enlargement from what?

a)

abscess or tumor

b)

genetics

c)

childhood trauma

d)

lack of sodium

57.

Unusual or asymmetric orofacial movements may be from what? Choose two answers.

a)

organic disease

b)

hormonal imbalance

c)

drug abuse

d)

neurologic problem

58.

What are the ideal places to check facial features for symmetry? Choose more than one answer.

a)

nasolabial folds

b)

frontal region

c)

palpebral

fissures

d)

mandibular region

59.

Exophthalmos is seen in what disease?

a)

Hypothyroidism

b)

Scleroderma

c)

Bell's Palsy

d)

Hyperthyroidism

60.

What disease usually begins suddenly and reaches a peak within 48 hours. Which includes symptoms of: twitching, weakness, paralysis, drooping eyelid or corner of the mouth, drooling, dry eye, dry mouth, decreased ability to taste, eye tearing, facial distortion.

a)

Hypothyroidism

b)

Scleroderma

c)

Bell's Palsy

d)

Hyperthyroidism

61.

What disease causes a tightened-hard face with thinning facial skin?

a)

Hypothyroidism

b)

Scleroderma

c)

Bell's Palsy

d)

Hyperthyroidism

62.

What abnormalities causes a moon-shaped face with reddened cheeks and increased facial hair?

a)

Acromegaly

b)

Parkinson's Disease

c)

Hypothyroidism

d)

Cushing's Syndrome

63.

What abnormality is characterized by enlargement of the facial features (nose, ears) and the hands and feet?

a)

Acromegaly

b)

Parkinson's Disease

c)

Hypothyroidism

d)

Cushing's Syndrome

64.

In 100,000 adults, how many of them may have an occurrence of acromegaly?

a)

Five (5)

b)

Six (6)

c)

Seven (7)

d)

Eight (8)

65.

Acromegaly is caused by increased production a hormone after the skeleton and other organs finish growing. What hormone is this?

a)

thyroid hormone

b)

testosterone

c)

growth hormone

d)

estrogen

66.

Acromegaly is often due to a noncancerous (benign) tumor of the pituitary gland, and is also seen in what disease?

a)

Paget's disease

b)

Parkinson's disease

c)

Cushing's syndrome

d)

Walter's syndrome

67.

Drooping, weakness, or paralysis on one side of the face. This is usually caused by a cerebrovascular accident (CVA) seen with paralysis or weakness of other parts on that side of the body may result from what?

a)

Parkinson’s disease

b)

stroke

c)

Bell's Palsy

d)

nephrotic syndrome

68.

Drooping, weakness, or paralysis on one side of the face may also result from what neurologic condition?

a)

Parkinson’s disease

b)

stroke

c)

Bell's Palsy

d)

nephrotic syndrome

69.

A “mask-like” face marks what disease?

a)

Parkinson’s disease

b)

stroke

c)

Bell's Palsy

d)

nephrotic syndrome

70.

A “sunken” face with depressed eyes and hollow cheeks is typical of what disease?

a)

Parkinson’s disease

b)

HIV or AIDS

c)

cachexia (emaciation or wasting)

d)

nephrotic syndrome

71.

A pale, swollen face may result from what?

a)

Parkinson’s disease

b)

HIV or AIDS

c)

cachexia

d)

nephrotic syndrome

72.

True or False: The temporal artery is elastic and not tender.

a)

True

b)

False

73.

This type of headache occurs more in young males.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

74.

This type of headache affects women more often than men.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

75.

This type of headache occurs more often in women.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

76.

This type of headache is associated with other symptoms of sinusitis, such as nasal drainage and congestion, fever, and foul-smelling breath.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

77.

This type of headache also has forehead and facial pressure over the sinuses, nasal congestion and runny nose. In the absence of fever, pus from your nose, alteration in smell or foul smelling breath, what headache are you having?

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

78.

The character of this headache is deep, constant, throbbing pain; pressure-like pain in one specific area of face or head.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

79.

The character of this headache is a stabbing pain; that may be accompanied by tearing, eyelid drooping, reddened eye, or runny nose.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Tumor-related heaache

80.

The character of this headache is dull, tight, and diffuse.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Tumor-related heaache

81.

The character of this headache is typically aching, steady; neurologic and mental symptoms as well as nausea and vomiting may develop.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related heaache

82.

The character of this headache is usually accompanied by nausea, vomiting, and sensitivity to noise or light.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related heaache

83.

The onset/precipitating factors of this headache are that it occurs with or after a cold or acute sinusitis or acute febrile illness with purulent discharge from nose.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related heaache

84.

The onset/precipitating factors of this headache are that it has a sudden onset; that may be precipitated by ingesting alcohol.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

85.

The onset/precipitating factors of this headache are that may be precipitated by emotional disturbances, anxiety, or ingestion of alcohol, or other foods and substances to which client is sensitive.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

86.

The onset/precipitating factors of this headache are that it may have prodromal stage (visual disturbances, vertigo, tinnitus, numbness or tingling of fingers or toes).

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

87.

The onset/precipitating factors of this headache are that it doesn't have a prodromal stage, and may be aggravated by coughing, sneezing, or sudden movements of the head.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related Headache

88.

The onset/precipitating factors of this headache are that it doesn't have a prodromal stage, and may may occur with stress, anxiety, or depression.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related Headache

89.

The location of this headache may occur in one area of face or along eyebrow ridge and below the cheek bone.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

90.

The location of this headache may be localized in the eye and orbit and radiating to the facial and temporal regions.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

91.

The location of this headache may be located around the eyes, temples, cheeks, or forehead; may affect only one side of the face.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

92.

The location of this headache may vary with the location of the tumor.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related Headache

93.

The duration of this headache lasts until associated condition is improved.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related Headache

94.

The duration of this headache typically occurs in the late evening or night.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

95.

The location of this headache is usually located in the frontal, temporal, or occipital region.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related Headache

96.

The duration of this headache typically lasts up to 3 days.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

97.

The duration of this headache typically lasts days, months, or years.

a)

Sinus Headache

b)

Cluster Headache

c)

Tension Headache

d)

Migraine Headache

98.

The duration of this headache usually occurs in the morning and lasts for several hours.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related Headache

99.

The severity of this headache varies in intensity.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related Headache

100.

The severity of this headache is aching.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related Headache

101.

The severity of this headache is throbbing and severe.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related Headache

102.

The severity of this headache may be moderately severe but not debilitating.

a)

Sinus Headache

b)

Migraine Headache

c)

Tension Headache

d)

Tumor-related Headache

103.

The severity of this headache is intense.

a)

Sinus Headache

b)

Migraine Headache

c)

Cluster Headache

d)

Tumor-related Headache

104.

The pattern of this headache is pain worse with sudden movements of the head, like bending forward, lying down; in the morning due to mucus draining in the night or with sudden temperature changes.

a)

Sinus Headache

b)

Migraine Headache

c)

Cluster Headache

d)

Tumor-related Headache

105.

Movement or walking back and forth may relieve the discomfort of this headache.

a)

Sinus Headache

b)

Migraine Headache

c)

Cluster Headache

d)

Tumor-related Headache

106.

Symptomatic relief may be obtained by local heat, massage, analgesics, antidepressants, and muscle relaxants for this headache.

a)

Sinus Headache

b)

Tension Headache

c)

Cluster Headache

d)

Tumor-related Headache

107.

Rest may bring relief for this type of headache.

a)

Sinus Headache

b)

Migraine Headache

c)

Cluster Headache

d)

Tumor-related Headache

108.

This headache usually subsides later in the day.

a)

Sinus Headache

b)

Migraine Headache

c)

Cluster Headache

d)

Tumor-related Headache

109.

What does TMJ stand for?

(a)  

110.

True or False: The strength of the pulsation of the temporal artery may be decreased in the younger client.

a)

True

b)

False

111.

Limited range of motion, swelling, tenderness, or crepitation may indicate what?

a)

TMJ syndrome

b)

migraine

c)

tumor

d)

stroke

112.

Mouth opens and closes fully for how many centimeters between the upper and lower teeth.

(a)  

113.

The lower jaw moves laterally for (a)   in each direction.

114.

When assessing TMJ syndrome, be sure to explore the client’s history of

what?

(a)  

115.

While palpating the lymph nodes, note the following.

a)

Size and shape; Delimitation; Mobility; Consistency; Tenderness and location

b)

Size; Delimitation; Mobility; Consistency; Tenderness and location

c)

Size and shape; Limitation; Mobility; Consistency; Tenderness and location

d)

Size and shape; Delimitation; Mobility; Consistency and Coherence; Tenderness and location

116.

Normally lymph nodes, which are round and smaller than 1 cm, are not palpable. In older clients especially, the lymph nodes become fibrotic, fatty, and smaller because of a loss of lymphoid elements related to aging.

a)

Size and Shape

b)

Delimitation

c)

Mobility

d)

Consistency

117.

When lymph node enlargement exceeds 1 cm, which is caused by acute or chronic infection, an autoimmune disorder, or metastatic disease the client is said to have what?

a)

lymphadenopathy

b)

regional lymphadenopathy

c)

generalized lymphadenopathy

118.

If one or two lymphatic groups enlarge, the client is said to have what?

a)

lymphadenopathy

b)

regional lymphadenopathy

c)

generalized lymphadenopathy

119.

Enlargement of three or more groups of lymphatic groups, the client is said to have what?

a)

lymphadenopathy

b)

regional lymphadenopathy

c)

generalized lymphadenopathy

120.

Generalized lymphadenopathy that persists for more than 3 months may be a sign of what?

a)

lymphoma

b)

HIV

c)

cancer

121.

Normally lymph node the lymph node’s position or boundary is discrete.

a)

Size and Shape

b)

Delimitation

c)

Mobility

d)

Consistency

122.

Typical lymph nodes are mobile both from side to side and up and down.

a)

Size and Shape

b)

Delimitation

c)

Mobility

d)

Consistency

123.

Somewhat more fibrotic and fatty in older clients, the normal lymph node is soft, whereas the abnormal node is hard and firm.

a)

Size and Shape

b)

Delimitation

c)

Mobility

d)

Consistency

124.

Normally lymph nodes are not sore or tender.

a)

Tenderness and Location

b)

Delimitation

c)

Mobility

d)

Consistency

125.

Tender, enlarged nodes suggest what?

a)

acute infections

b)

cancer

c)

lymphoma

126.

Lymph nodes enlarge and become fixed in place in what diseases?

a)

lymphadenopathy

b)

metastatic disease

c)

goiter

127.

Swelling, enlarged masses—or nodules—may indicate what? Select more than one answer.

a)

enlarged thyroid gland

b)

inflammation of lymph nodes

c)

tumor

d)

goiter

128.

True or False: Asymmetric movement or generalized enlargement of the thyroid gland is considered normal.

a)

True

b)

False

129.

True or False: The thyroid cartilage, cricoid cartilage moves upward symmetrically as the client swallows.

a)

True

b)

False

130.

An enlarged, hard, nontender node, particularly on the left side, may indicate what?

a)

dislodged lymph node

b)

metastasis from a malignancy in the abdomen or thorax

131.

What C (vertebrae prominens) is usually visible and palpable?

a)

C4

b)

C5

c)

C6

d)

C7

132.

True or False: Prominence or swellings other than the C7 vertebrae may be abnormal.

a)

True

b)

False

133.

In older clients, cervical curvature may increase because of what?

a)

kyphosis of the

spine

b)

arthritis of the spine

c)

osteoporosis of the spine

134.

Fat may accumulate around the cervical vertebrae (especially in women) this is called what?

a)

Nostradamme's hump

b)

Camel's hump

c)

Dowager’s hump

135.

Normally neck movement should be smooth and controlled with what?

a)

35-degree flexion,

55-degree extension, 40-degree lateral

abduction, and 70-degree rotation

b)

45-degree flexion,

55-degree extension, 40-degree lateral

abduction, and 70-degree rotation

c)

45-degree flexion,

65-degree extension, 40-degree lateral

abduction, and 70-degree rotation

d)

40-degree flexion,

55-degree extension, 30-degree lateral

abduction, and 60-degree rotation

136.

Older clients usually have somewhat decreased flexion, extension, lateral bending, and rotation of the neck caused by what?

a)

kyphosis

b)

arthritis

c)

osteoporosis

137.

A stiff neck is often a late symptom seen in what?

a)

neck cancer

b)

meningitis

c)

Parkinson's disease

d)

osteoporosis

138.

What bone is an arch-shaped bone that does not articulate directly with any other bone located high in anterior neck?

a)

hyoid bone

b)

parotid bone

c)

thyroid cartilage

d)

cricoid cartilage

139.

It is located under the hyoid bone; the area that widens at the top of the trachea, this is also known as the "Adam's Apple".

a)

hyoid bone

b)

parotid bone

c)

thyroid cartilage

d)

cricoid cartilage

140.

This is located at the smaller upper tracheal ring under the thyroid cartilage.

a)

hyoid bone

b)

parotid bone

c)

thyroid cartilage

d)

cricoid cartilage

141.

The thyroid gland is usually not palpable unless.

a)

The client is extremely thin with a long neck.

b)

The client is thin with an wide neck.

c)

The client has a wide neck area.

d)

The client is tall.

142.

The thyroid gland may be palpated in cases of diffuse enlargement. From what following cases can this be done? Choose more than one answer.

a)

hyperthyroidism

b)

hypothyroidism

c)

endemic goiter

d)

Grave's disease

143.

A rapid enlargement of a single nodule suggests a (a)   .

144.

True or False: Lobes should feel smooth, rubbery, and free of nodules.

a)

True

b)

False

145.

Coarse tissue or irregular consistency may indicate an?

a)

hyperthyroidism

b)

inflammatory processes

c)

goiters

d)

chronic neck pain

146.

An enlarged, tender gland may result from what?

a)

thyroiditis

b)

hypothyroidism

c)

hyperthyroidism

147.

The trachea may be pulled to the affected side in cases of what? Choose more than one answer.

a)

large atelectasis

b)

fibrosis

c)

pleural adhesions

d)

tumor

148.

The trachea is pushed to the unaffected side in cases of what? Choose more than one answer.

a)

tumor

b)

enlarged thyroid lobe

c)

pneumothorax

d)

aortic aneurysm