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WorksheetsHealth Assessment: Assessing Head and Neck
Total questions: 148
Worksheet time: 1hrs 22mins
All of the facial bones are immovable except for
mandible (jaw)
maxilla
lacrimal
nasal
What major artery is located between the eye, and the top of the ear?
femoral artery
temporal artery
radial artery
brachial artery
These glands are located on each side of the face, anterior and inferior to the ears and behind the mandible.
paratoid glands
parotid glands
submandibular glands
mandibular glands
These glands are located inferior to the mandible, underneath the base of the tongue.
paratoid glands
parotid glands
submandibular glands
mandibular glands
These are two of the paired muscles that allow movement and provide support to the head and neck. Select two answers.
sternomastoid (sternocleidomastoid)
trapezius muscles
anterior triangle
mandible
What muscle rotates and flexes the head?
sternomastoid muscle
trapezius muscle
temporalis muscle
frontalis muscle
This muscle extends the head and moves the shoulders.
sternomastoid muscle
trapezius muscle
temporalis muscle
frontalis muscle
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?
ninth cranial nerve
tenth cranial nerve
eleventh cranial nerve
twelfth cranial nerve
The anterior triangle is located under the where?
(a)
The posterior triangle is located between what and what?
(a)
The cervical vertebrae are located in the posterior neck and support the cranium, from what c's are they located?
C1 - C5
C1 - C6
C1 - C7
C1 - C8
The cranium houses and protects the brain and major sensory organs. It consists of eight bones, what are these bones?
Frontal (1)
Parietal (2)
Temporal (2)
Occipital (1)
Ethmoid (1)
Sphenoid (1)
Frontal (1)
Parietal (1)
Temporal (3)
Occipital (1)
Ethmoid (1)
Sphenoid (1)
Frontal (1)
Temporal (2)
Occipital (1)
Ethmoid (3)
Sphenoid (1)
Frontal (2)
Parietal (2)
Occipital (1)
Ethmoid (2)
Sphenoid (1)
Facial bones give shape to the face. How many bones does the face consist of?
(a)
What are the 14 bones of the face?
• Maxilla (2)
• Zygomatic (cheek) (2)
• Inferior conchae (2)
• Nasal (2)
• Lacrimal (2)
• Palatine (2)
• Vomer (1)
• Mandible (jaw) (1)
• Maxilla (2)
• Zygomatic (cheek) (2)
• Inferior conchae (2)
• Nasal (2)
• Lacrimal (2)
• Palatine (1)
• Vomer (2)
• Mandible (jaw) (1)
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.
This is the largest endocrine gland in the body.
thyroid gland
parathyroid gland
lymph gland
pituitary gland
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?
sternomastoid muscles
trapezius muscles
These filter lymph, and are located located throughout the body.
lymph nodes
lymph cells
lymphocytes
lymph filterers
This is a process wherein removes bacteria and tumor cells from lymph.
Cleansing
Cleaning
Filtering
Decontamination
Lymph nodes these as produce these as defense against invasion by foreign substances. Select two answers.
lymphocytes
antibodies
red blood cells (RBC)
leukocyte
Sizes of lymph nodes may vary but most are sized as what?
less than 1 cm long
less than .5 cm long
1 cm long
.5 cm long
Lymph nodes are located where?
buried deep in the connective tissue
near the bones and muscles
buried under muscles, and alongside joints
at nerve highways
Lymph nodes usually appear in clusters that vary in size from
4 - 100 nodes
3 - 100 nodes
2 - 100 nodes
1 - 100 nodes
True or False: Normally lymph nodes are either not palpable or they may feel like very small beads.
True
False
When lymph nodes become overwhelmed by microorganisms, what happens to them?
lymph nodes swell and form abrasions.
lymph nodes swell only.
lymph nodes become painful and secrete pus.
lymph nodes swell and become painful.
What are the most common head and neck lymph nodes?
Proauricular; Postauricular; Tonsillar; Occipital; Submandibular; Submental; Superficial cervical; Posterior cervical; Deep cervical; and Supraclavicular
Preauricular; Postauricular; Tonsillar; Occipital; Submandibular; Submental; Artificial cervical; Posterior cervical; Deep cervical; and Supraclavicular
Preauricular; Postauricular; Tonsillar; Occipital; Submandibular; Submental; Superficial cervical; Posterior cervical; Deep cervical; and Supraclavicular
Preauricular; Postauricular; Tonsillar; Occipital; Submandibular; Submental; Superficial cervical; Posterior cervical; Precervical; and Supraclavicular
The most common types of headaches are related to what? Select the correct answers.
vascular (e.g., migraine),
muscle contraction (tension)
retraction
inflammatory causes
Sudden head and neck pain seen with elevated temperature and neck stiffness may be a sign of what?
head trauma
meningeal inflammation
migraine
heat stroke
According to Moloney & Johnson (2011) ______ of women have migraine headaches provoked by hormone fluctuations.
15%
18%
21%
24%
What type of headaches is caused by fever or high blood pressure?
sinus headache
traction and inflammatory headaches
muscle contraction headaches
cluster headaches
What type of headaches is caused by tightening of facial and neck muscles?
sinus headache
traction and inflammatory headaches
muscle contraction headaches
cluster headaches
What type of headaches is are warning signs of other illnesses such as stroke, sinus or gum infections, and meningitis ?
sinus headache
traction and inflammatory headaches
muscle contraction headaches
cluster headaches
A sudden, severe headache with no known cause may be a sign of what?
head trauma
meningeal inflammation
migraine
stroke
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)
Lumps and lesions that do not heal or disappear may indicate what?
low platelet count
goiter
cancer
trauma
What may appear as a large swelling at the base of the neck that the client may notice when shaving or putting on cosmetics?
lymph node
Adam's apple
cancer
goiter
According to Mayo Clinic (2011) goiters may have the following symptoms. Select these symptoms.
tight
feeling in the throat
cough with phlegm
difficulty swallowing
hoarseness in the voice
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?
stroke
migraine
vertigo
seizure
This has been linked to the development of thyroid cancer.
stem cell transplant
immunotherapy
radiation therapy
chemotherapy
True or False: Radiation to the neck area may also cause thyroid strictures, leading to difficulty with swallowing.
True
False
The risk of hypothyroidism increases with increased doses of what?
radiation doses
chemo therapy doses
sodium doses
cultured antibodies
Migraine headaches commonly have a what kind of association?
familial association
sexual association
hormonal association
lifestyle association
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.
solvents
tobacco
alcoholic beverages
drugs
Symptoms of Head and neck cancer include the following. Select these symptoms.
a lump or sore that does not heal
a sore throat that does not go away
trouble swallowing
cough with phlegm
Uses of this substance is also a risk factor for head and neck cancers. Headaches can be precipitated by the use of this substance.
solvents
tobacco
alcoholic beverages
drugs
What are the symptoms and signs of early stages of hypothyroidism?
Increased sensitivity to cold; Constipation; Depression; Fatigue; Heavier menstrual periods; Pale, dry skin; Thin, brittle hair or nails; Weakness; and Unintentional weight gain
Increased sensitivity to heat; Constipation; Depression; Fatigue; Heavier menstrual periods; Pale, dry skin; Thin, brittle hair or nails; Weakness; and Unintentional weight gain
Increased sensitivity to cold; Constipation; Depression; Heavier menstrual periods; Pale, dry skin; Thin, brittle hair or nails; Weakness; and Unintentional weight gain
Increased sensitivity to cold; Diarrhea; Depression; Fatigue; Heavier menstrual periods; Pale, dry skin; Thin, brittle hair or nails; Weakness; and Unintentional weight gain
If hypothyroidism is not treated the client may develop later symptoms as follows.
Decreased taste and smell; Hoarseness; Puffy face, hands, and feet; Fast speech; Thickening of the skin; and thinning of eyebrows
Decreased taste and smell; Hoarseness; Puffy face, hands, and feet; Inability to speak; Thickening of the skin; and thinning of eyebrows
Decreased smell; Hoarseness; Puffy face, hands, and feet; Slow speech; Thickening of the skin; and thinning of eyebrows
Decreased taste and smell; Hoarseness; Puffy face, hands, and feet; Slow speech; Thickening of the skin; and thinning of eyebrows
Symptoms of hyperthyroidism include what?
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
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
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
What do you call an abnormally small head?
microcephaly
hydrocephaly
lilliputian
baby head
True or False: The skull and facial bones are larger and thicker in ptolemy.
True
False
Acorn-shaped, enlarged skull bones are seen in what disease of the bone.
Rhys' syndrome
Murk's disease
Paget's disease
Louis's disease
These types of disorders may cause a horizontal jerking movement in the head.
traumatic
neurologic
hormonal
genetic
An involuntary nodding movement may be seen in patients with what?
aortic insufficiency
micronutrient deficiency
past trauma (PTSD)
Down syndrome
Head tilted to one side may indicate what? Select more than one answer.
unilateral vision
hearing deficiency
micronutrient deficiency
shortening of the sternomastoid
muscle.
Lesions or lumps on the head may indicate what? Select more than one answer.
hormonal imbalance
trauma
drug abuse
cancer
Asymmetry in front of the earlobes occurs with parotid gland enlargement from what?
abscess or tumor
genetics
childhood trauma
lack of sodium
Unusual or asymmetric orofacial movements may be from what? Choose two answers.
organic disease
hormonal imbalance
drug abuse
neurologic problem
What are the ideal places to check facial features for symmetry? Choose more than one answer.
nasolabial folds
frontal region
palpebral
fissures
mandibular region
Exophthalmos is seen in what disease?
Hypothyroidism
Scleroderma
Bell's Palsy
Hyperthyroidism
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.
Hypothyroidism
Scleroderma
Bell's Palsy
Hyperthyroidism
What disease causes a tightened-hard face with thinning facial skin?
Hypothyroidism
Scleroderma
Bell's Palsy
Hyperthyroidism
What abnormalities causes a moon-shaped face with reddened cheeks and increased facial hair?
Acromegaly
Parkinson's Disease
Hypothyroidism
Cushing's Syndrome
What abnormality is characterized by enlargement of the facial features (nose, ears) and the hands and feet?
Acromegaly
Parkinson's Disease
Hypothyroidism
Cushing's Syndrome
In 100,000 adults, how many of them may have an occurrence of acromegaly?
Five (5)
Six (6)
Seven (7)
Eight (8)
Acromegaly is caused by increased production a hormone after the skeleton and other organs finish growing. What hormone is this?
thyroid hormone
testosterone
growth hormone
estrogen
Acromegaly is often due to a noncancerous (benign) tumor of the pituitary gland, and is also seen in what disease?
Paget's disease
Parkinson's disease
Cushing's syndrome
Walter's syndrome
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?
Parkinson’s disease
stroke
Bell's Palsy
nephrotic syndrome
Drooping, weakness, or paralysis on one side of the face may also result from what neurologic condition?
Parkinson’s disease
stroke
Bell's Palsy
nephrotic syndrome
A “mask-like” face marks what disease?
Parkinson’s disease
stroke
Bell's Palsy
nephrotic syndrome
A “sunken” face with depressed eyes and hollow cheeks is typical of what disease?
Parkinson’s disease
HIV or AIDS
cachexia (emaciation or wasting)
nephrotic syndrome
A pale, swollen face may result from what?
Parkinson’s disease
HIV or AIDS
cachexia
nephrotic syndrome
True or False: The temporal artery is elastic and not tender.
True
False
This type of headache occurs more in young males.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
This type of headache affects women more often than men.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
This type of headache occurs more often in women.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
This type of headache is associated with other symptoms of sinusitis, such as nasal drainage and congestion, fever, and foul-smelling breath.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
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?
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
The character of this headache is deep, constant, throbbing pain; pressure-like pain in one specific area of face or head.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
The character of this headache is a stabbing pain; that may be accompanied by tearing, eyelid drooping, reddened eye, or runny nose.
Sinus Headache
Cluster Headache
Tension Headache
Tumor-related heaache
The character of this headache is dull, tight, and diffuse.
Sinus Headache
Cluster Headache
Tension Headache
Tumor-related heaache
The character of this headache is typically aching, steady; neurologic and mental symptoms as well as nausea and vomiting may develop.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related heaache
The character of this headache is usually accompanied by nausea, vomiting, and sensitivity to noise or light.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related heaache
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.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related heaache
The onset/precipitating factors of this headache are that it has a sudden onset; that may be precipitated by ingesting alcohol.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
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.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
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).
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
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.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related Headache
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.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related Headache
The location of this headache may occur in one area of face or along eyebrow ridge and below the cheek bone.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
The location of this headache may be localized in the eye and orbit and radiating to the facial and temporal regions.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
The location of this headache may be located around the eyes, temples, cheeks, or forehead; may affect only one side of the face.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
The location of this headache may vary with the location of the tumor.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related Headache
The duration of this headache lasts until associated condition is improved.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related Headache
The duration of this headache typically occurs in the late evening or night.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
The location of this headache is usually located in the frontal, temporal, or occipital region.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related Headache
The duration of this headache typically lasts up to 3 days.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
The duration of this headache typically lasts days, months, or years.
Sinus Headache
Cluster Headache
Tension Headache
Migraine Headache
The duration of this headache usually occurs in the morning and lasts for several hours.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related Headache
The severity of this headache varies in intensity.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related Headache
The severity of this headache is aching.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related Headache
The severity of this headache is throbbing and severe.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related Headache
The severity of this headache may be moderately severe but not debilitating.
Sinus Headache
Migraine Headache
Tension Headache
Tumor-related Headache
The severity of this headache is intense.
Sinus Headache
Migraine Headache
Cluster Headache
Tumor-related Headache
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.
Sinus Headache
Migraine Headache
Cluster Headache
Tumor-related Headache
Movement or walking back and forth may relieve the discomfort of this headache.
Sinus Headache
Migraine Headache
Cluster Headache
Tumor-related Headache
Symptomatic relief may be obtained by local heat, massage, analgesics, antidepressants, and muscle relaxants for this headache.
Sinus Headache
Tension Headache
Cluster Headache
Tumor-related Headache
Rest may bring relief for this type of headache.
Sinus Headache
Migraine Headache
Cluster Headache
Tumor-related Headache
This headache usually subsides later in the day.
Sinus Headache
Migraine Headache
Cluster Headache
Tumor-related Headache
What does TMJ stand for?
(a)
True or False: The strength of the pulsation of the temporal artery may be decreased in the younger client.
True
False
Limited range of motion, swelling, tenderness, or crepitation may indicate what?
TMJ syndrome
migraine
tumor
stroke
Mouth opens and closes fully for how many centimeters between the upper and lower teeth.
(a)
The lower jaw moves laterally for (a) in each direction.
When assessing TMJ syndrome, be sure to explore the client’s history of
what?
(a)
While palpating the lymph nodes, note the following.
Size and shape; Delimitation; Mobility; Consistency; Tenderness and location
Size; Delimitation; Mobility; Consistency; Tenderness and location
Size and shape; Limitation; Mobility; Consistency; Tenderness and location
Size and shape; Delimitation; Mobility; Consistency and Coherence; Tenderness and location
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.
Size and Shape
Delimitation
Mobility
Consistency
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?
lymphadenopathy
regional lymphadenopathy
generalized lymphadenopathy
If one or two lymphatic groups enlarge, the client is said to have what?
lymphadenopathy
regional lymphadenopathy
generalized lymphadenopathy
Enlargement of three or more groups of lymphatic groups, the client is said to have what?
lymphadenopathy
regional lymphadenopathy
generalized lymphadenopathy
Generalized lymphadenopathy that persists for more than 3 months may be a sign of what?
lymphoma
HIV
cancer
Normally lymph node the lymph node’s position or boundary is discrete.
Size and Shape
Delimitation
Mobility
Consistency
Typical lymph nodes are mobile both from side to side and up and down.
Size and Shape
Delimitation
Mobility
Consistency
Somewhat more fibrotic and fatty in older clients, the normal lymph node is soft, whereas the abnormal node is hard and firm.
Size and Shape
Delimitation
Mobility
Consistency
Normally lymph nodes are not sore or tender.
Tenderness and Location
Delimitation
Mobility
Consistency
Tender, enlarged nodes suggest what?
acute infections
cancer
lymphoma
Lymph nodes enlarge and become fixed in place in what diseases?
lymphadenopathy
metastatic disease
goiter
Swelling, enlarged masses—or nodules—may indicate what? Select more than one answer.
enlarged thyroid gland
inflammation of lymph nodes
tumor
goiter
True or False: Asymmetric movement or generalized enlargement of the thyroid gland is considered normal.
True
False
True or False: The thyroid cartilage, cricoid cartilage moves upward symmetrically as the client swallows.
True
False
An enlarged, hard, nontender node, particularly on the left side, may indicate what?
dislodged lymph node
metastasis from a malignancy in the abdomen or thorax
What C (vertebrae prominens) is usually visible and palpable?
C4
C5
C6
C7
True or False: Prominence or swellings other than the C7 vertebrae may be abnormal.
True
False
In older clients, cervical curvature may increase because of what?
kyphosis of the
spine
arthritis of the spine
osteoporosis of the spine
Fat may accumulate around the cervical vertebrae (especially in women) this is called what?
Nostradamme's hump
Camel's hump
Dowager’s hump
Normally neck movement should be smooth and controlled with what?
35-degree flexion,
55-degree extension, 40-degree lateral
abduction, and 70-degree rotation
45-degree flexion,
55-degree extension, 40-degree lateral
abduction, and 70-degree rotation
45-degree flexion,
65-degree extension, 40-degree lateral
abduction, and 70-degree rotation
40-degree flexion,
55-degree extension, 30-degree lateral
abduction, and 60-degree rotation
Older clients usually have somewhat decreased flexion, extension, lateral bending, and rotation of the neck caused by what?
kyphosis
arthritis
osteoporosis
A stiff neck is often a late symptom seen in what?
neck cancer
meningitis
Parkinson's disease
osteoporosis
What bone is an arch-shaped bone that does not articulate directly with any other bone located high in anterior neck?
hyoid bone
parotid bone
thyroid cartilage
cricoid cartilage
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".
hyoid bone
parotid bone
thyroid cartilage
cricoid cartilage
This is located at the smaller upper tracheal ring under the thyroid cartilage.
hyoid bone
parotid bone
thyroid cartilage
cricoid cartilage
The thyroid gland is usually not palpable unless.
The client is extremely thin with a long neck.
The client is thin with an wide neck.
The client has a wide neck area.
The client is tall.
The thyroid gland may be palpated in cases of diffuse enlargement. From what following cases can this be done? Choose more than one answer.
hyperthyroidism
hypothyroidism
endemic goiter
Grave's disease
A rapid enlargement of a single nodule suggests a (a) .
True or False: Lobes should feel smooth, rubbery, and free of nodules.
True
False
Coarse tissue or irregular consistency may indicate an?
hyperthyroidism
inflammatory processes
goiters
chronic neck pain
An enlarged, tender gland may result from what?
thyroiditis
hypothyroidism
hyperthyroidism
The trachea may be pulled to the affected side in cases of what? Choose more than one answer.
large atelectasis
fibrosis
pleural adhesions
tumor
The trachea is pushed to the unaffected side in cases of what? Choose more than one answer.
tumor
enlarged thyroid lobe
pneumothorax
aortic aneurysm
