Head And Neck

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Question 1

Free

Multiple Choice

Which cranial nerves innervate the face?

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II and V

III and VI

V and VII

VIII and IX

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Question 2

Free

Multiple Choice

Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence?

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Coronal sutures

Hyoid and cricoid cartilages

Mandible and maxilla bones

Nose and thyroid cartilages

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Question 3

Free

Multiple Choice

Which of the following is an expected change in the assessment of the thyroid during pregnancy?

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Palpation of the gland becomes difficult.

A bruit is auscultated.

Inspection reveals a goiter.

The gland is tender on palpation.

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Question 4

Free

Multiple Choice

Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you noted a bruit heard over the thyroid. This is suggestive of:

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hypothyroidism.

hyperthyroidism.

thyroid cancer.

thyroid cyst.

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Question 5

Free

Multiple Choice

Ms. Galvan is a 22-year-old secretary who comes to the clinic with headaches of 6 weeks' duration. She tells the office assistant about her heavy schedule, including part-time work and evening classes. Her vital signs are normal. Which information is most appropriate to Ms. Galvan's history?

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Current medications

Elimination patterns

Immunization status

Previous pregnancies

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Question 6

Multiple Choice

Observation during history taking is the best way to examine for:

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head position.

scalp lice.

thyroid size.

tracheal alignment.

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Question 7

Multiple Choice

During a head and neck assessment of a neonate, it is important to screen for:

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the presence of torticollis.

signs and symptoms of cerebral palsy.

uneven movement of the eyes.

unilateral movement of the tongue.

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Question 8

Multiple Choice

During a physical examination of a 30-year-old Chinese man, you notice a slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to:

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ask the patient if this characteristic runs in his family.

perform monofilament testing on the face.

consult with the clinician regarding the laboratory tests needed.

record the finding in the patient's chart.

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Question 9

Multiple Choice

Which is the best way to position a patient's neck for palpation of the thyroid?

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Flexed away from the side being examined

Flexed directly forward

Flexed toward the side being examined

Hyperextended directly backward

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Question 10

Multiple Choice

The thyroid gland should:

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be slightly left of midline.

have a clear vascular sound.

move when the patient swallows.

tug with each heartbeat.

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Question 11

Multiple Choice

You are palpating a patient's thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data would indicate:

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a congenital anomaly.

a multinodular goiter.

a normal thyroid gland.

thyroiditis.

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Question 12

Multiple Choice

The correct way to transilluminate an infant's skull is to:

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hold the light 18 inches from the skull.

move the light toward and then away from the head.

place the light firmly against the skull.

shine the light inside the infant's mouth.

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Question 13

Multiple Choice

Which of the following is true regarding a cephalohematoma?

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It is bound by suture lines.

The affected part feels soft.

It is obvious at birth.

The margins are poorly defined.

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Question 14

Multiple Choice

Nuchal rigidity is most commonly associated with:

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thyroiditis.

meningeal irritation.

Down syndrome.

cranial nerve V damage.

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Question 15

Multiple Choice

When noting a bulging fontanel with marked pulsations in a 6-month-old, you suspect:

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normal development.

congenital anomaly.

increased intracranial pressure.

fever response to a viral infection.

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Question 16

Multiple Choice

Which type of headache usually occurs at night, is precipitated by alcohol consumption, and occurs more often in men than in women?

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Classic migraine

Temporal arteritis

Cluster

Hypertensive

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Question 17

Multiple Choice

Mr. Johnson presents with a freely movable cystic mass in the midline of the high neck region, at the base of the tongue. This is most likely a:

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parotid gland tumor.

branchial cleft cyst.

Stensen duct stone.

thyroglossal duct cyst.

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Question 18

Multiple Choice

The premature union of cranial sutures that involves the shape of the head without mental retardation is:

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craniosynostosis.

encephalocele.

microcephaly.

myxedema.

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Question 19

Multiple Choice

Mr. Donaldson is a 64-year-old patient with complaints of headaches. As the examiner, you are palpating his head during your physical examination. Which of the following would be your first step?

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Palpate the patient's hair, noting texture, color, and distribution.

Palpate the temporomandibular joint.

Palpate the skull from front to back.

Palpate the temporal artery.

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