Assessment Week 3: Chapter 17 Nose, Mouth, and Throat

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Questions and Answers

What is a common early sign of oral cancer?

Frequent headaches

White or red patches in the mouth (correct)

Sudden vision changes

Nausea after eating

Which equipment is not needed for a physical examination of the mouth?

Thermometer (correct)

Otoscope with nasal speculum

Tongue blade

Penlight

What should be inspected during a physical exam of the throat?

Eustachian tube condition

Lymph nodes size and shape

Tonsils graded from 1+ to 4+ (correct)

Tongue movement only

Which of the following is a recommended self-care behavior for oral health in older adults?

Maintaining proper mouth care Signup and view all the answers

What technique is used to palpate the frontal and maxillary sinuses?

Gentle pressing with fingers Signup and view all the answers

What symptom may suggest an issue with the throat beyond a simple sore throat?

Feeling of something in the throat Signup and view all the answers

Which of the following does NOT pertain specifically to infants and children's oral health?

Sore throat symptoms Signup and view all the answers

What is a potential risk associated with the use of smokeless tobacco?

Oral cancer Signup and view all the answers

What aspect of the nose should be inspected and palpated during a physical exam?

Nasal septum Signup and view all the answers

Which condition is related to mouth dryness in older adults?

Medications and aging Signup and view all the answers

What are the primary components of the external nose?

External nose, nasal cavity, turbinates Signup and view all the answers

Which paranasal sinus is located above the eyebrows?

Frontal sinus Signup and view all the answers

What developmental consideration is associated with older adults in relation to oral health?

Purse string appearance of the mouth Signup and view all the answers

What is a common subjective symptom related to the health of the nose?

Nasal discharge Signup and view all the answers

Which salivary gland is located beneath the jawline?

Submandibular gland Signup and view all the answers

Which condition is most likely to be associated with pregnant women regarding oral health?

Pregnancy-related gingivitis Signup and view all the answers

What does altered sense of smell primarily refer to?

Diminished olfactory function Signup and view all the answers

Which of the following findings is NOT common in older adults?

Epistaxis Signup and view all the answers

What is Leukoedema primarily associated with?

Variations in socioeconomic status Signup and view all the answers

Which subjective health history finding relates to the throat?

Hoarseness Signup and view all the answers

Which condition is characterized by the incomplete formation of the choanae?

Choanal atresia Signup and view all the answers

What is a common finding that might indicate a dental problem in infants due to bottle feeding?

"Baby bottle" tooth decay Signup and view all the answers

Which of the following conditions affects the lips and is known to be caused by a viral infection?

Herpes simplex I Signup and view all the answers

Which term refers to the presence of lesions on the gums that can be typically caused by long-term irritation?

Epulis-gingival lesions Signup and view all the answers

Which of the following abnormal findings could indicate a congenital condition relating to the tongue?

Anklyoglossia Signup and view all the answers

What condition is characterized by a smooth, glossy appearance of the tongue?

Atrophic glossitis Signup and view all the answers

Which abnormal oral finding is commonly associated with the presence of a viral illness such as measles?

Koplik’s spots Signup and view all the answers

What term describes the condition of having a bifid uvula?

Bifid uvula Signup and view all the answers

Which of the following is a common condition that can lead to nasal obstruction and is characterized by the swelling of the nasal lining?

Nasal polyps Signup and view all the answers

What condition might indicate a serious oral health issue and is characterized by white patches on the tongue?

Candidiasis Signup and view all the answers

Study Notes

Nose

External nose comprises cartilaginous and bone structure.
Nasal cavity divided by septum; features turbinates for airflow regulation and meatus for drainage.

Paranasal Sinuses

Frontal sinuses located in the forehead region.
Maxillary sinuses situated in the cheek area.
Ethmoid sinuses found between the eyes.
Sphenoid sinuses located deeper within the skull.

Mouth

Oral cavity contains hard (anterior) and soft (posterior) palates, as well as the uvula.
The tongue plays a critical role in taste and manipulation of food.

Salivary Glands

Parotid glands are the largest, located near the jaw.
Submandibular glands situated beneath the jawline.
Sublingual glands located under the tongue.

Developmental Considerations

Pregnant women may experience nasal stuffiness, epistaxis, and hyperemic gums.
Older adults face diminished sense of smell/taste, dental changes, and a risk of malnutrition due to oral health issues.

Leukoedema and oral hyperpigmentation are relevant in certain populations.
Economic factors correlate with dental disease occurrence; 32% of Canadians lack adequate dental coverage.

Subjective Data: Health History (Nose)

Important symptoms include nasal discharge, sinus pain, epistaxis, and altered smell.

Subjective Data: Health History (Mouth and Throat)

Key complaints include sores, sore throat, bleeding gums, dysphagia, and altered taste.

Additional Health History Questions

Infants and children focus on mouth/throat infections and tooth development.
Older adults experience mouth dryness, dental care practices, and taste/smell alterations.

Promoting Health: Smokeless Tobacco (SLT) and Cancer Risk

SLT use linked to various cancers, including oral and esophageal.
Early signs of oral cancer: non-healing sores, red/white patches, prolonged sore throat, unexplained bleeding, and localized lumps.

Objective Data: Physical Exam Preparation

Positioning and equipment includes otoscope, penlight, tongue blades, and gloves necessary for thorough examination.

Physical Exam Findings

Inspection and palpation of the external nose, internal nasal structures, and sinus areas are crucial.
Thorough mouth exam includes checking lips, teeth, tongue, and buccal mucosa.

Abnormal Findings (Nose)

Conditions such as choanal atresia, foreign bodies, epistaxis, and nasal polyps warrant attention.

Abnormal Findings (Lips and Teeth)

Cleft lip, dental caries, and gingival hyperplasia are significant oral health issues.

Abnormal Findings (Tongue and Oropharynx)

Conditions like ankyloglossia, fissured tongue, and oral Kaposi’s sarcoma indicate serious health concerns.

Important Questions for Clinical Evaluation

Inquiries related to dental care routines can yield comprehensive insights into a patient’s oral hygiene practices.
Awareness of expected findings in diverse populations can enhance diagnostic capabilities, particularly concerning oral pigmentation variations.

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Description

Explore the key structures and functions of the nose, mouth, and throat in Chapter 17. This quiz covers the anatomy of the external nose, nasal cavity, paranasal sinuses, oral cavity, and salivary glands. Test your understanding of these essential components of the human respiratory and digestive systems.