Extra oral self assessment Moodle quiz

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Questions and Answers

What’s the purpose of an extra oral examination?

To identify any undiagnosed conditions, which may include malignancies

Which areas should be looking at during an EO exam and why is this important?

Upper face: Forehead, eyes, cheeks/cheeksbones, upper part of the nose. Lower face: lower part of the nose, chin, lips, general symmetry. Looking for significant asymmetry— may have an underlying cause, check medical history with patient. Any unexplained lesions- patient will not be able to see lesions on side of face which may be malignancy. Any bruising, swelling, excessive sweating may be an indication of systemic disease. Anything on the lips/corner of the mouth, may be herpes, avoid treatment. May be angular cheilitis which is a fungal infection. Sqamous cell carcinoma may be present as a red blister or white patch

What will you generally be looking for during the EO exam and how will you do this?

Any swelling, tenderness, abnormality We need to PALPATE (feel) for swelling, tenderness and lymph gland enlargement Lymphadenopathy: Disease of the Lymph glands, often recognised as swelling and tenderness

What’s the best operator position for carrying out a lymph node/TMJ examination?

Stand behind patient; Ensure patient is relaxed; Their head should be slightly forward, make sure chin is not tipped upward; use the pads of the fingertips in an on/off motion, Examine all nodes. Examine both sides of TMJ at the same time with tips of fingers and gentle pressure. Signup and view all the answers

Name and explain the location of the lymph nodes of the head and neck

Preauricular: Anterior to the earlobe; postauricular: (posterior to the ear); Occipital (posterior to the postauricular); parotid (region of gland); retropharyngeal-(tonsillar region); submandibular- (posterior area); submental- (anterior area); anterior cervical & posterior cervical; supraclavicular –(superior region of shoulder) Signup and view all the answers

What should healthy lymph nodes feel like?

should feel small (pea size) and not tender to touch. Also usually mobile. Signup and view all the answers

How should you document any lymph node abnormality is found?

A: make careful notes on size, exact location, consistency, history if any, use diagrams Signup and view all the answers

What should feel for when you carry out a TMJ examination?

Tenderness, pain, deviation to one side, clicking, limited opening Signup and view all the answers

What questions can you ask the patient if you identify any abnormality extra orally/intra orally?

Should ALWAYS review medical history- any acute/chronic/systemic/oral conditions? Depending on findings, can ask the following questions to the patient: How long has it been there? How are you feeling in yourself? Are you experiencing any pain? How often do you get ulcers? Do you remember biting your tongue/lip? Do you remember eating anything very hot and burning yourself? Are you aware of clenching/grinding your teeth? Signup and view all the answers

Flashcards

Purpose of an extra oral examination?

To identify any undiagnosed conditions, which may include malignancies.