HEENT

Question 1

Eyes

Answer 1

1. Assess visual acuity -Snellen Eye Chart CNII Example 8/10 letters line 9
2. Assess for PERRLA oculomotor II and optic III
   3 assess corneal (eyelid) light reflex bilaterally (shine light in middle of both eyes assessing for symmetrical gaze)
3. Test Extraocular Movements (EOMs)
4. How to assess for the corneal reflex
5. Inspection
   Conjunctivae
   Sclera iris
   Eyelids and eyelashes
   Eyebrows
6. Describe Ophthalmoscope exam, red reflex, and optic disk

Question 2

Ears

Answer 2

1. Inspect external ear (size and shape; skin) position and alignment , external auditory meatus
2. Palpate for tenderness (auricle, tragus)
3. Assess hearing (Vestiobulococohealar VIII hearing, balance sense of positioning)
4. whisper test
5. Romberg test vestibular testing CN VIII
6. Otoscope Evaluation describe ear canal tympanic membrane

Question 3

Nose

Answer 3

1. Inspect and palpate the external nose
2. Check the Patency of nostrils
3. Smell CN I olfactory (describe)
4. Assess internal Nostrils using a penlight nasal mucosa, turbinates , septum

Question 4

Head and Face

Answer 4

1. Inspect and palpate scalp hair(size contour, deformities)
2. Palpate temporal artery
3. Palpate then percuss maxillary frontal sinuses
4. Palpate (TMJ) temporimandibular joint (open and close jaw) assessing trigeminal V(jaw strength, pain with clenching teeth) and facial VII (puff cheeks smiling frowning)
5. Palpate thyroid gland

Question 5

Mouth and Throat

Answer 5

1. Inspect (lips buccal mucosa(cheek) gum teeth)
2. Assess and Inspect the tongue - midline (tongue strength hypogossal XII (stick out tongue)
3. Assess and Inspect the Trachea
4. Inspect the tonsils and pharynx
   - Uvula IX glossopharyngeal say ah X Vagus gag reflex
   - Phonation / Speech CN X

Question 6

Neck

Answer 6

1. Inspect for Symmetry, Lumps, Pulsations
2. Jugular Vein Distention describe
3. Palpate thyroid (nodules, mass, goiter)
4. Describe how to ausultate for a bruit and why
5. Locate and identify all Lymph Nodes
   
   • Preauricular -Judulodigastric
   • Posterior auricular - Superficial cervical
   • Occipital - Deep cervical chain
   • Submental - Posterior cervical
   • Submandibular -Supraclavicular
6. Palpate Carotid pulses
7. Perform ROM of neck
   - Assess neck strength
   - test accessory XI (movement of trapezius & sternomastoid muscles shrugged shoulders and turn head side to side)!