Question 1

Which cranial nerves innervate the face?

Accepted Answer

A)  II and V 
B)  III and VI 
C)  V and VII 
D)  VIII and IX 
A)  II and V 
B)  III and VI 
C)  V and VII 
D)  VIII and IX C

Question 2

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:

Accepted Answer

A)  parotid gland tumor. 
B)  branchial cleft cyst. 
C)  Stensen duct stone. 
D)  thyroglossal duct cyst. 
A)  parotid gland tumor. 
B)  branchial cleft cyst. 
C)  Stensen duct stone. 
D)  thyroglossal duct cyst. D

Question 3

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:

Accepted Answer

A)  hypothyroidism. 
B)  hyperthyroidism. 
C)  thyroid cancer. 
D)  thyroid cyst. 
A)  hypothyroidism. 
B)  hyperthyroidism. 
C)  thyroid cancer. 
D)  thyroid cyst. B

Question 4

Which of the following is true regarding a cephalohematoma?

Accepted Answer

A)  It is bound by suture lines. 
B)  The affected part feels soft. 
C)  It is obvious at birth. 
D)  The margins are poorly defined. 
A)  It is bound by suture lines. 
B)  The affected part feels soft. 
C)  It is obvious at birth. 
D)  The margins are poorly defined.

Question 5

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

Accepted Answer

A)  craniosynostosis. 
B)  encephalocele. 
C)  microcephaly. 
D)  myxedema. 
A)  craniosynostosis. 
B)  encephalocele. 
C)  microcephaly. 
D)  myxedema.

Question 6

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:

Accepted Answer

A)  ask the patient if this characteristic runs in his family. 
B)  perform monofilament testing on the face. 
C)  consult with the clinician regarding the laboratory tests needed. 
D)  record the finding in the patient's chart. 
A)  ask the patient if this characteristic runs in his family. 
B)  perform monofilament testing on the face. 
C)  consult with the clinician regarding the laboratory tests needed. 
D)  record the finding in the patient's chart.

Question 7

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

Accepted Answer

A)  Palpation of the gland becomes difficult. 
B)  A bruit is auscultated. 
C)  Inspection reveals a goiter. 
D)  The gland is tender on palpation. 
A)  Palpation of the gland becomes difficult. 
B)  A bruit is auscultated. 
C)  Inspection reveals a goiter. 
D)  The gland is tender on palpation.

Question 8

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

Accepted Answer

A)  Flexed away from the side being examined 
B)  Flexed directly forward 
C)  Flexed toward the side being examined 
D)  Hyperextended directly backward 
A)  Flexed away from the side being examined 
B)  Flexed directly forward 
C)  Flexed toward the side being examined 
D)  Hyperextended directly backward

Question 9

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:

Accepted Answer

A)  a congenital anomaly. 
B)  a multinodular goiter. 
C)  a normal thyroid gland. 
D)  thyroiditis. 
A)  a congenital anomaly. 
B)  a multinodular goiter. 
C)  a normal thyroid gland. 
D)  thyroiditis.

Question 10

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

Accepted Answer

A)  hold the light 18 inches from the skull. 
B)  move the light toward and then away from the head. 
C)  place the light firmly against the skull. 
D)  shine the light inside the infant's mouth. 
A)  hold the light 18 inches from the skull. 
B)  move the light toward and then away from the head. 
C)  place the light firmly against the skull. 
D)  shine the light inside the infant's mouth.

Question 11

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?

Accepted Answer

A)  Palpate the patient's hair, noting texture, color, and distribution. 
B)  Palpate the temporomandibular joint. 
C)  Palpate the skull from front to back. 
D)  Palpate the temporal artery. 
A)  Palpate the patient's hair, noting texture, color, and distribution. 
B)  Palpate the temporomandibular joint. 
C)  Palpate the skull from front to back. 
D)  Palpate the temporal artery.

Question 12

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

Accepted Answer

A)  normal development. 
B)  congenital anomaly. 
C)  increased intracranial pressure. 
D)  fever response to a viral infection. 
A)  normal development. 
B)  congenital anomaly. 
C)  increased intracranial pressure. 
D)  fever response to a viral infection.

Question 13

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

Accepted Answer

A)  the presence of torticollis. 
B)  signs and symptoms of cerebral palsy. 
C)  uneven movement of the eyes. 
D)  unilateral movement of the tongue. 
A)  the presence of torticollis. 
B)  signs and symptoms of cerebral palsy. 
C)  uneven movement of the eyes. 
D)  unilateral movement of the tongue.

Question 14

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

Accepted Answer

A)  Classic migraine 
B)  Temporal arteritis 
C)  Cluster 
D)  Hypertensive 
A)  Classic migraine 
B)  Temporal arteritis 
C)  Cluster 
D)  Hypertensive

Question 15

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

Accepted Answer

A)  head position. 
B)  scalp lice. 
C)  thyroid size. 
D)  tracheal alignment. 
A)  head position. 
B)  scalp lice. 
C)  thyroid size. 
D)  tracheal alignment.

Question 16

Nuchal rigidity is most commonly associated with:

Accepted Answer

A)  thyroiditis. 
B)  meningeal irritation. 
C)  Down syndrome. 
D)  cranial nerve V damage. 
A)  thyroiditis. 
B)  meningeal irritation. 
C)  Down syndrome. 
D)  cranial nerve V damage.

Question 17

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?

Accepted Answer

A)  Current medications 
B)  Elimination patterns 
C)  Immunization status 
D)  Previous pregnancies 
A)  Current medications 
B)  Elimination patterns 
C)  Immunization status 
D)  Previous pregnancies

Question 18

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?

Accepted Answer

A)  Coronal sutures 
B)  Hyoid and cricoid cartilages 
C)  Mandible and maxilla bones 
D)  Nose and thyroid cartilages 
A)  Coronal sutures 
B)  Hyoid and cricoid cartilages 
C)  Mandible and maxilla bones 
D)  Nose and thyroid cartilages

Question 19

The thyroid gland should:

Accepted Answer

A)  be slightly left of midline. 
B)  have a clear vascular sound. 
C)  move when the patient swallows. 
D)  tug with each heartbeat. 
A)  be slightly left of midline. 
B)  have a clear vascular sound. 
C)  move when the patient swallows. 
D)  tug with each heartbeat.

Exam 11: Head and Neck

Which cranial nerves innervate the face?

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:

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:

Which of the following is true regarding a cephalohematoma?

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

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:

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

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

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:

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

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?

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

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

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

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

Nuchal rigidity is most commonly associated with:

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?

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?

The thyroid gland should:

The History and Interviewing Process

Cultural Competency

Examination Techniques and Equipment

Clinical Reasoning

Documentation

Vital Signs and Pain Assessment

Mental Status

Growth, Measurement, and Nutrition

Skin, Hair, and Nails

Lymphatic System

Eyes

Ears, Nose, and Throat

Chest and Lungs

Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting it All Together

Emergency or Life-Threatening Situations

Filters