Deck 4: Head,face,and Neck

Question 1

A patient with systemic lupus erythematosus has been taking a prolonged course of steroids.She complains that her face appears swollen and has experienced a 10-pound weight gain.This is often referred to as:

A) Angioedema
B) Parotitis
C) Cushingoid effect
D) Myxedema

Answer 1

Cushingoid effect

Question 2

On physical examination,your 55-year-old female patient has an enlarged thyroid gland.She complains of feeling hot all the time,nervousness,palpitations,tremor,and recent weight loss of 10 pounds over the past 3 weeks.These signs and symptoms are commonly due to:

A) Hypothyroidism
B) Hyperthyroidism
C) Thyroid cancer
D) All of the above

Answer 2

Hyperthyroidism

Question 3

A patient complains of burning,epigastric pain,and regurgitation of food when lying flat.It is important to recognize that these symptoms are common in:

A) Gastroesophageal reflux disease
B) Neuromuscular disorders
C) Esophageal cancer
D) Achalasia

Answer 3

Gastroesophageal reflux disease

Question 4

A 6-year-old patient complains of a constantly itchy scalp that developed after returning home from school today.The most common cause for this condition in a child is:

A) Seborrheic dermatitis
B) Pediculosis
C) Psoriasis
D) Basal cell carcinoma

Question 5

Which of the cranial nerves should be tested if the patient complains of numbness of the cheek?

A) Cranial nerve III
B) Cranial nerve V
C) Cranial nerve VII
D) Cranial nerve X

Question 6

Calcium phosphate stones can develop within the salivary gland ducts.This can occur in the disorder called:

A) Temporomandibular joint syndrome
B) Mumps
C) Trigeminal neuralgia
D) Sialoadenitis

Question 7

When obtaining a health history focusing on the patient's head,face,and neck,which of the following is particularly important in regard to risk of disease?

A) Past dental work
B) Use of alcohol and tobacco
C) History of tension headaches
D) Use of aspirin

Question 8

A patient presents with extremely tight,shiny skin over the hands and face.There is also a lack of nasolabial folds and blank facial expression.This is a common sign of:

A) Bell's palsy
B) Trigeminal neuralgia
C) Scleroderma
D) Hypothyroid myxedema

Question 9

A solitary cold nodule on Radioactive Iodine (RAI)uptake on a thyroid scan is suspicious for:

A) Hyperthyroidism
B) Myxedema
C) Trigeminal neuralgia
D) Thyroid Cancer

Question 10

Inflammation of the parotid gland can cause which of the following conditions?

A) Trigeminal neuralgia
B) Bruxism
C) Mumps
D) Temporomandibular joint syndrome

Question 11

A patient complains of pain with chewing,earache,and grinding her teeth when asleep.These are symptoms of:

A) Temporomandibular joint syndrome
B) Trigeminal neuralgia
C) Facial nerve palsy
D) Angina

Question 12

Which of the cranial nerves should be tested when a patient presents with right-sided facial droop and inability to close the right eye?

A) Cranial nerve III
B) Cranial nerve V
C) Cranial nerve VII
D) Cranial nerve X

Question 13

Your patient presents to the ER due to a bee sting on the cheek.As you are examining the patient,you note increasing facial swelling and redness as well as swelling of the lips and eyes.This condition is due to:

A) Angioedema
B) Parotitis
C) Sinusitis
D) Sialoadenitis

Question 14

A patient with a positive Lyme titer presents with left-sided unilateral facial droop and inability to close the left eye.This is most likely due to:

A) Trigeminal neuralgia
B) Temporomandibular joint syndrome
C) Multiple sclerosis
D) Bell's palsy

Question 15

One of the most common signs of Epstein-Barr viral infection (infectious mononucleosis)is:

A) Swelling of the face
B) Parotitis
C) Cervical lymphadenopathy
D) Thyroid enlargement

Question 16

The following is a sexually transmitted infection that can cause pharyngitis and cervical lymphadenopathy with oral sex:

A) Hemolytic streptococcus
B) Chlamydia trachomatis
C) Epstein-Barr virus
D) Cytomegalovirus

Question 17

A goiter is most commonly associated with:

A) Hypothyroidism
B) Hyperthyroidism
C) Euthyroid function
D) All of the above

Question 18

Your patient accidentally cut his cheek while shaving 3 days ago.Today,the region is warm,erythematous,swollen,and has the appearance of an orange peel.There is a serous exudate coming from the wound.This is most likely due to:

A) Folliculitis
B) Cellulitis
C) Supurative Parotitis
D) Sialoadenitis

Question 19

Chronic abuse of alcohol and tobacco are associated with ,which can present with lymphadenopathy of the head and neck.

A) Lymphoma
B) Squamous cell carcinoma
C) Leukemia
D) Thyroid cancer

Question 20

Weight loss,fever,fatigue,cervical and mediastinal lymphadenopathy are often the presenting signs of:

A) Hypothyroidism
B) Scleroderma
C) Esophageal cancer
D) Lymphoma