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MSN 610 QUIZ 2 QUESTIONS AND ANSWERS 2024
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MSN 610 QUIZ 2 QUESTIONS AND ANSWERS 2024
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MSN 610 QUIZ 2Myxedema facies - ANSWERS-Note dull, puffy, yellowed skin; coarse, sparse hair;
temporal loss of eyebrows; periorbital edema; and prominent tongue.
Hyperthyroid facies. - ANSWERS-Note fine, moist skin with fine hair, prominent
eyes and lid retraction, and staring or startled expression.
Butterfly rash facies - ANSWERS-Butterfly rash of systemic lupus erythematosus.
Note butterfly shaped rash over malar surfaces and bridge of nose. Either a blush
with swelling or scaly, red, maculopapular lesions may be present.
Bell palsy facies - ANSWERS-Left facial palsy (cranial nerve VII). Facies include
asymmetry of one side of the face, eyelid not closing completely, drooping lower
eyelid and corner of mouth, and loss of nasolabial fold.
Early acromegaly. - ANSWERS-Note the coarsening of features with broadening of
the nasal alae and prominence of the zygomatic arches
Pierre-Robin sequence - ANSWERS-triad of micrognathia, glossoptosis, and palatal
clefting. Shows a lateral view with severe micrognathia and cleft palate. Note the
small retruded mandible.
,Down syndrome facies - ANSWERS-Note depressed nasal bridge, epicanthal folds,
mongoloid slant of eyes, and low-set ears.
Hurler syndrome facies - ANSWERS-Facies includes enlarged skull with low
forehead, corneal clouding, and short neck.
Hydrocephalus facies - ANSWERS-A, Coronal view with characteristic enlarged
head, thinning of the scalp with dilated scalp veins, and bossing of the skull. B,
Anteroposterior view demonstrating sclera visible above the iris. In this case the
infant has paresis of upward gaze. This phenomenon is often termed the
"sunsetting sign."
Fetal alcohol syndrome facies - ANSWERS-This is one of the most common causes
of acquired intellectual disability. Note the poorly formed philtrum; widespread
eyes, with inner epicanthal folds and mild ptosis; hirsute forehead; short nose;
and relatively thin upper lip.
Treacher-Collins syndrome facies - ANSWERS-Note the maxillary hypoplasia,
micrognathia, and auricular deformity.
Apert syndrome facies - ANSWERS-Note the severe maxillary and midfacial
hypoplasia.
Crouzon syndrome facies - ANSWERS-Observe the severe maxillary and midfacial
hypoplasia with low-set ears
, Chvostek sign - ANSWERS-when evaluating for hypocalcemia, percussion on the
masseter muscle may produce a hyperactive masseteric reflex
caput succedaneum - ANSWERS-Birth trauma may cause swelling of the scalp.
Caput succedaneum is subcutaneous edema over the presenting part of the head
at delivery. It is the most common form of birth trauma of the scalp and usually
occurs over the occiput, and the edema crosses suture lines. The affected part of
the scalp feels soft, and the margins are poorly defined. Generally, the edema
goes away in a few days.
Cephalhematoma - ANSWERS-is a subperiosteal collection of blood and is
therefore bound by the suture lines. It is commonly found in the parietal region
and, unlike caput, may not be immediately obvious at birth. A cephalhematoma is
firm, and its edges are well defined; it does not cross suture lines. As it ages, the
cephalhematoma may liquefy and become fluctuant on palpation.
anterior fontanel - ANSWERS-closes by 12-15 months
Facial muscles are innervated by cranial nerve: - ANSWERS-(CN) V (5) and CN VII
(7).
myxedema - ANSWERS-Skin and tissue disorder usually due to severe prolonged
hypothyroidism
myxedema pathophysiology - ANSWERS-•Decrease in metabolic rate, resulting in
accumulation of hyaluronic acid and chondroitin sulfate in the dermis
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