Name __________________

Mastery Demonstration: Head and Neck

The student is expected to gather the necessary equipment and perform the exam without relying on other resources (including people, textbooks, notes or this form).

IMPLEMENTATION

Yes

No

Comments
1. Inspect Head
        Position

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        Symmetry and placement
2.  Ears

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3.  Eyes, eyebrows

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4.  Mouth

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5.  Nose, nasolabial folds

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6  Skin color, temperature, lesions, scars, texture, villus hair

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Inspect scalp, hair, eyelashes, eyebrows
7.  Lesions/nodules

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8.  Hair texture, color, length, infestations

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Palpate skull and facial bones
9.   Entire skull

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10. Facial bones

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11. Sinuses

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12. Temporomandibular joint

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13. Hair

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Inspect exterior eye
14. Palpebral fissure: symmetry

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15. Lacrimal gland, puncta, duct

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16. Eyelashes

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17. Eyelid: symmetry, movement

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18. Conjunctiva: palpebral

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19. Bulbar

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20. Sclera

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21. Iris

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22. Cornea: appearance

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23. Light reflection

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24. Inspect/Palpate external ear: auricle, lobes, tragus

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25. Inspect Palpate external nose

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26. Inspect mouth:. Lips

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27. Buccal mucosa, Stensen's duct

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28. Gums

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29. Hard & soft palate

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30. Uvula

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31. Posterior pharynx

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32. Teeth: number, color, characteristics, caries (repaired or not) prosthesis

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33. Tongue: Dorsal surface: color, papillae, position, lesions

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34. Ventral surface: veins, color, lesions

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35. Floor of mouth: Wharton's duct, frenulum

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36 . Palpate Mouth: Lips and gums

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37. Buccal mucosa

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38. Stensen's ducts

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39. Soft and hard palate

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40. Tongue

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41. Floor of mouth/Wharton's duct

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42. Inspect Neck: . Skin

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43. Tracheal position

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44. Range of motion

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45. Jugular venous distention

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46. Palpate Neck: Trachea

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47. Thyroid

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48. Range of motion

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49. Lymph nodes: Submental

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50. Submaxillary

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51. Tonsilar

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52. Anterior (superficial) cervical

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53. Posterior cervical

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54. Deep cervical

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55. Preauricular

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56. Postauricular

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57. Occipital

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58. Carotid artery

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Cranial nerves (give #, name and function)
59. Olfactory: smell (eyes closed)

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60. Inspect inner nose: turbinates, mucosa, septum

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61. Optic: Visual Acuity (Snellen chart)

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62. Visual fields by confrontation

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63.Opthalmascopic examination: red reflex
64 Red-green vision test

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65. Oculomotor: EOM: describe movements, cover/uncover test

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66. Pupils: equal, round

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67. React to light: direct, consenual

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68. Accomodation, convergence

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69. Eyelids: position, movement

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70. Trochlear: EOM nasal downward

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71. Trigeminal: ophthalmic, maxillary & mandibular areas

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72. Motor: temporal & masseter strength

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73. Sensory: pain & light touch to face

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74. Abducens: EOM lateral

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75. Facial: Facial movements: smile, frown, whistle

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76. Eyelids closure against resistance

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77. Sensory: taste anterior 2/3 of tongue

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78. Acoustic: hearing - Whisper, Weber, Rinne

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79. Otoscopic exam: canal

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80. tympanic membrane: cone of light, handle of malleus, color patency

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81. Balance: Romberg test

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82. Glossopharyngeal: taste - posterior 1/3 of tongue

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83. Motor - uvula rises

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84. Vagus: gag reflex

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85. Spinal accessory: shoulder shrug, sternocleidomastoid resistance

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86. Hypoglossal: tongue movement & strength

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Cerebral function
87. Orientation (person, time, place) ___

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88. Judgement

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89. Intelligence

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90. Recent & remote memory

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91. Reasoning

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92. Affect

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Cerebellar tests
93. Finger to nose

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94. Finger to nose to examiner's finger

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95. Rapid rhythmic movement

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96. Tandem walk

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97. Heel to shin

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98. Romberg test (may do here or with CN VIII) ___

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99. Asks client questions appropriate to the body area being assessed

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Time allowed: 40 minutes

90% (99) = 90

Pass Not Yet
Signature ____________________
Date ____________________