exam 1 QUESTIONS AND
VERIFIED CORRECT
ANSWERS LATEST 2026-2027
GRADED A+
sensations, feelings, perceptions, desires, preferences, beliefs, ideas, values, personal
information, ROS, complete health history
What is objective data? - CORRECT ANSWER-it is the information that can be physically seen by
the provider and tested against. It can include the physical exam, lab analysis, x rays, and
professional consults.
How do you approach sensitive issues when interviewing a patient? - CORRECT ANSWER-
Provide privacy, be direct and firm, don't ask leading questions, use open-ended questions,
don't apologize for asking questions, don't preach, avoid confrontation, use understandable
language, watch medical jargon, document carefully using the patient's words.
What does it mean to be culturally aware? - CORRECT ANSWER-It is the deliberate self-
examination and in depth exploration of one's own biases, stereotypes, prejudices, assumptions
that one holds about people different than them.
What does it mean to be culturally competent? - CORRECT ANSWER-It requires the provider to
be sensitive to a patient's heritage, sexual orientation, socioeconomic situation, ethnicity, and
cultural background
,What are examples of questions that explore the patient's culture? - CORRECT ANSWER-"what
do you call your problem?"
"What do you think caused it?"
"What does your sickness do to you?"
"Why do you think it started when it did?"
"What should be done to get rid of it?"
"Who else or what else might help you get better?"
What are the components of a cultural response to a patient? - CORRECT ANSWER-the
response should include modes of communication to include speech, space, and body language,
awareness of the the patients health beliefs, diet and nutritional practice, and the nature of
relationships with their family
How do you measure visual acuity and test CN II - CORRECT ANSWER-by measuring distance,
near vision , and peripheral vision
What is CN II? - CORRECT ANSWER-optic nerve
How do you measure distance vision for visual acuity? - CORRECT ANSWER-by using a snellen
chart and having the patient cover one eye and read the lowest line that he can see clearly and
then alternate eyes
How do you document distance vision? - CORRECT ANSWER-the numerator is 20 and the
denominator is the distance at which the average eye can read the line.
How do you measure near vision? - CORRECT ANSWER-by using a rosenbaum pocket screener
and have the patient hold it about 14 inches from eyes and read the smallest line possible with
one eye and then the other
,How do you measure peripheral vision? - CORRECT ANSWER-by using the confrontation test.
Have the patient sit directly across from you and look directly at you. Have them cover their left
eye and your cover your right eye. Then test nasal, temporal, superior, and inferior fields. Have
the patient tell you as soon as they see your finger in each of those fields.
What may be some causes of abnormal results from the confrontation test? - CORRECT
ANSWER-stroke, retinal detachment, optic neuropathy, pituitary tumor, central retinal vascular
occlusion
How would you perform an external examination of the eyes? - CORRECT ANSWER-
Systematically beginning with appendages and move inward
eyebrows
orbits/periorbital area
eyelids
What is being assessed when looking at the patient's eyebrows? - CORRECT ANSWER-size,
extension beyond temporal canthus, texture of hair
If the eyebrows do not extend beyond the temporal canthus or are course what may be the
cause? - CORRECT ANSWER-hypothyroidism
What is being assessed when looking at the patient's orbits/periorbital area? - CORRECT
ANSWER-edema, puffiness, sagging tissue below orbit
What can cause periorbital edema? - CORRECT ANSWER-thyroid disease, allergies, or nephrotic
syndrome (children)
What are xanthelasma? - CORRECT ANSWER-yellowish deposits on the periorbital tissue most
often on the nasal side that represents a lipid metabolism disorder
, What is being assessed with looking at the patient's eyelids? - CORRECT ANSWER-have the
patient close lids lightly to look for tremors
inspect ability of eyelids to close completely and open wide
check for flakiness, crusting, redness, or swelling
check eyelashes to make sure that they curve away from the eye
when eye is open the superior eyelid should cover a portion of the iris but not cover pupil
What can be a cause of fasciculations of the eyelid when a patient lightly closes eye? - CORRECT
ANSWER-hyperthyroidism
What is ptosis? - CORRECT ANSWER-when the upper eyelid covers more than the top of the iris
or pupil and indicates congenital weakness of levator muscle or paresis of a branch of CN III
What is CN III - CORRECT ANSWER-oculomotor nerve
How do you document a finding of ptosis? - CORRECT ANSWER-by recording the difference
between the two eyelids in millimeters (the average lid is 2 mm below the border of the cornea
and sclera. average lower lid is at the lower limbus)
What is ectropion? - CORRECT ANSWER-it is when the lower eyelid turns away from the eye and
may result in excessive tearing because the tear collecting system can't collect the secretions
What is entropion? - CORRECT ANSWER-it is when the eyelid turns toward the globe which can
cause corneal and conjunctival irritation and risk for secondary infection
What is a hordeolum? - CORRECT ANSWER-it is an acute suppurative inflammation of an
eyelash follicle which causes an erythematous or yellowish lump