Advanced Health Assessment – HEENT TEST BANK QUESTIONS
AND VERIFIED ANSWERS (DETAILED & ELABORATED) ACTUAL EXAM
2026 TEST 100% SOLVED 2026-2027
If greater in bright light - the cause may be trauma, tonic pupil (caused by
impaired parasympathetic nerve supply to iris) and oculomotor nerve
paralysis
Greater in dim light - cause may be Horner' syndrome (caused by paralysis
of the cervical sympathetic nerves and characterized by ptosis, sunken
eyeball, flushing of the affected side of the face, and narrowing of the
palpebral fissure)
Anisocoria circumstances
Inspecting the movement of the eyes
Looking at someone's right eye - you should be about 15 inches away at a
15 degree angle
Do you see drainage? Injection on the sclera? Do the eyes move evenly?
Right hand = right eye Left hand = left eye
The ophthalmic exam
,Mydriasis
Dilated and fixed pupils, typically resulting from central nervous system
injury, circulatory collapse, or deep anesthesia
Switch the light and turn the lens disc to the large round beam of white
light Turn lens disc to the 0 diopter
Hold the ophthalmoscope in you right hand to examine the patient's eye
Have the patient look at fixed spot in the distance; stabilize the head with
your hand Stand directly in front of the patient - 15 in away 15 degree
angle
Shine the beam of light onto the pupil and look for an orange flow - the red
reflex
Performing an ophthalmic exam
Presence
Opacities
Red reflex
, Color
Size
Shape
Borders
Optic disc and physiologic cup
Size ratio of arteries and veins, color, arteriole, light reflex, corssings
Retinal vessels
Color
Texture
Exudates
Lesions
Hemorrhages
Aneurysms
Retina
AND VERIFIED ANSWERS (DETAILED & ELABORATED) ACTUAL EXAM
2026 TEST 100% SOLVED 2026-2027
If greater in bright light - the cause may be trauma, tonic pupil (caused by
impaired parasympathetic nerve supply to iris) and oculomotor nerve
paralysis
Greater in dim light - cause may be Horner' syndrome (caused by paralysis
of the cervical sympathetic nerves and characterized by ptosis, sunken
eyeball, flushing of the affected side of the face, and narrowing of the
palpebral fissure)
Anisocoria circumstances
Inspecting the movement of the eyes
Looking at someone's right eye - you should be about 15 inches away at a
15 degree angle
Do you see drainage? Injection on the sclera? Do the eyes move evenly?
Right hand = right eye Left hand = left eye
The ophthalmic exam
,Mydriasis
Dilated and fixed pupils, typically resulting from central nervous system
injury, circulatory collapse, or deep anesthesia
Switch the light and turn the lens disc to the large round beam of white
light Turn lens disc to the 0 diopter
Hold the ophthalmoscope in you right hand to examine the patient's eye
Have the patient look at fixed spot in the distance; stabilize the head with
your hand Stand directly in front of the patient - 15 in away 15 degree
angle
Shine the beam of light onto the pupil and look for an orange flow - the red
reflex
Performing an ophthalmic exam
Presence
Opacities
Red reflex
, Color
Size
Shape
Borders
Optic disc and physiologic cup
Size ratio of arteries and veins, color, arteriole, light reflex, corssings
Retinal vessels
Color
Texture
Exudates
Lesions
Hemorrhages
Aneurysms
Retina
