Set
Concepts of developing a relationship with the patient: - Answer Sense the world as the
patient sees it.
Discover details about the patients concept, expectations, explain boundaries and
degree of availability. Display genuine interest, curiosity, partnership. Understand what
is expected of you.
What are effective communication techniques? - Answer Be courteous, ensure comfort,
be trustworthy, be candid. Do not be careless with words. Ask patient centered
questions
How do you test cranial nerve II? - Answer Visual acuity: Snellen Chart, Rosenbaum
chart. For Snellen, position 20 feet away, cover 1 eye at a time, test uncorrected and
corrected if they wear corrective lenses.
Cranial Nerve II is the __________________ nerve - Answer Optic Nerve, that controls
vision
What is the confrontation test? - Answer This tests for peripheral vision. Stand 3 feet
away from the patient. The patient covers right eye, provider covers left eye, look at
eachothers eyes, have the patient tell you when they see your fingers in their peripheral
view testing the nasal, temporal, superior, and inferior fields.
Lesions most likely to produce confrontation abnormalities include... - Answer Stroke,
retinal detachment, optic neuropathy, pituitary tumor, central retinal vascular occlusion.
What might be the finding if the eyebrows are coars and do not extend beyond the
temporal canthus? - Answer Hypothyroidism
Is periorbital edema a normal finding? - Answer Never a normal finding.
What might periorbital edema signify? - Answer Thyroid disease, allergies, retinal
disease (nephrotic syndrome)
What is xanthelasma? - Answer Abnormal finding of yellow tinted lesions on the
periorbital tissues tha represent deposits of lipids and may suggest abnormal lipid
metabolism
What may fasciculation of the eyelid represent? - Answer Hyperthyroidism.
What cranial nerve is responsible for ptosis? - Answer CN III
Entropian is - Answer When the lids are turned inward. This may cause corneal
abrasions and irritation.
, Maryville University 612 Exam 1 Study
Set
Ectropian is - Answer The lower lid is turned away from the eye, may cause excessive
tearing
What is hordeolum? - Answer A stye generally caused by staphylococcus infection
When you palpate the eyes what are you looking for? - Answer Palpating for nodules,
and pain on palpation. Also an eye that feels firm and resists palpation may indicate
severe glaucoma or retrobulbar tumor.
Inspection of conjucntiva - Answer Should normally be translucent and free of erytema.
Cobble stone appearance of conjunctiva may indicate - Answer allergies or infections
conjunctivitis
Bright red blood sharply defined in he conjunctiva may indicate - Answer
subconjunctival hemorrhage, this usually self resolves
What is pterygium? - Answer Abnormal growth of conjunctiva that extends over the
cornea from the limbus, usually seen in people heavily exposed to ultraviolet light
How do you test Cranial Nerve V? - Answer Cranial nerve V is the trigeminal nerve and
to test this you shine a light tangentially on it., and touching the cornea with a wisp of
cotton to get them to blink
If there is a decreased response to wisp test, this would indicate? - Answer Diabetes,
herpes simplex and herpes zoster viral infections
Miotic pupil - Answer Constricted, less than 2 mm and usually caused by glaucoma
meds, or narcotics
Myadriasis - Answer Failure of the pupil to constrict and is usually more than 6 mm in
diameter. Usually seen in coma, or from some eye drops
Arcus Senilis is what? - Answer Lipid deposits in the periphery of the cornea, may
complete a circle. If present before the age of 40, may represent a lipid disorger
Anisocoria is ? - Answer Unequal pupil size
To inspect the pupil, you need to perform - Answer direct and consensual light
response, cover and uncover test,
Lacrimal Apparatus palpation - Answer Palpate the lower orbital rim near the inner
canthus. May be firm and indicates tumors, lymphoid infiltrations, Sjogren syndrome.
Also may report dry eye.