HEENT HEALTH ASSESSMENT EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A+
Snellen chart - Answer-chart containing symbols that is used in the testing of visual
acuity
E chart - Answer-a tool used to test visual acuity, especially useful for patients who
cannot read or speak english
Jaeger test - Answer-A test for near vision, lines of reading matter printed in a series of
various sizes of type
ophthalmoscope - Answer-instrument used for visual examination of the eye
Myopic - Answer-nearsighted
Hyperopic - Answer-farsighted
Presbyopia - Answer-impaired vision as a result of aging
Cover test - Answer-A test that detects a small degree of deviated alignment by
interrupting the fusion reflex that normally keeps the two eyes parallel.
- Ask the person to stare straight ahead at your nose, place a card in front of one eye
and note the uncovered eye.
- A normal response is a steady fixed gaze.. if the uncovered eye jumps to reestablish
fixation, eye muscle weakness exists
Cardinal fields of gaze - Answer-Move an object to 6 cardinal positions
Conductive hearing - Answer-transmission of sound waves through the external and
middle ear
Conductive hearing loss - Answer-something blocks or impairs the passage of
vibrations from getting to the inner ear
- BC greater than or equal to AC
Sensorineural (or perceptive) hearing - Answer-transmission of sound waves through
the inner ear
Sensorineural (or perceptive) hearing loss - Answer-damage is located in the inner ear
, - inner ear can not make the conversion into nerve impulses
Bone conduction - Answer-Serves to augment usual pathway of sound waves through
air, bone, and fluid
Biological variation (ear) - Answer-Ears vary in shape
Difference in ear wax is based on genetics
1/3 of >65 are affected by disabling hearing loss
Darker the skin better the hearing thresholds
Most AA have free lobes
Most Asians have starched or soldered lobes
Older adult considerations (ear) - Answer-Presbycusis and otoclerosis is common in
older adults
May refuse hearing aids
Elongated earlobes and linear wrinkles
Hair in ear
Eardrum may be cloud
Examining adult ears - Answer-Pull ear up and back
Examining kid ears - Answer-Pull ear down and back
whisper test - Answer-2 ft. behind the person. Test one ear at a time. Mask hearing in
the other ear. Person to repeat what they hear. If unable to hear the whispered items,
high tone hearing loss.
Weber test - Answer-Test done by placing the stem of a vibrating tuning fork on the
midline of the head and having the patient indicate in which ear the tone can be heard.
- sensorineural: can hear louder in good ear
Rinne test - Answer-hearing test using a tuning fork; checks for differences in bone
conduction and air conduction
- AC sound is normally heard longer than BC
Romberg test - Answer-Tests equilibrium.
Feet together and arms at side, close eyes for 20 seconds.
Check for swaying
otoscope - Answer-instrument used for visual examination of the ear
- 5 o'clock cone shaped reflection in right ear
- 7 o'clock cone shaped reflection in left ear
tinnitus - Answer-ringing in the ears
Vertigo - Answer-True spinning motion
QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A+
Snellen chart - Answer-chart containing symbols that is used in the testing of visual
acuity
E chart - Answer-a tool used to test visual acuity, especially useful for patients who
cannot read or speak english
Jaeger test - Answer-A test for near vision, lines of reading matter printed in a series of
various sizes of type
ophthalmoscope - Answer-instrument used for visual examination of the eye
Myopic - Answer-nearsighted
Hyperopic - Answer-farsighted
Presbyopia - Answer-impaired vision as a result of aging
Cover test - Answer-A test that detects a small degree of deviated alignment by
interrupting the fusion reflex that normally keeps the two eyes parallel.
- Ask the person to stare straight ahead at your nose, place a card in front of one eye
and note the uncovered eye.
- A normal response is a steady fixed gaze.. if the uncovered eye jumps to reestablish
fixation, eye muscle weakness exists
Cardinal fields of gaze - Answer-Move an object to 6 cardinal positions
Conductive hearing - Answer-transmission of sound waves through the external and
middle ear
Conductive hearing loss - Answer-something blocks or impairs the passage of
vibrations from getting to the inner ear
- BC greater than or equal to AC
Sensorineural (or perceptive) hearing - Answer-transmission of sound waves through
the inner ear
Sensorineural (or perceptive) hearing loss - Answer-damage is located in the inner ear
, - inner ear can not make the conversion into nerve impulses
Bone conduction - Answer-Serves to augment usual pathway of sound waves through
air, bone, and fluid
Biological variation (ear) - Answer-Ears vary in shape
Difference in ear wax is based on genetics
1/3 of >65 are affected by disabling hearing loss
Darker the skin better the hearing thresholds
Most AA have free lobes
Most Asians have starched or soldered lobes
Older adult considerations (ear) - Answer-Presbycusis and otoclerosis is common in
older adults
May refuse hearing aids
Elongated earlobes and linear wrinkles
Hair in ear
Eardrum may be cloud
Examining adult ears - Answer-Pull ear up and back
Examining kid ears - Answer-Pull ear down and back
whisper test - Answer-2 ft. behind the person. Test one ear at a time. Mask hearing in
the other ear. Person to repeat what they hear. If unable to hear the whispered items,
high tone hearing loss.
Weber test - Answer-Test done by placing the stem of a vibrating tuning fork on the
midline of the head and having the patient indicate in which ear the tone can be heard.
- sensorineural: can hear louder in good ear
Rinne test - Answer-hearing test using a tuning fork; checks for differences in bone
conduction and air conduction
- AC sound is normally heard longer than BC
Romberg test - Answer-Tests equilibrium.
Feet together and arms at side, close eyes for 20 seconds.
Check for swaying
otoscope - Answer-instrument used for visual examination of the ear
- 5 o'clock cone shaped reflection in right ear
- 7 o'clock cone shaped reflection in left ear
tinnitus - Answer-ringing in the ears
Vertigo - Answer-True spinning motion
