Chapter 13

Question 1

A person is experiencing nearsightedness. What is this condition called?

1. Emmetropia
2. Myopia
3. Hyperopia
4. Astigmatism

Answer 1

2. Myopia is nearsightedness

emmetropia is normal vision
Hyperopia is farsightedness
astigmatism is light not processing correctly on the back of the eye causing a spasm between the two eyes

Question 2

while using the ophthalmoscope, you are looking for:

1. palpebrae
2. palpebral fissure
3. red reflex
4. conjunctiva

Answer 2

3. Red reflex is the glowing red color that fills the pupil as light is reflected off the retina

Palpebrae is the eyelids
Palpebral fissure is the opening between the upper and lower eyelids
Conjunctiva is the white part of our eye

Question 3

The lens of the eye loses elasticity, and the ciliary muscles become weaker, resulting in a decreased ability of the lens to change shape to accommodate for near vision is:

1. cataract
2. palpebrae
3. presbyopia
4. red reflex

Answer 3

3. Presbyopia

cataract is the lens continues to thicken and yellow, forming a dense area that reduces lens clarity.
palpebrae is the eyelid
red Reflex is the light refracting on the lens

Question 4

In the health assessment portion of the assessment, which part do you do predominately.

1. Inspection
2. Palpation
3. Auscultation
4. Percussion

Answer 4

Inspection

Question 5

For inspection what are you inspecting?

Answer 5

symmetry of the eyes, sclera color, lens shape, conjunctiva color, symmetry of the eyebrows

Question 6

During the focused assessment of the eye which question is not part of that assessment:
1. Describe your vision today. Please include any changes in your vision in the past few months.
2. Have you been diagnosed with a disease of the eye?
3 Do you ever have a small black dot that seem to move when you are looking at something?
4. What medications are you taking?
5. What sports or hobbies do you participate in?

Answer 6

All are questions that you can ask in the focused interview

Question 7

Physical assessment of the eyes requires the use of: (select all that apply)

1. Inspection
2. Palpation
3. tests of the function of the eye
4. Percussion of the eye

Answer 7

1. 2. 3

Percussion of the eye is not done. You can percuss the eyebrow, the sinus cavity, and the bridge of the nose at the corner of the eye.

Question 8

During the physical assessment of the eye, inspection of the eye include: (select all that apply)
1. Looking at the size, shape, and symmetry of the eye, eyelids, eyebrows and eye movement.
2 Snellen Eye chart
3. The eyes are moist, clear and able to focus
4. observe blinking

Answer 8

1,3,4.

Snellen eye chart is used to test visual acuity. It is not part of inspection.

Question 9

What are some abnormal findings during the eye chart test: (select all that apply)

1. Frowning
2. Leaning forward
3. Squinting
4. reading the bottom line

Answer 9

all but the last.

reading the bottom line is normal in some people

Question 10

Physical assessment of the eyes follow the assessment of:

1. visual fields
2. muscle function
3. and external eye structures
4. visual screening of the internal eye
5. none of these

Answer 10

all but 5

Question 11

Demonstrate the H method

Answer 11

with a pen light hold the pen light at the midline and go from 1 to 2 up to 3 down to 4. Back to midline 5 to 6 (straight line) up to 7 and down to 8.

Question 12

Demonstrate the wagon wheel method

Answer 12

with a pen light hold the pen light at the midline and start at the middle and go up to the top right corner drag down to the bottom left corner. Go to right side below the starting point and go across then to left corner then back down the bottom corner.

Question 13

You are performing a focused assessment on a child age 6. You notice that the child’s right eye can not focus on the same object that the left eye is focused on. This is a condition called :

1. Esophoria
2. Exophoria
3. Strabismus
4. anisocoria

Answer 13

Strabismus condition in which the axes of the eyes cannot be directed at the same object

Esophoria is the inward turning of the eye
Exophoria is the outward turning of the eye

Question 14

Can a 6 year old child have esophoria and strabismus at the same time?

Answer 14

Yes, both are a turning of the eye away from each other.

Question 15

What are healthy people 2020 objectives concerning the eye?

Answer 15

increase the number of persons who have dilated eye exams.
increase vision screening in preschool children
reduce visual impairment due to dsease

Question 16

Which of these are not an action of healthy people 2020 concerning the eye?

1. Screening
2. Education about eye health and eye examination
3. Diabetes education and treatment
4. early eye removal for glaucoma patients

Answer 16

4. is not an action of healthy people 2020

Question 17

Turns head to left and right and looked around room before sitting across from examiner. Scleral redness bilaterally, eyeballs firm to palpation Pupils moderate dilation. Cupping of optic discs. Height 6’3”, weight 188 lbs. BP 128/84, P 88, RR 22

these are examples of:

1. Subjective data
2. Objective data
3. Physical assessment
4. Focus interview

Answer 17

Objective data. While the information does fall into the physical assessment it is objective data.