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HEALTH ASSESSMENT > EXAMS 3 > Flashcards

EXAMS 3 Flashcards

1
Q

auricle/pinna

A

outside of the ear structure movable cartilage

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2
Q

function of cerumen (earwax)

A

protect and lubricate the ears.

ASIANS and NATIVE AMERICANS MORE LIKELY TO HAVE DRY CERUMEN.

BLACK AND WHITE = usually wet

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3
Q

color of tympanic membrane (ear drum)

A

pearly gray and slightly concave

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4
Q

eustachian tube

A

equalize air pressure on both sides of the tympanic membrane. slight slanted in adults.

  • more shorter horizontal in kids and more prone to infections
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5
Q

function of the middle ear

A

conduction of sounds to the inner ear

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6
Q

function of CN VIII

A

responsible for conducting nerve impulses to the brain

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7
Q

what is the normal pathway for hearing

A

air conduction

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8
Q

sensorineural hearing

A
  • LOSS IS GRADUAL CAUSED BY NERVE DEGENERATION IN INNER EAR

- aging, noise damage, MEDICATIONS

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9
Q

presbycusis

A

the slow loss of hearing in both ears

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10
Q

labyrinth

A

labyrinth is the innermost part of the ear. contains the chochelar and vestibular system

IF INFLAMMED, feeds the wrong information to the brain. such as feeling like everything around you is spinning

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11
Q

rubella

A

damages the infants organ of corti which impairs hearing

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12
Q

otosclerosis

A

conductive hearing loss between 20-40 years. having to turn up volume or letting people speak louder before you can hear

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13
Q

Nerve degeneration

A

can’t tell where sound is coming from or everything sounds together or mixed up

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14
Q

perforated eardrum

A

normal finding

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15
Q

characteristics of recruitment

A

significant hearing loss when speech is low but when speech is high causes pain

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16
Q

what can cause startle in children

A

STARTLE= shake when a child hears loud noise

ototoxic drugs taken by parent during pregnancy can cause this

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17
Q

what should you do before inserting the speculum

A

pull the pinna( auricle ) up and back before inserting the speculum

INFANTS - pull the down down

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18
Q

purulent drainage from ear

A

indicates otitis externa or otitis media

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19
Q

bloody or clear drainage from ear

A

can indicate a skill fracture

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20
Q

voice test to assess hearing

A

whisper a set of random numbers and letters and then ask the patient to repeat

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21
Q

performing otoscopic examination on kids

A

perform this exam at the end of the assessment

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22
Q

tympanic membrane of new born babies

A

appear thick and opaque

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23
Q

asking 7 months kid to clap hands

A

they’ll turn their head to localize sound

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24
Q

high tone frequency loss

A

common in people with presbycusis ( OLDER PEOPLE

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25
Q

tympanostomy tubes

A

decrease the pressure and allow for drainage

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26
Q

otitis externa

A

enlarged superficial cervical nodes

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27
Q

serous otitis media

A

amber yellow color to the tympanic membrane indicating possible serum or pus in the middle ear

28
Q

ulcerated curated nodule that fails to heal

A

carcinoma

29
Q

early sign of otitis media

A

hypomobility of the tympanic membrane

30
Q

dense white patches on the tympanic membrane

A

indicates scars caused from frequent ear infections

31
Q

are of black and white dots on tympanic membrane and ear canal wall

A

yeast or fungal infection

32
Q

prevention of otitis externa ( swimmers ears )

A

rubbing alcohol or 2% acetic acid ear drops after every swim

33
Q

tinnitus

A

buzzing ringing sounds in the ear

34
Q

objective vertigo

A

feeling like the room is spinning

SUBJECTIVE: The person feels like he or she is spinning

35
Q

changes in hearing that occurs with aging

A
  • progression of hearing loss is slow
  • aging person may find it harder to hear consonant than vowels
  • sounds may be garbled and difficult to localize
36
Q

extraocular muscles are stimulated by what cranial nerves

A

CN 3,4,6

37
Q

what makes up the outer layer of the eye

A

cornea and sclera. they’re very sensitive to touch

38
Q

what makes up the middle layer of the eye

A

choroid: dark pigment prevent light from reflecting internally

39
Q

stimulations of sympathetic on eyes

A

elevates eye lid and dilates the pupil

parasympathetic causes it to constrict

40
Q

visual accommodation

A

pupillary construction when looking at a near object

41
Q

pupillary light reflex

A

construction of both pupils in response to a bright light

42
Q

infants eyesight

A

by 3 months of age, infants develop more coordinated eye movements and can fixate on an object

43
Q

physiologic chnages responsible for presbyopia

A

loss of lens elasticity

44
Q

occasional floaters

A

are usually insignificant caused by condensers vitreous fibers

45
Q

visual activity

A

use a snellen chart. if the person cannot read the letters shorten the distance until they can see the letters

46
Q

diagnostic positions test

A

parallel movement of both eyes

47
Q

darkskin people sclera

A

small brown macules may be observed

48
Q

how to check for ptosis

A

observe the distance between the palpebral fissures

49
Q

pupillary light reflex method

A

shine the light across the pupil moving towards the eye and observe consensual pupillary constriction

50
Q

normal accommodation test response

A

convergence of the axes of the eyes

51
Q

using ophthalmoscope, the red glow

A

red glow is normal reflection of the ophthalmoscope light off the inner retina

52
Q

when does fixating on an object occur

A

by 2 to 4 weeks infants can fixate on an object but they can’t follow a bright light or you until 1 MONTH

53
Q

color vision test

A

boys should be tested once between 4 and 8 years .

COLOR VISION IS NOT TESTED IN GIRLS

54
Q

lazy eye test

A

strabismus test by performing the formal light reflex

55
Q

periobital edema

A

history of heart failure

56
Q

shining light across the iris of the eyes from the temporal side

A

assessing for shadows which may indicate glaucoma

57
Q

anisocoria

A

unequal pupil size

58
Q

retinal detachment

A

shadow or diminished vision in one quadrant or half of the visual field

59
Q

hordeolum (stye)

A

painful red and swollen pustule

60
Q

macular degeneration

A

most common cause of blindness. loss of central vision

61
Q

glaucoma

A

loss of peripheral vision

62
Q

cataract

A

problem in lens opacity

63
Q

corneal abrasion

A

shattered appearance to light rays

64
Q

papilledema

A

increased intracranial pressure

65
Q

hyphema

A

term for blood in anterior chamber

66
Q

ectropion

A
  • excessive tearing

atrophy if the elastic and fibrous tissue

HEALTH ASSESSMENT (4 decks)

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