Eye exam 2

Question 1

Snellen chart

Answer 1

14” from face

Question 2

Snellen chart: ask pt

Answer 2

read smallest line from left to right

Question 3

Snellen chart: 3 or more mistakes

Answer 3

ask pt to read next line higher

Question 4

Snellen chart: go to next eye

Answer 4

when pt reads line correctly with equal to or less than 2 mistakes

Question 5

smallest line pt can read without making more than 2 mistakes is pt’s

Answer 5

visual acuity

Question 6

normal visual acuity

Answer 6

20/20

Question 7

abnormal visual acuity

Answer 7

anything other than 20/20 vision in either eye

refer to optometrist

Question 8

Shadow test

Answer 8

stand in front of pt, look straight ahead, hold penlight close to side

Question 9

start

Answer 9

posterior to level of pt iris slowly brought forward to line up with iris
held 180
assessed both eyes

Question 10

normal shadow test findings

Answer 10

light on both sides of iris

Question 11

open angle glaucoma findings

Answer 11

even if both sides of iris lights up

Question 12

closed angle glaucoma findings

Answer 12

shadow on medial aspect of iris

Question 13

emergency referral if what during shadow test

Answer 13

+ shadow with other signs/symptoms of closed angle glaucoma

Question 14

Direct and consensual light reflexes pt holds

Answer 14

hands between eyes to block light

Question 15

shine light into on pupil

Answer 15

look for direct response

Question 16

cn2 is what

Answer 16

sensory to receive the light

Question 17

cn3 is what

Answer 17

motor to constrict the pupil

Question 18

normal light response

Answer 18

pupils constrict symmetrically on both and consensual

Question 19

abnormal cn2 lesion

Answer 19

does not constrict on both direct and consensual

Question 20

where is cn2 lesion seen

Answer 20

on direct eye

Question 21

abnormal c3 lesion

Answer 21

lack of constriction on direct OR consensual

Question 22

which eye is cn3 lesion

Answer 22

side of no constriction

Question 23

cover/uncover

Answer 23

stare at spot of wall looking at conjugate of eyes

both eyes open

Question 24

observe for what in cover/uncover

Answer 24

eye movement

Question 25

normal cover/uncover

Answer 25

both eyes maintained conjugate gaze while one eye covered

Question 26

abnormal cover/uncover

Answer 26

covered eye moves then corrects when uncover

Question 27

what is the abnormal cover/uncover called when it corrects itself

Answer 27

non-paralytic strabismus

Question 28

paralytic strabismus

Answer 28

eyes unable to attain conjugate gaze