Eyes

Question 1

Extraocular muscle function

Answer 1

(hold patient’s chin and ask to look at finger while performing six cardinal fields of gaze test) smooth full coordinated movement of eyes bilaterally. This also tests oculomotor (CNIII), trochlear (CNIV) and abducens (CNVI)

Question 2

Peripheral vision

Answer 2

(use confrontation test) intact

Question 3

Accommodation

Answer 3

constriction with near objects. Dilatation with far objects

Question 4

Corneal light reflex

Answer 4

(have patient look at near by object, shine light to bridge of nose) light reflected symmetrically form both eyes

Question 5

Ophthalmoscopic examination (turn light off) 
Lens

Answer 5

no cloudiness or opacity in lens.

Question 6

Ophthalmoscopic examination (turn light off) Red reflex/optic disk

Answer 6

(Have patient look at distance use ophthalmoscope and shine light to pupil from 12 inches and move towards patient) “As I get close, I focus on the red reflex and I will look at her optic disk, I have to be close enough to see through a small un-dilated pupil

Question 7

Ophthalmoscopic examination (turn light off) (place thumb on forehead and rest ophthalmoscope on thumb) Fundus

Answer 7

fundus is yellow no lesions or hemorrhages;

Question 8

Ophthalmoscopic examination (turn light off) (place thumb on forehead and rest ophthalmoscope on thumb) Blood vessels

Answer 8

minor venous pulsation, no nicks or tortuosity;

Question 9

Ophthalmoscopic examination (turn light off) (place thumb on forehead and rest ophthalmoscope on thumb) Optic disk

Answer 9

optic disc is yellow with sharp well define margins especially on temporal region;

Question 10

Ophthalmoscopic examination (turn light off) (place thumb on forehead and rest ophthalmoscope on thumb) Macula

Answer 10

macula is yellow surrounded by deep pink.