HEENT Flashcards

1
Q

what areas of vision decline with age

A

contrast sensitivity, glare sensitivity and performance under reduce illumination

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2
Q

What is the definition of vison imparement

A

20/40 or worse

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3
Q

what is definition of leagal blindness

A

20/200

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4
Q

Leading cause of vision loss

A

Macular degeneration

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5
Q

symptom of mac degen

A

unilateral central vision loss becoming bilateral

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6
Q

Who is more prone to mac degen

A

smokers, htn, stheroscleoris, phototoxiity, inflamation, diet and genetics

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7
Q

How doese open glaucoma present

A

loss of periferal vision first then central vision

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8
Q

what are cataracts

A

lense opacity

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9
Q

How do cataracts reduce vision

A

degrade blue-yellow colour vision, reduce contrast sensitivity, increase glare,

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10
Q

risk factors for cataracts

A

sunlight, smoking, heavy etoh,

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11
Q

How is glaucoma measured

A

IOP

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12
Q

What is the management for open glaucoma

A

bet-blockers = 1st line

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13
Q

Whats the first noticible sign of hearing loss

A

hearing loss for speach, and tones

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14
Q

anatomic effects of hearing loss

A

atrophy of sensory cells in innner early, calcification of inner ear membrane, degeneration of 8th CN fibers, reduces cells in auditory cortex

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15
Q

Risks of hearing loss

A

noise exposure, middle ear disease, vacular disease

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16
Q

What are the two types of hearing loss

A

conductive & sensorineural

17
Q

what is presbycusis and what are the risks

A

Sensorineural hearing loss - 8th CN fibres, damage to inner ear (cochlea, internal auditory canal), age, noise, ototoxic drugs, viral infections, meningitis, meniers disease, acoustic neuroma

18
Q

What are the hallmark symptoms of presybusis?

A

Bilateral, symmetrical, high frequency

19
Q

what are the causes of contuctive hearing loss

A

fluid, perf eardrum, , cerumen obstruction, inflammation, tumors (occlusion). scaring, trauma, infection

20
Q

What is the Rinne test

A

Measures bone conduction vs air conduction via mastoind for conduction loss

21
Q

What is the weber test

A

Measures unilateral loss vs bilateral