HEENT Assessment

Question 1

If lymph nodes are palpable they should be?

Answer 1

smooth, firm, mobile, can be tender

Question 2

Measure head circumference every visit until age…

Answer 2

2

Question 3

Measure head circumference yearly until age…

Answer 3

6

Question 4

Normal of thyroid gland?

Answer 4

no enlargement
no nodules

Question 5

Fontanels should be?

Answer 5

soft and flat

Question 6

When does the frontal fontanel close?

Answer 6

closes by 2 years

Question 7

When does the posterior fontanel close?

Answer 7

closes by 2 months

Question 8

When do kids gain head control?

Answer 8

4 months

Question 9

Cervical lymph node enlargement up to 1ccm is a normal finding until age…

Answer 9

12

Question 10

What characteristics do you note with drainage?

Answer 10

color
consistency
presence of blood

Question 11

Epistaxis

Answer 11

• sit upright and lean forward
• pinch nostrils shut for 5-10minutes
• seek care if nose bleed lasts for more than 20min

Question 12

How do you grade tonsils?

Answer 12

1+ to 4+

Question 13

What grade of tonsils is normal for pediatrics?

Answer 13

2+

Question 14

How far do you have patients stand from a Snellen chart?

Answer 14

10 to 20ft

Question 15

What does the bottom number stand for on a Snellen test?

Answer 15

how far away someone with perfect vision can see that item

Question 16

What does the top number stand for on a Snellen test?

Answer 16

feet away from sign (10 or 20)

Question 17

What score for 3 year-olds should be referred for a comprehensive eye exam?

Answer 17

20/50 in either eye

Question 18

What score for 4 year-olds should be referred for a comprehensive eye exam?

Answer 18

20/40 in either eye

Question 19

At what age is it considered normal to develop near vision?

Answer 19

40 or older

Question 20

How far away from the eye do you hold the handheld screener?

Answer 20

14 inches

Question 21

What is a confrontation test?

Answer 21

assesses peripheral vision with using visual fields

Question 22

If asymmetry is found with the corneal light reflex test what does it mean?

Answer 22

eye muscle weakness or paralysis

Question 23

What does the cover test assess for?

Answer 23

lazy eye or strabismus

Question 24

What does the diagnostic position test assess for?

Answer 24

uses the 6 positions of gaze to look for nystagmus

Question 25

Unequal size of the pupils during a light reflex test indicates?

Answer 25

increased intracranial pressure

Question 26

What does the red reflex assess for?

Answer 26

cataracts

Question 27

At what age can a child fixate on an object?

Answer 27

3-4 months

Question 28

Most children are born near-sighted or far-sighted?

Answer 28

farsighted which gradually improves by age 7-8

Question 29

Color blindness?

Answer 29

inherited recessive X-linked trait
rare in females

Question 30

Older adult eye changes?

Answer 30

• presbyopia
• nyctalopia

Question 31

Early treatment is important for what cause of vision loss?

Answer 31

glaucoma

Question 32

Macular degeneration leads to a loss of?

Answer 32

central vision

Question 33

Pinguecula?

Answer 33

yellowish elevated nodules due to prolonged exposure to sun, wind, and dust

Question 34

Arcus senilis?

Answer 34

gray- white arc or circle around iris due to lipid deposits

Question 35

Ectropion?

Answer 35

lower eyelid drooping and rolls away from the eyeball
causes excessive tearing, dry itchy eyes

Question 36

How are sunken eyes caused?

Answer 36

dehydration and/or chronic malnutrition

Question 37

How are sunken eyes caused?

Answer 37

dehydration and/or chronic malnutrition

Question 38

What is blepharitis?

Answer 38

red, scaly, flakes at lid margin caused by clogged oil glands

Question 39

What is a hardeolum?

Answer 39

stye caused by staph infection

Question 40

How often should you have a comprehensive eye exam?

Answer 40

every 2 years

Question 41

How often should you have a comprehensive eye exam once you reach the age of 61?

Answer 41

yearly