Lesson 6 (EENT) Flashcards

1
Q

To investigate a complaint about the eyes, ears, nose and throat what should you ask for?

A

onset, location, duration, and characteristics (Symptoms as well as what aggravates them)

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2
Q

What do you get on Physical Assessment Interview Data (Subjective)?

A

History

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3
Q

What do you get on Physical Assessment Physical Data (Objective )?

A

Inspection
Palpation
Percussion
Auscultation

or

IPPA

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4
Q

In the examination of the eyes, what includes in the assessment of external structures?

A

Visual Acuity, Ocular movement, Visual fields.

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5
Q

the degree of detail the eye can discern in an image

A

Visual Acuity

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6
Q

the ability of the eyes to move in various directions

A

Ocular movement

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7
Q

the area an individual can see when looking straight ahead

A

Visual fields

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8
Q

Most eye assessment procedures involve…

A

Inspection

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9
Q

Types of refractive error on the lenses of the eyes

A

Myopia
Hyperopia
Presbyopia
Astigmatism

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10
Q

nearsightedness

A

Myopia

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11
Q

farsightedness

A

Hyperopia

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12
Q

loss of elasticity of the lens and thus loss of ability to see close objects

A

Presbyopia

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13
Q

An uneven curvature of the cornea that prevents horizontal and vertical rays from focusing on the retina

A

Astigmatism

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14
Q

Common inflammatory visual problems that nurses may encounter in clients include:

A

conjunctivitis, dacryocystitis, hordeolum, iritis, and contusions or hematomas

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15
Q

inflammation of the bulbar and palpebral conjunctiva

A

conjunctivitis

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16
Q

may result from foreign bodies, chemicals, allergenic agents, bacteria, or viruses. Redness, itching, tearing, and mucopurulent discharge occur.

A

conjunctivitis

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17
Q

inflammation of the lacrimal sac

A

Dacryocystitis

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18
Q

is manifested by tearing and a discharge from the nasolacrimal duct.

A

Dacryocystitis

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19
Q

STY

A

Hordeolum

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20
Q

is a redness, swelling, and tenderness of the hair follicle and glands that empty at the edge of the eyelids.

A

Hordeolum

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21
Q

inflammation of the iris

A

Iritis

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22
Q

Photophobia

A

sensitivity to light

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23
Q

may be caused by local or systemic infections and results in pain, tearing

A

Iritis

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24
Q

are “black eyes” resulting from injury.

A

Contusions or hematomas

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25
Q

tend to occur in individuals over 65 years old although they may be present at any age.

A

Cataracts

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26
Q

a disturbance in the circulation of aqueous fluid, which causes an increase in intraocular pressure

A

Glaucoma

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27
Q

is the most frequent cause of blindness in people over age 40 although it can occur at younger ages

A

Glaucoma

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28
Q

Pupils are normally…

A

black, are equal in size (about 3 to 7 mm in diameter), and have round, smooth borders.

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29
Q

Cloudy pupils are often indicative of…

A

Cataracts

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30
Q

enlarged pupils

A

Mydriasis

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31
Q

may indicate injury or glaucoma, or result from certain drugs

A

Mydriasis

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32
Q

constricted pupils

A

Miosis

33
Q

may indicate an inflammation of the iris or result from such drugs as morphine/ heroin and other narcotics, barbiturates, or pilocarpine

A

Miosis

34
Q

unequal pupils

A

Anisocoria

35
Q

may result from a central nervous system disorder; however, slight variations may be normal.

A

Anisocoria

36
Q

A bulging toward the cornea can indicate…

A

increased intraocular pressure.

37
Q

ASSESSMENT TECHNIQUES (EYE)

A

Snellen Chart
Near vision
Ishihara plates

38
Q

Distant vision is tested by using the…

A

Snellen Chart

39
Q

assessed by having a patient read from a prepared card that is held 14 inches away from the eyes

A

Near vision

40
Q

commonly used to assess color vision.

A

Ishihara plates

41
Q

Each of the colored dotted plates shows either a number or a path.

A

Ishihara plates

42
Q

Assessment of the ear includes…

A

direct inspection and palpation of the external ear, inspection of the internal parts of the ear by an otoscope

43
Q

instrument for examining the interior of the ear, especially the eardrum, consisting essentially of a magnifying lens and a light

A

Otoscope

44
Q

The ear is divided into three parts:

A

The ear is divided into three parts:

45
Q

The external ear includes:

A

auricle or pinna, the external auditory canal, and the tympanic membrane, or eardrum

46
Q

Landmarks of the auricle include:

A

Lobule
Helix
Antihelix
Tragus
Triangular fossa
External auditory meatus

47
Q

a bony prominence behind the ear

A

Mastoid

48
Q

air-filled cavity that starts at the tympanic membrane and contains three ossicles

A

Middle ear

49
Q

three ossicles (bones of sound transmission):

A

Malleus (Hammer)
Incus (Anvil)
Stapes (Stirrups)

50
Q

another part of the middle ear, connects the middle ear to the nasopharynx.

A

eustachian tube

51
Q

a seashell-shaped structure essential for sound transmission and hearing

A

Cochlea

52
Q

The inner canal contains:

A

Cochlea
Vestibule
Semicircular Canals

53
Q

measure hearing at various decibels

A

Audiometric evaluations

54
Q

is the result of interrupted transmission of sound waves through the outer and middle ear structures.

A

Conductive hearing loss

55
Q

is the result of damage to the inner ear, the auditory nerve, or the hearing center in the brain.

A

Sensorineural hearing loss

56
Q

is a combination of conduction and sensorineural loss.

A

Mixed hearing loss

57
Q

ASSESSMENT TECHNIQUES (EAR)

A

Whisper Test
Rinne Test
Weber Test

58
Q

effective screening test used to detect hearing impairment if performed accurately

A

Whisper Test

59
Q

evaluates hearing loss by comparing air conduction to bone conduction.

A

Rinne Test

60
Q

another way to evaluate conductive and sensorineural hearing losses

A

Weber Test

61
Q

Assessment of the nose includes:

A

inspection and palpation of the external nose (the upper third of the nose is bone; the remainder is cartilage); patency of the nasal cavities; and inspection of the nasal cavities.

62
Q

The mouth and oropharynx are composed of a number of structures:

A

lips, oral mucosa, the tongue and floor of the mouth, teeth and gums, hard and soft palate, uvula, salivary glands, tonsillar pillars, and tonsils.

63
Q

Normally, three pairs of salivary glands empty into the oral cavity:

A

Parotid, submandibular, and sublingual glands.

64
Q

Largest salivary gland and empties through stensen’s duct opposite the second molar.

A

Parotid gland

65
Q

empties through wharton’s duct, which is situated on either side of the frenulum on the floor of the mouth

A

Submandibular gland

66
Q

lies in the floor of the mouth and has numerous openings.

A

sublingual salivary gland

67
Q

Dental caries

A

Cavities

68
Q

Periodontal disease

A

Pyorrhea

69
Q

two problems that most frequently affect the teeth

A

Cavities and Pyorrhea

70
Q

an invisible soft film that adheres to the enamel surface of teeth

A

Plaque

71
Q

a visible, hard deposit of plaque and dead bacteria that forms at the gum lines.

A

Tartar

72
Q

Periodontal disease is characterized by…

A

gingivitis

73
Q

red, swollen gingiva [gum]

A

gingivitis

74
Q

inflammation of the tongue

A

glossitis

75
Q

inflammation of the oral mucosa

A

stomatitis

76
Q

inflammation of the parotid salivary gland

A

parotitis

77
Q

food, microorganisms, and epithelial elements

A

sordes.

78
Q

ASSESSMENT TECHNIQUE of the nose

A

Inspect and palpate the external nose
Check thepatency of airflow
Inspect the internal nose