Mrs. Jones

Question 1

When performing a comprehensive assessment, which part of the would you assess for information about the motor function of cranial nerve VII?

A. Ears

B. Mental status examination

C. Mouth and throat

D. Head and Face

Answer 1

D. Head and Face

Question 2

You are preparing to assess Mrs Jones’s distance visual acuity. Given that she wears reading glasses which of the following would be most appropriate?

A. Use the E chart rather than the Snellen chart for testing.

B. Have Mrs Jones keep the reading glasses on but occlude one eye.

C. Ask Mrs Jones to remove her glasses before testing.

D. Test Mrs Jones near visual acuity instead.

Answer 2

C. Ask Mrs Jones to remove her glasses before testing.

Question 3

During Mrs Jones’s ocular exam you shine a light into the eye and the pupil of the other eye constricts. What of the following do you interpret this as?

A. Direct reflex.

B. Consensual response.

C. Accommodation.

D. Optic chiasm.

Answer 3

B. Consensual response.

Question 4

Which of the following questions will help you evaluate Mrs Jones for hearing impairment?

1. “Do you have a problem hearing over the telephone?”
2. “Do people complain that you turn the TV volume up too high?”
3. “Do you misunderstand what others are saying and respond inappropriately?”
4. “Do many people you talk to seem to mumble or not to speak clearly?”

Answer 4

All of those questions will help your evaluation.

Question 5

If Mrs Jones has difficulty hearing high-pitched sounds, which of the following would you document this finding as?

A. Otalgia.

B. Presbycusis.

C. Vertigo.

D. Tinnitus.

Answer 5

B. Presbycusis.

Question 6

Mrs Jones has asked you to present an educational class to her garden club about vision and eye health. As part of the presentation you explain how visual perception occurs. Which of the following would you include in the explanation?

A. Refers to what s person sees with one eye.

B. Allows the eyes to focus on near objects.

C. Involves light rays striking the retina.

D. Acts as a protective reflex to limit light.

Answer 6

C. Involves light rays striking the retina.

Question 7

Mrs Jones asks why cerumen is important because it “just clogs up the ear anyway”. Which response would be most appropriate?

A. “It helps create the smoothness of the external auditory canal.”

B. “It helps create the translucent, pearly colour of the eardrum.”

C. “It helps keep the tympanic membrane soft.”

D. “It helps conduct sound waves through the ear canal.”

Answer 7

A. “It helps create the smoothness of the external auditory canal.”