PhysDi - Physical Eye Exam

Question 1

Eyebrows

Answer 1

note thinning; verbalize

Question 2

eyelids

Answer 2

note lesions (ex: stye); verbalize

Question 3

conjunctiva, sclera

Answer 3

pull lower lid down to inspect white of eyes and inside of eyelids

Question 4

extraoccular movements

Answer 4

follow examiners finger in a cross pattern w/ eyes (head still)

Question 5

nystagmus

Answer 5

follow the examiners finger in a line to the right and the left, look for eye “beating”

Question 6

convergence

Answer 6

focus on examiners finger as it advances toward nose; both eyes should move inward

Question 7

accommodation

Answer 7

focus on examiners finger as it nears the tip of nose; both pupils should . . . accommodate?

Question 8

test visual acuity

Answer 8

using card at arm’s length - each eye separately, with covered eye cupped

Question 9

cover test

Answer 9

look forward, focus on object; cover 1 eye, watch position of uncovered eye as cover is removed - bilateral

Question 10

Visual fields by confrontation (2 locations per side)

Answer 10

with pt looking at student’s nose, student’s elbow at sides, holds up wiggling fingers from different directions to test peripheral vision

Question 11

Direct and consensual pupillary response

Answer 11

shine ophthalmoscope light in eye, look for pupil constriction . shine light in same eye again but look for pupil constriction in other eye.

Question 12

red reflex

Answer 12

shine light in eye, note presence of red reflex; verbalize

Question 13

Optic disc

Answer 13

note color/margins; verbalize

Question 14

retinal arteries and veins

Answer 14

note abnormalities (coppor wiring, AV nicking, pulsations); verbalize

Question 15

macula

Answer 15

note hemorrhages/exudates; verbalize