Physical Exam: Eyes, Ears, Nose, and Mouth

Question 1

Cornea

Answer 1

The transparent coat of the eyeball that covers the iris and pupil; lets light into the eye

Question 2

Sclera

Answer 2

The dense fibrous opaque outer coat enclosing the eyeball -

except the part covered by the cornea.

Question 3

Conjunctiva

Answer 3

white area of the eyes

Question 4

Icterus

Answer 4

Yellowing of sclera due to bilirubin build-up (often seen with jaundice)

Question 5

Subconjunctival Hemorrhage

Answer 5

Bright red patches in conjunctiva of eyes due to ruptured blood vessels

Question 6

Extraocular Movements

Intact (EOMI)

Answer 6

appropriate function of the extraocular muscles, tested with “follow my finger”

Question 7

Pupils equal, round and

reactive to light (PERRL)

Answer 7

normal evaluation of the size, shape of the pupils and their reaction to light

Question 8

Papilledema

Answer 8

swelling of the optic disk due to an increase in intracranial pressure

Question 9

Fundi Sharp

Answer 9

non-swollen optic nerve on exam of fundus (back of eye) with ophthalmoscope

Question 10

Visual Acuity

Answer 10

acuteness / sharpness of vision as measured by the eye chart

Question 11

Eyelid Eversion

Answer 11

flipping the eyelid for exam underneath the eyelid

Question 12

Normal Palpebral

Conjunctiva

Answer 12

eyelid membrane is clear

Question 13

Exophthalmos

Answer 13

bulging of eyes out of socket

Question 14

Nystagmus

Answer 14

involuntary rapid eye movements – often reported as horizontal, vertical, or rotary.

Question 15

Erythema of the External

Canal

Answer 15

redness of outer ear canal

Question 16

Cerumen Impaction

Answer 16

excessive earwax

Question 17

Tympanic Membrane (TM)

Answer 17

Eardrum

Question 18

Erythematous TM

Answer 18

red color of the TM

Question 19

Bulging TM

Answer 19

protruding / outward curvature of the TM

Question 20

Retracted TM

Answer 20

inward curve of the TM

Question 21

Poor Light Reflect

Answer 21

cone of light does not reflect on TM

Question 22

Unable to Visualize Landmarks

Answer 22

Provider cannot see landmarks behind TM

Question 23

Hemotympanum

Answer 23

Blood on the TM

Question 24

Mastoid Tenderness

Answer 24

Tenderness over mastoid bone (located posterior to ear)

Question 25

Clear Rhinorrhea

Answer 25

clear nasal drainage

Question 26

Septal Deviation

Answer 26

displacement of nasal septum

Question 27

Septal Hematoma

Answer 27

bruising or bleeding in the nasal septum

Question 28

Dry Mucous Membranes

Answer 28

dry mouth

Question 29

Tongue Laceration

Answer 29

cut on the tongue

Question 30

No Signs of Oral Trauma

Answer 30

no cuts/chipped teeth/etc.

Question 31

Dental Caries

Answer 31

Cavity

Question 32

Poor Dentition

Answer 32

bad teeth

Question 33

Pericoronitis

Answer 33

infection of the gums

Question 34

Parotid Mass

Answer 34

enlargement of the parotid gland

Question 35

Trismus

Answer 35

inability to open mouth normally due to spasm of the jaw muscles

Question 36

Normal Jaw Approximation

Answer 36

normal jaw alignment

Question 37

Malocclusion

Answer 37

misalignment of the teeth when mouth closed