TEST 3 - sensory Flashcards

1
Q

macular problems dx

A

amsler grid

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2
Q

intraocular pressure dx

A

tonometry

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3
Q

field of vision dx

A

perimetry testing

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4
Q

lesions of globe/orbit dx

A

ultrasonography

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5
Q

Vasculature

A

Fluorescein angiography

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6
Q

distortion caused by irregularity of cornea

A

Astigmatism

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7
Q

what measurement do we use to determine blindness

A

BCVA

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8
Q

Proper instillation of eye tx

A

Eye irrigations
-allow irrigating fluids to flow from inner to outer

Eye drops

  • sterile dropper must not touch eye
  • tilt head back, overflow towards temporal side
  • drops into lower conjunctival sac
  • prevent systemic absorption – press inner canthus of eye
  • blink b/w drops
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9
Q

Leading cause of blindness in US

A

glaucoma

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10
Q

s/s glaucoma

A

peripheral clouding ,blurring
difficulty focusing
difficulty adjusting eyes in low light

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11
Q

Meds for glaucoma

A
Cholinergics
beta-blockers
alpha-adrenergic agonists
carbonic anhydrase inhibitors
prostaglandin analogues
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12
Q

beta blockers for glaucoma

A

timolol

metapramilol

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13
Q

s/s cataracts

A
decrease in vision (especially distant)
abnormal color perception
sensitivity to glare
myopic shift
astigmatism
diplopia
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14
Q

color shift of cataract

A

brunescens

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15
Q

s/s retinal detachment

A

shade or curtain coming across vision
bright lights
sudden floaters

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16
Q

Surgical treatment retinal detachment

A

scleral buckle
pars plana vitrectomy
pneumatic retinopexy

17
Q

important consideration for retinal detachment

A

Post-op positioning

18
Q

sign of dry macular degeneration

A

drusen - tiny yellowish spots beneath retina

19
Q

Drugs that increase risk of macular degeneration

A

thyroid hormones

hydrochlorothiazides

20
Q

Education post-photodynamic therapy

A

avoid sunlight for 5 days

21
Q

systemic disease with occular consequences

A

diabetes - diabetic retinopathy
AIDs
Hypertension

22
Q

interruption or break in visual fields

A

scotomas

23
Q

Repetitive uncontrollable movements

A

nystagmus

24
Q

lazy eye

A

strabismus

25
Q

hearing loss causes

A

conduction problem
sensorineural loss
mixed
psychogenic issue

26
Q

What causes sensorineural loss

A

damage to choclea or vestibulocochlear nerve

27
Q

guidelines for communicating with hearing impaired

A
Use a low-tone normal voice
Speak slowly and distinctly
Reduce background noise and distractions
Face person and get attention
Speak into less impaired ear
Use gestures and facial expressions
Write out info or obtain a sign language translator
28
Q

conditions of outer ear

A

external otitis

malignant external otitis

29
Q

Conditions of middle ear

A

tympanic membrane perforation

Acute otitis media

30
Q

Meniere’s Disease patho

A

Abnormal inner ear fluid balance caused by malabsorption of the endolymphatic sac or blockage of the endolymphatic duct

31
Q

Meniere’s Disease

A

Fluctuating, progressive hearing loss
Tinnitus
Pressure fullness
Episodic incapacitating vertigo w/ n/v

32
Q

Meniere’s tx

A

Low-sodium diet, 2000 mg/day
Surgical mgmt. to eliminate vertigo
Endolymphatic sac decompression

33
Q

Meniere’s meds

A

Meclizine, tranquilizers, anti-emetics, diuretics

34
Q

BPPV tx

A

Epley’s maneuver

35
Q

Acoustic neuroma

A

A slow-growing, benign tumor of cranial nerve VIII

36
Q

Acoustic neuroma s/s

A

hearing loss

tinnitus

37
Q

Ototoxic meds

A
Abx
diuretics (loop)
NSAIDs
ED meds
Chemo