TEST 3 - sensory

Question 1

macular problems dx

Answer 1

amsler grid

Question 2

intraocular pressure dx

Answer 2

tonometry

Question 3

field of vision dx

Answer 3

perimetry testing

Question 4

lesions of globe/orbit dx

Answer 4

ultrasonography

Question 5

Vasculature

Answer 5

Fluorescein angiography

Question 6

distortion caused by irregularity of cornea

Answer 6

Astigmatism

Question 7

what measurement do we use to determine blindness

Answer 7

BCVA

Question 8

Proper instillation of eye tx

Answer 8

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

Question 9

Leading cause of blindness in US

Answer 9

glaucoma

Question 10

s/s glaucoma

Answer 10

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

Question 11

Meds for glaucoma

Answer 11

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

Question 12

beta blockers for glaucoma

Answer 12

timolol

metapramilol

Question 13

s/s cataracts

Answer 13

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

Question 14

color shift of cataract

Answer 14

brunescens

Question 15

s/s retinal detachment

Answer 15

shade or curtain coming across vision
bright lights
sudden floaters

Question 16

Surgical treatment retinal detachment

Answer 16

scleral buckle
pars plana vitrectomy
pneumatic retinopexy

Question 17

important consideration for retinal detachment

Answer 17

Post-op positioning

Question 18

sign of dry macular degeneration

Answer 18

drusen - tiny yellowish spots beneath retina

Question 19

Drugs that increase risk of macular degeneration

Answer 19

thyroid hormones

hydrochlorothiazides

Question 20

Education post-photodynamic therapy

Answer 20

avoid sunlight for 5 days

Question 21

systemic disease with occular consequences

Answer 21

diabetes - diabetic retinopathy
AIDs
Hypertension

Question 22

interruption or break in visual fields

Answer 22

scotomas

Question 23

Repetitive uncontrollable movements

Answer 23

nystagmus

Question 24

lazy eye

Answer 24

strabismus

Question 25

hearing loss causes

Answer 25

conduction problem sensorineural loss mixed psychogenic issue

Question 26

What causes sensorineural loss

Answer 26

damage to choclea or vestibulocochlear nerve

Question 27

guidelines for communicating with hearing impaired

Answer 27

``` 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 ```

Question 28

conditions of outer ear

Answer 28

external otitis | malignant external otitis

Question 29

Conditions of middle ear

Answer 29

tympanic membrane perforation | Acute otitis media

Question 30

Meniere’s Disease patho

Answer 30

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

Question 31

Meniere’s Disease

Answer 31

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

Question 32

Meniere's tx

Answer 32

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

Question 33

Meniere's meds

Answer 33

Meclizine, tranquilizers, anti-emetics, diuretics

Question 34

BPPV tx

Answer 34

Epley's maneuver

Question 35

Acoustic neuroma

Answer 35

A slow-growing, benign tumor of cranial nerve VIII

Question 36

Acoustic neuroma s/s

Answer 36

hearing loss | tinnitus

Question 37

Ototoxic meds

Answer 37

``` Abx diuretics (loop) NSAIDs ED meds Chemo ```