Thursday, 8-4-Eye Examination Lab

Question 1

Confrontation examination is used to assess ___

Answer 1

Visual field

Question 2

Amblyopia is ___

Answer 2

Lazy eye with permanently reduced visual acuity

Question 3

__ is ocular ataxia or rhythmical oscillation of the eyes

Answer 3

Nystagmus

Question 4

__ is associated with turning head-implications in evaluation of labyrinth/vestibular or CNS function

Answer 4

Nystagmus

Caloric reflex test or vestibular caloric reflex stimulation

Question 5

__: near point constriction of pupil

Answer 5

Convergence

Question 6

___: unequal size of pupils

Answer 6

Anisocoria

Question 7

During the fundoscopic exam, the red reflex is the ___

During the fundoscopic exam, what are the structures of the posterior chamber that you are looking for?

Answer 7

Retina

Optic disc is nasal and inferior, 2 lateral and 2 nasal arterioles, and the macula is temporal

Question 8

What is the most common organism responsible for bacterial conjunctivitis in adults? Children?

Answer 8

Adults: S aureus

Children: M catarrhalis

Question 9

Is bacterial conjunctivitis normally uni- or bi-lateral?

Answer 9

Unilateral

Purulent discharge through the day and spread by direct contact

Question 10

What virus is responsible for viral conjunctivitis?

Answer 10

Adenovirus

Question 11

Describe viral conjunctivitis:

Answer 11

• spread by direct contact
• initially unilateral but quickly becomes bilateral
• clear discharge and may have follicular appearance on tarsal conjunctiva
• self limiting

Question 12

How is allergic conjunctivitis distinguished from viral?

Answer 12

Bilateral redness, watery discharge, and itching

May have morning crusting

Question 13

__ is acute purulent inflammation (sterile or S aureus) and is also known as a stye

Answer 13

Hordeolum

Question 14

__ is when the Meibomian tear gland becomes obstructed. It is a painless, rubbery, nodular lesion often associated with blepharitis and roasacea

Answer 14

Chalazion

Generally found in eyelids

Question 15

__ are cholesterol deposits around the eyes. They are benign and hyperlipidemia is present in 50% of adults with them

Answer 15

Xanthelasma

Question 16

__ is used to identify epithelial defects

Answer 16

Fluorescein stain

Question 17

What does PERRLA, EOMI stand for?

Answer 17

Pupils equal, round, reactive to light and accommodation, extra-ocular muscles intact

Question 18

When examining the orbital conjunctiva, you depress the lower eyelid and have the patient look which direction?

Answer 18

Up

Question 19

When examining the orbital conjunctiva, you raise the upper eyelid and have the pt look which direction?

Answer 19

Down

Question 20

When examining the orbital conjunctiva, foreign bodies may be removed by ___

Answer 20

Eversion of the upper eyelid

Question 21

The snellen chart is used to test for ___

Answer 21

Visual acuity