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NURS 623 : HEALTH ASSESSMENT : MODULE 4 TEST
QUESTIONS WITH COMPLETE SOLUTIONS
What are the 6 extraoccular muscles for the cardinal directions of gaze? -- Answer ✔✔
- superior rectus
- inferior rectus
- lateral rectus
- medial rectus
- superior oblique
- inferior oblique what extraoccular muscles are innervated by CN III -- Answer ✔✔ 1. superior rectus
- inferior rectus
- medial rectus
- inferior oblique What eye muscles are innervated by CN VI -- Answer ✔✔ 1. lateral rectus what eye muscles are innervated by CN IV -- Answer ✔✔ 1. superior oblique 4 things you should look for when examining the hair -- Answer ✔✔ 1. quantity
- distribution
- texture
- any pattern of loss 4 things you should look for when examining the -- Answer ✔✔ 1. scaliness
- lumps
- nevi
- lesions 6 things you should look for when examining the skull -- Answer ✔✔ 1. size
- contour
- deformities
- depressions
- lumps
- tenderness 6 things you should look for when inspecting the skin in the head and face -- Answer ✔✔ 1. expression
- contours
- asymmetry
- involuntary movements
- edema
- masses 2 ways to describe the position and alignment of the eyes -- Answer ✔✔ 1. protrusion
- deviation First 3 things to test for when examining the eyes -- Answer ✔✔ 1. visual acuity
- visual fields
- reaction to light (direct and consensual) do the pupils dilate or constrict when shifting focus to a close object -- Answer ✔✔ constrict 3 key components of the ear examination -- Answer ✔✔ 1. inspect
- palpate
- otoscope how do you test for auditory acuity or gross hearing? -- Answer ✔✔ whispered voice test what do you need to differentiate if hearing loss or difficulty is present with the whispered voice test? -- Answer ✔✔ 1. sensorineural
- conductive how do you determine if hearing loss is sensorineural or conductive? -- Answer ✔✔ tuning for tests tuning fork test that evaluates bone conduction of sound in both ears at the same time -
- Answer ✔✔ Weber Tuning fork test that evaluates unilateral hearing loss by comparing sound though bone conduction (BC) versus air conduction (AC); also called air and bone conduction hearing test -- Answer ✔✔ Rinne how should you pull an adults ear when performing an otoscope exam? -- Answer ✔✔ up and back
when performing the Weber test, what should you suspect if the tone is louder in the "poor" ear? -- Answer ✔✔ conductive hearing loss when performing the Weber test, what should you suspect if the tone is louder in the "good" ear? -- Answer ✔✔ sensorineural hearing loss what is a normal result for the Rinne test? -- Answer ✔✔ AC > BC when performing the Rinne test, what should you suspect if BC>AC in the "poor" ear? -
- Answer ✔✔ conduction loss when performing the Rinne test, what should you suspect if AC>BC in the "poor" ear? -
- Answer ✔✔ sensorineural loss hypoglossal nerve -- Answer ✔✔ CN XII how do you test the hypoglossal nerve (CN XII)? -- Answer ✔✔ symmetry of tongue protrusion vagus nerve -- Answer ✔✔ CN X how do you test the vagus nerve (CN X)? -- Answer ✔✔ symmetry of uvula farsightedness -- Answer ✔✔ hypoeropia impaired vision as a result of aging -- Answer ✔✔ presbyopia nearsightedness -- Answer ✔✔ myopia
what nerves are you testing with EOM exams? -- Answer ✔✔ CN 3, 4 and 6 what could you look for when seeing if someone has uncontrolled hypertension -- Answer ✔✔ swelling at the optic disk gold standard for testing hearing loss -- Answer ✔✔ audiology test cranial nerve for facial symmetry -- Answer ✔✔ CN 7 eye infection -- Answer ✔✔ conjunctivitis what is one eye condition you dont wan't to miss -- Answer ✔✔ acute angle glaucoma EMERGENCY. Abrupt onset of pain, nausea, colored halos, rainbows around light. Red Teary Eye with hazy cornea and fixed mid-dilated pupil (not reactive to light) that is firm to palpation. -- Answer ✔✔ acute angle glaucoma lacrimal sac infection -- Answer ✔✔ dacrocystitis inflammation of the glands and eyelash follicles along the margin of the eyelids -- Answer ✔✔ blepharitis sty; an acute infection of a sebaceous gland of the eyelid -- Answer ✔✔ hordeolum infection or retention cyst of a meibomian gland, showing as a beady nodule on the eyelid -- Answer ✔✔ chalazion inward turning of the rim of the eyelid -- Answer ✔✔ entropion
outward turning of the rim of the eyelid -- Answer ✔✔ ectropion mucous membrane that lines the eyelids and outer surface of the eyeball -- Answer ✔✔ conjunctiva blood in the anterior chamber of the eye -- Answer ✔✔ hyphema inflammation of the outermost layers of the sclera -- Answer ✔✔ episcleritis inflammation of the sclera -- Answer ✔✔ scleritis what is the grade for tonsils that touch? -- Answer ✔✔ grade 4 right eye -- Answer ✔✔ OD left eye -- Answer ✔✔ OS both eyes -- Answer ✔✔ OU
