exam 1 Flashcards

(38 cards)

1
Q

why should you never touch a pt untill a visual acuity is documented?

A

need to establish a base line, (unless a toxin is in the eye, then irrigate emdiatly.

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2
Q

VVEEPP

A
visual acuity
visual fields
external exam
extra-ocular movements
pupillary exam(PERRLA)
pressure
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3
Q

what measures eye pressure?

A

tono- pen

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4
Q

what tool would you use to view the anterior segment of the eye?

A

slit lamp

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5
Q

Fundoscopic exams look at what part of the eye?

A

posterior segment

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6
Q

fluorescein staining and wood lamps are used when?

A

foreign body and corneal exam

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7
Q

anterior segment of the eye includes what?

A

from 1/3 of eye, structures infront of viterous humor: cornea, iris, ciliary body and lens

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8
Q

posterior segment of the eye includes what?

A

back 2/3 of eye

vitreous humor, retina, choroid and optic nerve

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9
Q

what is functional loss of vision?

A

no organic cause for pt loss, “iin your head”

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10
Q

fractures in the medial wall effect what muscle and cast what gaze?

A

medial rectus muscle, lateral gaze

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11
Q

fractures of the orbital floor effect what muscle and cast what gaze?

A

inferior rectus muscle, upward gaze

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12
Q

tears come from what gland?

A

lactimal gland, watery portion of tear

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13
Q

tears drain into?

A

upper puncta and lower puncta. then into canaliculus

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14
Q

anterior segment of the eye includes?

A
conjunctiva
cornea
anterior chamber
iris
posterior chamber
lens
ciliary body
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15
Q

posterior segment of the eye includes?

A

vitreous humor
retina
optic nerve
macula

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16
Q

periorbital structures

A

lids
lashes
canalicular system
EOM

17
Q

one you lose vitreous ____ its gone

18
Q

sclera

A

white of eye, fibrous outer layer covers all of the eyball except part covered by cornea. all 6 EOM attach to sclera

19
Q

the SO attaches to ?

20
Q

IO attached at ___,___lateral surface of scleral and ____ and ____

A

posterior and inferior

elevates and abducts

21
Q

SO attached to _____ medial surface of sclera. has a ___ it depresses and ____

A

superior, pully, abducts(walking down the stairs)

22
Q

Iris

A

eye color, controls diameter and size of pupil and amount of light reaching the retina

23
Q

pupil

A

dilates and constricts to allow light

24
Q

name of the dilator muscle in pupil?

A

diolater pupaliae SNS

25
name of the constricter muscle?
sphincter pupilae PSNS
26
cornea
transparent portion over iris and pupil, helps transfer and focus light on retina
27
Corneal refex arch
sensory bibers are carried with CN5, lands at CN5 nucei then crosses over to CN7 PSNS allow you to blink
28
aqueous humor
flows through the pupil and fills the anterior chamber, produced by ciliary body via diffusion and active transport of plasma, reabsorbed by trabeculae in canal of schlemm
29
vitreous chamber
also called the posterior segment of the eye. space between the lens and retina, filled with clear gelatinous material
30
retina
thin layer of tissue that lines the back of the eye and contains photorecetors and blood vessels
31
cones
responsible for, sharp, detailed cental vision and colored vision
32
rods
night and peripheral vision
33
do we have more cones or rods?
rods
34
Macula
oval shaped yellowish area near center of retina, contains millions of photoreceptors(cones), most sensitive part of retina
35
choroid
thin vascular layer between retina and sclera
36
optic disk
optic nerve fibers/ blood vessels leave the eyeball
37
fovea
center of macula, thin rod free portion of the retina where cones are densly packed
38
what is the cup to disk ration?
should not exceed 0.5 or 1:2