LESSON#9

Question 1

Common or concerning symptoms
Changes in vision:

Answer 1

HYPEROPIA
PRESBYOPIA
MYOPIA
SCOTOMAS

Question 2

Is a refractive error, which means that the eye does not bend or refract light properly to a single focus to see images clearly.

Answer 2

HYPEROPIA

Question 3

Distant objects look somewhat clear, but close objects appear more blurred.

Answer 3

HYPEROPIA

Question 4

Is when your eyes gradually lose the ability to see things clearly up close.
It is a normal part of aging

Answer 4

PRESBYOPIA

Question 5

Comes from a greek word which means “old eye”

Answer 5

PRESBYOPIA

Question 6

You may start to notice presbyopia shortly after age

Answer 6

40

Question 7

Is a common vision condition in which you can see objects near to you clearly, but object farther away are blurry.

Answer 7

MYOPIA

Question 8

It occurs when the shape of your eye causes light rays to bend (refract) incorrectly, focusing images in front of your retina instead of on your retina

Answer 8

MYOPIA

Question 9

Is an area of partial alteration in the field of vision consisting of a partially diminished or entirely regenerated visual acuity that is rounded by a field of normal - or relatively well preserved - vision

Answer 9

SCOTOMAS

Question 10

DOUBLE VISION

Answer 10

DIPLOPIA

Question 11

Is when your eyes are not lined up properly and they point in different directions

Answer 11

STRABISMUS

Question 12

Areas of history interview

Answer 12

EYE HISTORY
FAMILY HISTORY
LIFESTYLE HABITS

Question 13

PHYSICAL EXAMINATION
Components of the eye examination include:

Answer 13

VISION TESTS
EXTRAOCULAR MOVEMENTS

Question 14

Distal, near, and peripheral inspection of the eye, eyebrows, lids, conjunctiva and sclera, cornea, lens, Iris, and pupils inspection and palpation of the lacrimal apparatus

Answer 14

VISION TESTS

Question 15

Assessment of cardinal fields, convergence, corneal light test, cover-uncover test

Answer 15

EXTRAOCULAR MOVEMENTS

Question 16

equipment for examination

Answer 16

SNELLEN CHART OR “E” CHART
ROSENBAUM, NEAR-VISION CARD
INDEX CARD
OPTHALMOSCOPE

Question 17

Visual acuity is expressed as two numbers

Answer 17

20/30

Question 18

The numerator indicates the distance of the patient from the chart and this number should always be 20 unless the patient moved closer to see, and the denomination is the distance at which a normal eye can read the line of letters

Answer 18

VISUAL ACUITY

Question 19

Testing ________ with a special hand held card

Answer 19

NEAR VISION

Question 20

Helps Identify the need for reading glasses or bifocals in patients older than 45 years

Answer 20

ROSENBAUM CHART

Question 21

This card can be utilized to test visual acuity at the bedside.
Held 14 inches from the patient’s eyes, the card simulates a snellen chart.

Answer 21

HAND HELD CARD

Question 22

External eye examination

Answer 22

POSITION AND ALIGNMENT OF THE EYE
EYEBROWS
EYELIDS

Question 23

Stand in front of the patient and survey the eyes for position and alignment. If one or both eyes seems to protrude, assess them from above

Answer 23

POSITION AND ALIGNMENT OF THE EYES

Question 24

Inspect for the following:
Open are between the upper and lower eyelids

Answer 24

WIDTH OF THE PALPEBRAL FISSURES

Question 25

INTERNAL EYE EXAMINATION With oblique lighting, inspect the _______ of each eye for opacities and note any opacities in the lens that may be visible through the pupil

Answer 25

CORNEA AND LENS

Question 26

INTERNAL EYE EXAMINATION The markings should be clearly defined. With your light shining directly from temporal side, look for a crescentic shadow on the medial side of the_______. Because the ______ is normally fairly flat and and forms a relatively open angle with the cornea, this lighting casts no shadow

Answer 26

IRIS

Question 27

INTERNAL EYE EXAMINATION Inspect the size, shape and symmetry of the pupils. If the ____ are large (5 mm) Small (<3 mm) or unequal, measure them.

Answer 27

PUPILS

Question 28

The nurse would examine the patient's eye without dilating the pupils. To see more peripheral structures.

Answer 28

OPTHALMIC EXAMINATION

Question 29

Types of eye examination/examination

Answer 29

EXTERNAL EYE EXAMINATION INTERNAL EYE EXAMINATION OPHTHALMIC EXAMINATION

Question 30

Assess the ______, looking for: The normal conjugate movements of the eyes in each direction, or any deviation from normal

Answer 30

EXTRAOCULAR MUSCLES

Question 31

A fine rhythmic oscillation of the eyes.

Answer 31

NYSTAGMUS

Question 32

As the eyes move from up to down

Answer 32

LID LAG

Question 33

SPECIAL TECHNIQUES This test helps identify the cause of excessive tearing. As the patient to look up

Answer 33

NASOLACRIMAL DUCT OBSTRUCTION

Question 34

Avoid this test if the area is inflamed and tender

Answer 34

NASOLACRIMAL DUCT OBSTRUCTION

Question 35

Health promotion, disease prevention and education

Answer 35

VISION SCREENING EYE PROTECTION CARE OF CONTACT LENSES

Question 36

Changes in vision shift with age Effects approximately 2-4% or preschool children.

Answer 36

VISUAL SCREENING

Question 37

Also known as "lazy eye"

Answer 37

AMBLYOPIA

Question 38

VISION SCREENING This loss of vision is due to an alteration in neutral pathways in the developing brain which is turn decreases use of affected eye

Answer 38

AMBLYOPIA

Question 39

VISION SCREENING Eye misalignment; these are found most frequently in fants and children up to 5 years old.

Answer 39

STRABISMUS

Question 40

For detecting strabismus and amblyopia include simple inspection, the cover uncover test, corneal light reflex and visual acuity tests.

Answer 40

SCREENING TESTS

Question 41

Can result from numerous causes, for example: chemical splashes from cleaning supplies, metal shards or rock flying when mowing the lawn, sports, body fluids entering the eye--- the list is endless

Answer 41

EYE INJURY

Question 42

CARE OF CONTACT LENSES can occur and injure the eye if contact lenses are not taken care of properly

Answer 42

INFECTIONS

Question 43

Testing near vision with a special handheld card

Answer 43

ROSENBAUM CHART

Question 44

commonly called a “stye”, is an infection of an oil gland at the edge of the eyelid

Answer 44

HORDEOLUM (STYLE)

Question 45

(also known as proptosis) is the protrusion of one eye or both anteriorly out of the orbit. 

Answer 45

EXOPTHALMOS

Question 46

a condition in which your eyelid, usually the lower one, is turned inward so that your eyelashes rub against your eyeball, causing discomfort

Answer 46

ENTROPION

Question 47

where the lower eyelid droops away from the eye and turns outwards

Answer 47

ECTROPION

Question 48

Conjunctivae clear and shiny

Answer 48

BULBAR CONJUNTIVA

Question 49

What kind of Conjunctiva uniformly pink with history of allergies - cobblestone appearance

Answer 49

PALPEBRAL CONJUNCTIVA

Question 50

assesses the integrity of the trigeminal and facial cranial nerves

Answer 50

CORNEAL REFLEX

Question 51

the ability of the lens to focus and refocus on a distant & near objects (converge)

Answer 51

ACCOMMODATION

Question 52

PERRLA means

Answer 52

PUPILS EQUAL ROUND LIGHT REACTING ACCOMMODATION

Question 53

Distance what the normal eye see

Answer 53

200

Question 54

If the loss or lack of developmental of central vision in one eye

Answer 54

LAZY EYE OR AMBLYOPIA

Question 55

Visual acuity, distance from the chart

Answer 55

20

Question 56

3 y/o normal eye sight

Answer 56

20/50

Question 57

4 y/o normal eye sight

Answer 57

20/40

Question 58

5 y/o normal eye sight

Answer 58

20/30

Question 59

6 and older normal eye sight

Answer 59

20/20

Question 60

 a field loss deficit in the same halves of the visual field of each eye.  1/2 blindness of the visual field

Answer 60

HOMONYMOUS HEMIANOPSIA

Question 61

Eye movement while ______ or ______ the eye is considered abnormal Due to weak or paralyzed extraocular muscle- cranial nerve impairment

Answer 61

COVER UNCOVER TEST

Question 62

TESTING EXTRAOCULAR MUSCLES - sr superior rectus

Answer 62

CN III

Question 63

TESTING EXTRAOCULAR MUSCLES LR - lateral rectus

Answer 63

CN VI

Question 64

TESTING EXTRAOCULAR MUSCLES IR - inferior rectus

Answer 64

CN III

Question 65

TESTING EXTRAOCULAR MUSCLES IO - inferior oblique

Answer 65

CN III

Question 66

TESTING EXTRAOCULAR MUSCLES MR - medical rectus

Answer 66

CN III

Question 67

TESTING EXTRAOCULAR MUSCLES SO - superior oblique

Answer 67

CN IV

Question 68

Macular degeneration

Answer 68

CENTRAL VISION LOSS

Question 69

glaucoma

Answer 69

PERIPHERAL VISION LOSS

Question 70

Blind spot in the middle of an area of normal vision

Answer 70

SCOTOMA

Question 71

Dropping of the eyelid, due to muscle weakness occulomotor nerve damage

Answer 71

PTOSIS

Question 72

Allergies, inflammation, crying, fluid retaining d/o

Answer 72

PERIORBITAL EDEMA