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WorksheetsChapter 30 Assisting in Ophthalmology and Otolaryngology
Total questions: 88
Worksheet time: 45mins
Sinusitis is the inflammation of what?
nasal cavity
larynx
sinus cavity
tonsils
When is the E chart used for visual acuity testing?
when testing children
when someone is wearing corrective lenses
when someone has esotropic strabismus
when someone doesn't know English
Which acronym refers to an otolaryngologist?
ANT
ENT
NET
OGT
what is a Ophthalmology
physician who specializes in the diagnosis and treatment of disorders and DZs of the eye
science of eye and its disorders and dz
what is a Ophthalmologist
science of eye and its disorders and dz
physician who specializes in the diagnosis and treatment of disorders and DZs of the eye
Optometrist
Not a medical doctor, but can perform an eye examinations, diagnose vision problems and eye dz, and treat visual defect through corrective lenses and eye exercises
Trained to fill prescriptions written by Ophthalmologist and optometrists for corrective lenses by grinding the lenses and dispensing eyewear.
Opticians
Not a medical doctor, but can perform an eye examinations, diagnose vision problems and eye dz, and treat visual defect through corrective lenses and eye exercises
Trained to fill prescriptions written by Ophthalmologist and optometrists for corrective lenses by grinding the lenses and dispensing eyewear.
how does visual impulse begins with.?
light passing through the cornea.
light passing through the nose
cornea refracts the light and passes it through.?
the aqueous humor and pupil into the lens
the aqueous humor and pupil into the mouth
Ciliary muscle adjust the curvature of lens to again
refract light rays
refract light bulbs
rays pass into the retina, trigger photo-receptor cells of rods and cones
true
false
rays pass into the retina, trigger photo-receptor cells of
rods and cones
orange cones
light energy converts into an
electrical impulse and it sent through the optic nerve to the brain
electrical impulse and it sent through the optic nerve to the hand
what is PRESBYOPIA
changing the point of focus from distance to near becomes difficult, due to age.
changing the point of focus from distance to near becomes easy.
presbyopia
difficulty seeing at reading level
easy reading from far away
astigmatism
occurs when light entering the eye are focused irregularly
occurs because the cornea or the lens is not a smooth sphere, but has an irregular shape
corrected with glasses, contacts, or surgery
occurs when there is not light to read a long book
what are the 2 disorder of the eyes
strabismus
nystagmus
ray
Strabismus is
eyes do not track together (do not look in the same direction)
eyes are always looking together
Nystagmus is
constant involuntary movement of one/both eyes
accompanied by blurred vision
cause by an abnormal functions in the part if the brain that controls eye movement
complied with good
nystagmus is the cause of
cause by an abnormal functions in the part if the brain that controls eye movement
cause by an abnormal functions in the part if the brain that controls leg movement
what are the 5 infections of the eyes?
Hordeolum
chalazion
keratitis
conjunctivitis
blepharitis
what does Hordeolum localized
purulent infection of sebace ous gland of eyelid
purulent infection of sebace ous gland of ear
what is chalazion
small cyst from blockage of Meibomian gland
small cyst from blockage of Meibomian maryland
keratitis is an inflammation of cornea
results in superficial ulcerations
results in superficial creme
conjunctivitis
inflammation of conjunctiva caused by irritation, allergy, or bacterial infection
inflammation of conjunctiva caused by irritation, allergy, or perfect infection
conjunctivitis cause inflammation of
conjunctiva caused by irritation
allergy
bacterial infection
nutrients
inflammation of gland and lash follicles along eyelids
blepharitis
dopitis
what are the cause for corneal abrasion
foreign body or direct trauma
foreign body or direct emfluenzma
corneal abrasion is diagnosis
by fluorescein stain, highlighted by cobalt blue light
by fluorescein stain, highlighted by cobalt purle
for corneal abrasion the first step is: foreign bodies are removed first then?
2.treated with antibiotic ointment
3.nonsteroidal anti-inflammatory ophthalmic ointments.
3.prescribed nortatics
cataract is
cloudy area blocks passage of light into retina
cloudy area blocks passage of ligh into mouth
what is the condition for cataract
may results from eye injury, exposure to extreme heat or radiation, or inherited factors, but is usually due to aging
may results from eye injury, exposure to extreme heat or radiation, or inherited factors, but is usually due to getting younger
what is the cause for cataract
blurred
dimmed vision
glasses
what is the treatment for cataract
surgical of the lens
surgical pap-smear
what is the most common and serious
glaucoma
depth
increased intraocular pressure (IOP)
what is the damages for Glaucoma
it damages the optic nerve and causes blindness if untreated
it damages the optic nerve and causes blindness if treated
what are the 2 tools to diagnosis glaucoma
tonometer
gonioscopy
observations
what is the treatment for Glaucoma
miotic and beta-blocker eye drops
leave it alone
surgery
progressive deterioration of the macula lutea
macular degeneration
m. degeneration
causes for macular degeneration is
severe vision loss and blindness
severe vision loss and good blindness
what is the treatment for Macular degeneration
no cure, but antioxidants may prevent or slow progression
yes cure, but antioxidants may prevent or slow progression
what are the two forms
dry 90% of cases
wet
rain
what are the 5 diagnostic procedures
ophthalmoscope projects light to view interior parts of eye and retina
eyelids examined for edema
pupils examine for shape, symmetry, reactivity of light, and movement coordination
slit lamp biomicroscope to view details of eye drops
exophthalmometer measures how far eye protrudes beyond edge of socket.
pupils are examine for
shape, symmetry
symmetry,
reactivity of light
movement coordination
color site
slit lamb biomicroscope to view details of
eye, which requires mydriatic eye drops
nose, which requires mydriatic eye drops
exophthalmometer measures
how far protrudes beyond edge of socket
how fast a pt cant read
ophthalmoscope projects the light to view interior parts of
eye
retina
color
eyelids are examine for
edema
nose
the best single test for vision screening is used with
The Snellen alphabetical chart
The color shape chart
Patients must be able to view the chart at eye level, from distance, and the chart should be illuminated with maximum light
true
false
because this is a gross screening of visual acuity, patients are usually allowed to use
glasses
eye contacts
eye glasses
document use of corrective ___, results of each eye separately and as ___, outcomes of each test with appropriate abbreviations.
lenses - fractions
glasses - water
for near visual acuity patients holds card with varying size font
14 to 16 inches from face
20 to 24 inches from face
for near visual acuity should
test each eye, other eye covered, but open
test the eye site with eyes close
document the number at which the patient
stopped reading for each eye
weather corrective lenses were worn
any signs of eye strain - like squinting
stop until the pt is done reading the chart
Ishihara color vision test detects
color vision- congenital or acquired
assess perception of primary colors and shades of colors
looking for number only
which ones are right about Ishihara color vision test
polychromatic plates with numbers of one color, and background dots are different color
if the score is 10 or higher the pt is within average range
in not necessary for patient to do this test is not needed for the future
eye irrigation what must be use and what is not to be attempt
use sterile technique and equipment to avoid contamination
used to relieve inflammation, remove drainage, dilute chemicals or wash away foreign bodies
never attempt to remove foreign body with applicator
try to remove foreign with q-tip
eye drops or ointment are common in instillation of medical to
treat infection
soothe irritation
anesthetize eye
dilate pupils
perfect eye
for aseptic procedures in ophthalmology
avoid contamination of eye medication applicators
sterility of medications is critical
eyes are okay
outer (external) ear
auricle, auditory canal
tympanic cavity
middle ear
auricle, auditory canal
tympanic cavity
inner ear
called the labyrinth
organ of corti
organ
what are the disorders of the ear- hearing loss
conductive hearing loss
sensorineural hearing loss
listing
conductive hearing loss is
caused by a problem that originates in the external or middle ear
results from an abnormality of the organ of Corti or of the auditory nerve
what is the result for sensorineural hearing loss
caused by a problem that originates in the external or middle ear
from an abnormality of the organ of Corti or of the auditory nerve
what are the causes for Otitis externa (swimmer's ear)
dermatologic conditions
trauma
continuous use of earplugs/earphones
swimming
playing games alot
otitis media
serous
suppurative
more common in childrens
flu shot
otitis media is often associated with ___ or ____.
upper respiratory tract infection OR allergic reaction
head problems or happy feelings
cerumen is
soft, yellowish
waxy substance that lubricates the external auditory canal
blackish, colorful
excessive secretion can cause:
hearing loss
tinnitus
feeling of fullness
otalgia
weird feeling
impacted cerumen can cause conductive hearing loss
true
false
Meniere's disease can cause __ and __ in the semicircular canals
swelling AND edema
injured - hearing lost
in Meniere's disease can trigger episodes of recurring attacks of
vertigo
tinnitus
sensation of pressure in affected ear
advancing hearing loss
nothing
tuning fork testing measure
hearing by air conduction
bone conduction
weird noise
why would Weber test be use for
If patient reports better hearing in one ear
if patient reports nothing
Rinne test compares ___ WITH ____.
air conduction sound
bone conduction sound
light head
Rinne test is
in normal hearing sound is heard twice as long by air as by bone conduction
in normal hearing sound is heard twice as long by air as by head starts moving
audiometric testing measures
the lowest intensity of sound an induvial can hear.
super intensity of sound an induvial can hear.
if initial screening indicates hearing deficit, and
audiologist may be consulted
ob may be consulted
ear irrigation
done to remove excessive or impacted cerumen to remove a foreign body or to treat inflamed ear with an antiseptic solution
administer irrigation solution with applicator tilted up, toward top of external canal
always chart the treatment and its results immediately after completion
show pt a video so pt can see what to do
how to administer irrigation solution with applicator
tilted up
toward top of external canal
don't hesitate
why is instilling otic medications is given to
soften impacted cerumen
to relieve pain
as an antibiotic drop for an infectious pathogen
to help hear better
to examine of the nose. In nasal cavity it examines to test __ and ___.
mucous membrane
nostrils
hear
to examine of the throat the larynx and pharynx we use
mirror tongue depressor
gauze square
qtip
offer referrals to community resources
true
false
public facilities must comply with ADA requirements for physical accommodations
true
false
which ones are true about legal and ethical issues
obtain the pts signature in NPP form
NPP form developed by the facility that outlines pts rights and facility's legal responsibilities to safeguard pts protected health information
its okay for everyone to views pts chart
