WorksheetsSpecialty testing. : Vision, Hearing, Allergy, and Pulmonary Fun
Total questions: 65
Worksheet time: 27mins
Which purpose of screening tests is emphasized for ambulatory care?
Detect health issues early and inform treatment choices
Replace specialist evaluations entirely
Eliminate the need for any follow-up testing
Focus only on emergency care situations
According to the overview, distance vision testing evaluates for myopia (nearsightedness). What condition is being screened?
Astigmatism
Myopia
Cataracts
Glaucoma
Which primary tool is used for distance vision testing as stated in the overview?
Jaeger eye chart
Ishihara color plates
Snellen chart
Amsler grid
For the Snellen chart testing procedure, how far should adults stand from the chart?
10 feet
15 feet
20 feet
25 feet
In Snellen chart testing, how far should children stand from the chart at eye level?
5 feet
8 feet
10 feet
12 feet
During Snellen chart testing, in what order are eyes tested?
Both eyes together only
Right eye only
Each eye individually, then both together
Left eye first, then right eye only
What is noted about corrective lenses during Snellen chart testing?
They are prohibited during testing
Patients may wear them during testing and this should be documented
They must be removed after the first line
Only contact lenses are allowed
What happens to the letters on each successive row of the Snellen chart?
They become larger
They alternate sizes
They remain the same size
They get progressively smaller
How are Snellen chart results recorded?
As a percentage
As a decimal
As a fraction such as 20/20
As a whole number score
In the Snellen notation, what does the numerator represent?
Distance at which typical vision can read the line
Number of letters missed
Distance from the chart (20 feet)
The size of the letters
In the Snellen notation, what does the denominator represent?
Distance from the chart
Age of the patient
Distance at which typical vision can read that line
Number of lines read
What does 20/20 vision represent according to the recording guidelines?
Poor vision
Typical, normal vision
Exceptional, better-than-normal vision
Near vision only
According to the recording rules, how many items can a patient miss on a line and still pass that line?
None
One item per line
Two items per line
Three items per line
Near vision testing screens for which conditions?
Myopia and astigmatism
Presbyopia and hyperopia (farsightedness)
Glaucoma and cataracts
Color blindness and macular degeneration
Which tool is used for near vision testing?
Snellen chart
Ishihara test book
Jaeger eye chart
Amsler grid
During near vision testing, how should the cards be positioned relative to the eyes?
Held 6–8 inches away with corrective lenses
Held 14–16 inches away without corrective lenses
Held 20 inches away with corrective lenses
Placed against the forehead
In near vision testing, what is the order of eye testing?
Both eyes together only
Each eye is tested individually, then both together
Right eye only
Left eye only
How many color plates are used in the Ishihara test book described?
7 plates
9 plates
11 plates
15 plates
In the Ishihara protocol , missing how many plates suggests a color deficiency?
2 or more plates
3 or more plates
4 or more plates
6 or more plates
In hearing screenings for ambulatory care, which device is used to detect hearing loss?
Audiometer
Stethoscope
Otoscope
Sphygmomanometer
Sound amplitude in hearing tests is measured in which unit?
Decibels (dB)
Hertz (Hz)
Lumens
Pascals
Sound frequency in hearing tests is measured in which unit?
Hertz (Hz)
Decibels (dB)
Watts
Candela
Hearing screening tests measure hearing acuity at different what?
Frequencies
Blood pressures
Temperatures
Wavelengths of visible light
Why do both amplitude and frequency matter in hearing?
Amplitude corresponds to loudness and frequency corresponds to pitch
Only amplitude determines what we hear; frequency is irrelevant
Frequency determines loudness while amplitude determines pitch
Neither amplitude nor frequency affects hearing perception
Tympanometry testing primarily records which aspect of ear function?
Movement of the tympanic membrane (eardrum)
Electrical activity of the cochlea
Bone conduction through the mastoid
Cerumen (earwax) accumulation
Tympanometry is used to detect which condition in the middle ear?
Increased pressure
Decreased blood flow
Damage to taste receptors
Sinus congestion
During tympanometry, which device component changes air pressure to measure eardrum movement?
A small earbud
Over-the-ear headphones
A tuning fork
An external microphone
Tympanometry is valuable for detecting which problems in the middle ear?
Fluid and infections
Nasal polyps
Tooth decay
Visual acuity issues
On a tympanometry graph, what does a normal result typically show?
A peak
A flat line
Random noise
Multiple troughs only
On a tympanometry graph, what does an abnormal result often show?
A flat line
A sharp peak
A sinusoidal pattern at multiple frequencies
A rising staircase
In an audiometry testing procedure, the patient does what while tones are presented?
Wears headphones and listens to various tones
Reads a passage silently
Performs balance exercises
Chews to equalize pressure
In audiometry, how does the patient indicate when tones are heard? Select all that apply.
Pushes a button
Raises a hand
Writes a sentence
Remains silent until prompted
Audiometry results are documented in which units? Select all that apply.
Decibels
Hertz
Lumens
Meters per second
According to the procedure, what threshold defines normal adult hearing?
Below 25 decibels
Below 15 decibels
Above 40 decibels
Exactly 30 decibels
According to the procedure, what threshold defines normal child hearing?
Below 15 decibels
Below 25 decibels
Above 40 decibels
Exactly 30 decibels
How long before testing should patients discontinue antihistamines?
1 day
3 days
5 days
Immediately before the test
What potential testing outcome can antihistamines cause by blocking the histamine response?
False-positive results
False-negative results
Exaggerated wheal formation
Immediate anaphylaxis
In the scratch test procedure, where is this test usually performed?
Lower leg
Forearm or upper back
Abdomen
Scalp
During a scratch test, what should be observed within the first 15 minutes?
Bruising
Wheal formation
Bleeding
Rash resolving
In a scratch test, what does a larger wheal indicate?
Less significant allergy
More significant allergy
Skin infection
Medication side effect
According to the scratch test procedure, what may be the next step after notable wheal reactions?
Patch testing
Further intradermal testing
Serum IgG testing only
No further testing
In intradermal allergy testing, how is the diluted allergen administered?
Applied topically with a patch
Injected intradermally into the skin
Given orally
Inhaled through a nebulizer
During intradermal testing, what finding confirms the allergen?
Erythema alone without firmness
Inflammation with induration (raised, hard area)
Dryness of the skin
Pruritus without swelling
Identify the procedure depicted by the sequence labeled "Drop of allergen," "Small skin prick," and "Skin reaction."
Scratch (prick) test
Intradermal injection test
Patch test
Spirometry
The image of a syringe creating a raised bleb on the skin most closely represents which testing method?
Oral challenge test
Intradermal allergy test
Scratch (prick) test
Patch test
On the forearm image with a grid and numbered sites, what is the clinical significance of larger wheals compared with smaller wheals?
They indicate less significant allergies
They indicate more significant allergies
They always represent infection
They show medication absorption
What does Spirometry assess?
An invasive test requiring surgical access
test measuring lung function capability
A laboratory blood test for oxygen saturation
A radiographic imaging test of the thorax
What is measured about airflow during testing?
Only the chemical composition of exhaled air
How fast and how much air moves in and out of the lungs
Only the temperature change during exhalation
The blood pH change during breathing
Before spirometry, which preparation guideline is correct regarding meals?
Eat a large meal immediately before the test
No large meals 2 hours before the test
Fast for 24 hours before the test
Only liquid diet on the test day
Which statement about smoking prior to spirometry is correct?
Smoking is allowed without restriction
No smoking 1 hour before the test
Stop smoking 24 hours before the test
Only reduce smoking frequency
What is the recommended timing for discontinuing bronchodilators or inhalers before spirometry?
Discontinue 30 minutes before the test
Continue them during the test
Discontinue 6 hours before the test
Discontinue 24 hours after the test
Which clothing advice is given for spirometry preparation?
Wear tight, restrictive clothing
Wear loose, nonrestrictive clothing
Wear heavy layered clothing
Wear specialized athletic gear
During spirometry testing, which patient positioning is recommended?
Supine with head lowered
Prone with arms raised
Upright sitting or standing position
Lateral decubitus with knees flexed
During the spirometry maneuver, which action about breathing route is specified?
Breathe through the nose with mouth closed
Breathe through the mouth with lips pursed around the mouthpiece
Alternate nose and mouth breathing
Hold breath without exhaling
What accessory is applied to prevent nose-breathing during spirometry?
Face shield
Nose clip
Chin strap
Ear plugs
Which posture adjustment is recommended to reduce resistance during spirometry?
Lower the chin and flex the neck
Slightly lift the chin and extend the neck
Rotate the head to the side
Tuck the chin to the chest tightly
Which instruction is given to the patient during spirometry effort?
Take a shallow breath and exhale slowly
Take deepest breath possible, seal lips, blow as hard and fast as you can
Cough briefly before exhaling
Hum while exhaling to steady airflow
How many acceptable attempts should be completed during spirometry testing?
One attempt
Two acceptable attempts
Three acceptable attempts
Five acceptable attempts
Peak flow rate testing is described as most helpful for which patient groups?
Patients with anemia and hypothyroidism
Asthma and COPD patients
Patients with peptic ulcer disease
Patients with renal calculi
What does peak flow rate testing measure to indicate airflow effectiveness?
Forced inspiratory volume
Forced expiratory volume
Total lung capacity
Arterial oxygen saturation
In peak flow rate testing, a rating of 80% or better indicates what status?
Severely uncontrolled condition
Well-controlled condition
Device malfunction
Need for immediate hospitalization
Where should the marker be positioned at the start of a peak flow measurement?
At the middle of the scale
At the top of the scale
At the bottom of the scale
Aligned with the previous reading
Which posture and breath preparation are advised before blowing into a peak flow meter?
Lie down and hold breath briefly
Stand or sit upright and take a deep breath
Lean forward and breathe shallowly
Squat and exhale first
How should air be exhaled into the peak flow meter mouthpiece?
Gently, with minimal force
Forcefully into the mouthpiece with a secure seal
Slowly over several minutes
Through the nose with lips relaxed
After a peak flow attempt, what should be recorded and how many times should the process be repeated?
Record the time taken; do not repeat
Record the number where the marker stops; repeat 2–3 times
Record ambient temperature; repeat once
Record body position; repeat until fatigue
