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Which cranial nerve(s) involves the ear? ✔Correct Answer-8
Which cranial nerve(s) do the eyes correlate with? ✔Correct Answer-2, 3, 4, 6
How can we determine hearing loss while talking to our patients during history/interview?
✔Correct Answer-notice clues from normal conversation indicating possible hearing loss
What are some clues/observation you can make that may indicate your patient is experiencing
hearing loss? ✔Correct Answer--Lip reading or watching your face and lips rather than your eyes
-Frowning or straining forward to hear
-Posturing of head to catch sounds with better ear
-Misunderstands questions; frequently asks you to repeat
-Irritable or shows startle reflex when you raise your voice
-Person's speech sounds garbled, vowel sounds distorted
-Inappropriately loud voice
-Flat, monotonous tone of voice
While doing an exam on your patient and you notice they are leaning forward with one ear or
holding the paper closer, what might this indicate? ✔Correct Answer-There could be some visual
or hearing impairments
If your patient is experiencing hearing loss, what are some ways to approach he or she? ✔Correct
Answer--Making sure your voice is calm
-No yelling
-Speech is clear as possible
-Asking questions throughout the examination making sure they can her you properly and
comprehend what you said
What are some self-care objective questions in regards to contacts lens that could be asked?
✔Correct Answer--How do you care for your contacts?
-How long do you wear them?
,-How do you clean them?
-Do you remove them for certain activities?
What are some subjective questions you can ask your patient pertaining to the eyes? ✔Correct
Answer--Last vision test? Ever tested for color?
-Any environmental conditions at home or at work that may affect your eyes? If so, do you wear
goggles to protect your eyes?
What medications are you taking? Systemic or topical? Any specifically for eyes?
What are some factors of visual impairment? ✔Correct Answer--Their prescription has expired
(contacts and glasses can be expensive without insurance, so patients won't have yearly eye exam)
- They could be wearing daily disposable contacts for 1 week to 3 months
What are some questions you could ask an individual wearing a hearing aid or glasses? ✔Correct
Answer-- When was the last time you had this checked?
-Do you wear any protective equipment at work?
-Is there any medication you are taking that might impact your vision or hearing?
Which type of medication effects vision and hearing? ✔Correct Answer-Psychotropic and Psych
meds
What are some subjective questions you could ask aging adults in regards to their vision?
✔Correct Answer--Is there history of cataracts? Any loss or progressive blurring of vision?
-Do your eyes ever feel dry or burning? What do you do for this?
-Any decrease in usual activities, such as reading or sewing? Have you noticed any visual difficulty
with climbing stairs or driving? Any problem with night vision?
When an individual has cataracts what will you not see? Why? ✔Correct Answer-Normal pupillary
response, because there is a cloud that exists over their eyes
For an aging adult with cataract (or at risk), what could you ask them? ✔Correct Answer--When
you are driving at night, do you notice that it is harder for you to see?
-Do you notice that you have to hold the paper to your eyes or farther away
-Are your daily hobbies becoming more difficult to do? E.g. sewing, puzzles etc.
What are some subjective questions you could ask in regards to noise? ✔Correct Answer--Any loud
noises at home or on the job? For example, do you live in a noise-polluted area, near an airport or
busy traffic area? Now or in the past?
-Are you near other noises such as heavy machinery, loud persistent music, gunshots while hunting?
, What are some subjective questions you could ask in regards to coping with noise? ✔Correct
Answer-Do you take any steps to protect your ears, such as headphones or ear plugs?
What is tinnitus? ✔Correct Answer-ringing, buzzing, or crackling noise in the ears
What are some subjective questions you could asking in regards to tinnitus? ✔Correct Answer--
Ever felt ringing, crackling, or buzzing in your ears? When did this occur?
-Does it seem louder at night?
-Are you taking any medications?
Why don't a lot of px wear protective ear equipment while at work? ✔Correct Answer-- They still
need to be able to hear their co-workers
- Their ear becomes irritated
What could potentially happen if an individual wears chronic ear plugs? ✔Correct Answer-It could
cause damage to their tympanic membrane (ear drum)
After a loud event, such as a concert, what can an individual experience in their ear? ✔Correct
Answer-Tinnitus
Studies show that _______ cause a lot of damage and you might not feel damage right way. But,
after wearing them everyday for 20-30 years, they are seeing that you'll need a hearing aid sooner.
✔Correct Answer-Earbuds
What type of ear equipment often causes tinnitus? Why? ✔Correct Answer-With earbuds, because
there is no buffer between the end of bud and ear drum.
What are some generic questions we could ask about, in regards to HEENT? ✔Correct Answer--
Dental Pain
-Swelling
-Changes in voice
-Trouble swallowing
-Bleeding
-Changes in breathing
-Any lumps or lesions in neck or throat?
-Any dizziness, lightheadedness?
-Changes to texture of skin, hair, nails?
-Any weight changes?