Adult Health Exam 3: Eyes and Ears
with complete questions and correct
answers
deficiency of what vitamin can harm eyes? - Correct Answer: vitamin A
vitamin A sources - Correct Answer: leafy greens, carrots, sweet potatoes, pumpkins
test for color blind - Correct Answer: ishihara test
strabismus - Correct Answer: cross-eyed; lazy eye
nystagmus - Correct Answer: involuntary, oscillating movements of the eyes
definition of vision impairment - Correct Answer: 20/40 vision or worse in better eye with best possible
eyewear
Emmetropia - Correct Answer: normal eyesight
Myopia - Correct Answer: deeper shaped eye, nearsighted
Hyperopia - Correct Answer: shallow shaped eye, farsighted
Astigmatism - Correct Answer: cornea or lens is abnormally shaped
Blindness - Correct Answer: best possible correction is 20/400 or no light perception
Presbyopia - Correct Answer: inable to accommodate/shift from far vision to close up
, subconjunctival and intravitreal injections - Correct Answer: subconjunctival: anterior chamber problems
intravitreal: higher dose for posterior chamber problems
opthalmic eye medication education - Correct Answer: WAIT 5 MINUTES BETWEEN DIFFERENT EYE
DROPS
Hand hygiene before and after touching eye, never touch the tip of the eye drop bottle to the eye, recap
it immediately to avoid infection
Some eye drops will temporarily cause blurry vision, burning or stinging
-educate pt to occlude the puncta for 10-15 seconds so med absorbs under eyelid instead of draining
systematically. Very important in elderly, pregnant/lactating, kidney/liver impairment patients that are
more sensitive to systemic medications
glaucoma symptoms - Correct Answer: -circular tunnel vision, progressively darkens and narrows
glaucoma patho - Correct Answer: -group of conditions characterized by increased IOP
-acute is NARROW ANGLE
-ideal IOP: 10-21. Glaucoma is IOP over 21
-usually from impedement of aqueous humor out of the anterior chamber;builds up
-wide/open angle: trabecular meshwork blocking outflow
-closed/narrow angle: duct is closed off, no outflow of aqueous humor
glaucoma assessment/diagnosis - Correct Answer: Measure IOP with tonometry, inspect optic nerve
with ophthalmoscopy, visual acuity testing
Optic nerve damage→pallor, cupping of optic nerve disc
Glaucoma medical management - Correct Answer: Lifelong therapy to prevent optic nerve damage
Goal to decrease IOP by 30%
with complete questions and correct
answers
deficiency of what vitamin can harm eyes? - Correct Answer: vitamin A
vitamin A sources - Correct Answer: leafy greens, carrots, sweet potatoes, pumpkins
test for color blind - Correct Answer: ishihara test
strabismus - Correct Answer: cross-eyed; lazy eye
nystagmus - Correct Answer: involuntary, oscillating movements of the eyes
definition of vision impairment - Correct Answer: 20/40 vision or worse in better eye with best possible
eyewear
Emmetropia - Correct Answer: normal eyesight
Myopia - Correct Answer: deeper shaped eye, nearsighted
Hyperopia - Correct Answer: shallow shaped eye, farsighted
Astigmatism - Correct Answer: cornea or lens is abnormally shaped
Blindness - Correct Answer: best possible correction is 20/400 or no light perception
Presbyopia - Correct Answer: inable to accommodate/shift from far vision to close up
, subconjunctival and intravitreal injections - Correct Answer: subconjunctival: anterior chamber problems
intravitreal: higher dose for posterior chamber problems
opthalmic eye medication education - Correct Answer: WAIT 5 MINUTES BETWEEN DIFFERENT EYE
DROPS
Hand hygiene before and after touching eye, never touch the tip of the eye drop bottle to the eye, recap
it immediately to avoid infection
Some eye drops will temporarily cause blurry vision, burning or stinging
-educate pt to occlude the puncta for 10-15 seconds so med absorbs under eyelid instead of draining
systematically. Very important in elderly, pregnant/lactating, kidney/liver impairment patients that are
more sensitive to systemic medications
glaucoma symptoms - Correct Answer: -circular tunnel vision, progressively darkens and narrows
glaucoma patho - Correct Answer: -group of conditions characterized by increased IOP
-acute is NARROW ANGLE
-ideal IOP: 10-21. Glaucoma is IOP over 21
-usually from impedement of aqueous humor out of the anterior chamber;builds up
-wide/open angle: trabecular meshwork blocking outflow
-closed/narrow angle: duct is closed off, no outflow of aqueous humor
glaucoma assessment/diagnosis - Correct Answer: Measure IOP with tonometry, inspect optic nerve
with ophthalmoscopy, visual acuity testing
Optic nerve damage→pallor, cupping of optic nerve disc
Glaucoma medical management - Correct Answer: Lifelong therapy to prevent optic nerve damage
Goal to decrease IOP by 30%
