Health Assessment Complete Review
Normal Aging Findings in HEENT - (answer)Loose skin, wrinkling, finer head
hair, coarser nasal/eyebrow hair, loss of jaw definition, enlarged pores, decreased
taste, smell, and hearing.
Tension Headache Symptoms - (answer)Dull, throbbing pain; often described as a
'band around the head.'
Migraine Headache Symptoms - (answer)Unilateral or bilateral pain, often with
nausea, vomiting, and photophobia.
Cluster Headache Symptoms - (answer)Intense, stabbing pain, usually around the
eye; may cause tearing and eye redness.
PERRLA Assessment - (answer)Check pupil constriction in a dark room, one eye
at a time. Accommodation: Pupils constrict and eyes converge when focusing on a
close object.
Near and Far Vision Tests - (answer)Snellen chart for far vision; Rosenbaum chart
for near vision.
, Using an Ophthalmoscope - (answer)Stand to the side, have the patient look over
your shoulder. Position ophthalmoscope correctly to examine the retina and optic
disc.
Strabismus - (answer)A condition where one eye is misaligned while the other is
properly focused; often referred to as 'lazy eye.'
Pseudostrabismus - (answer)False appearance of strabismus, common in infants
and some ethnic groups such as Asians, due to the epicanthal folds.
Cobblestoning Significance - (answer)In the throat, it indicates postnasal drip; in
the eye, it suggests conjunctivitis.
Weber Test - (answer)Tuning fork placed on the forehead to assess lateralization of
sound; normal if heard equally in both ears.
Rinne Test - (answer)Tuning fork placed on the mastoid bone, then near the ear.
Air conduction should be greater than bone conduction.
Tonsil Grading - (answer)Scale from 0-4, with 0 meaning surgically removed and
4 indicating tonsils are touching or 'kissing.'
Tympanic Membrane Rupture Symptoms - (answer)Sharp ear pain, bloody
discharge, hearing loss, and possible tinnitus.