HEENT exam questions with correct |/ |/ |/ |/
answers
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Diabetic Retinopathy - CORRECT ANSWERS ✔✔proliferative:
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damage occurs to the retina due to diabetes - can lead to
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
blindness. Abnormal new blood vessels form at the back of the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
eye, which can burst and bleed. Can lead to cotton wooly
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
patches
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Papillary Edema - CORRECT ANSWERS ✔✔Describes the swelling
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of the optic disk and anterior bulging of the physiologic cup.
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Increased intracranial pressure is transmitted to the optic nerve.
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Sign of a serious disorder of brain (meningitis, subarachnoid
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hemorrhage, trauma, etc)
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AV Knicking - CORRECT ANSWERS ✔✔Small arteries is seen
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crossing a small vein, which results in the compression of the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
vein with bulging on either side of the crossing.
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Questions for Adults |/ |/ |/
Do you have difficulty driving?
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Do you use eye drops for glaucoma?
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Have activities such as reading decreased? - CORRECT ANSWERS
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✔✔Difficulty driving may indicate a loss of depth perception or
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central vision. When symptoms of glaucoma are absent, an
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aging adult may not use prescribed eyedrops. A decrease in
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
activities may result from macular degeneration. An aging adult
|/ |/ |/ |/ |/ |/ |/ |/ |/
may have dry eyes because tear production decreases with age.
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,Eye Medical Emergencies - CORRECT ANSWERS ✔✔Sudden
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Blindness
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Flashing light or spots moving in front of eyes
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Eye pain in and around the eyes
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Sudden Blindness - CORRECT ANSWERS ✔✔Sudden loss of vision
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can indicate a retinal detachment or central retinal artery
|/ |/ |/ |/ |/ |/ |/ |/ |/
occlusion
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Flashing light or spots moving in front of eyes - CORRECT
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ANSWERS ✔✔Flashing lights or spots moving in front of the eyes
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
can indicate a retinal tear, retinal detachment, or a posterior
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
vitreal detachment.
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Eye pain in and around the eyes - CORRECT ANSWERS ✔✔Eye
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
pain can indicate corneal abrasion and ulcers, acute angle-
|/ |/ |/ |/ |/ |/ |/ |/ |/
closure glaucoma, uveitis, trauma, tumors or migraines.
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Which question is most likely to elicit information about a
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
medical emergency? |/
Do spots move in front of your eyes?
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Do your eyes feel tired?
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Do your eyes seem watery?
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Do you have night blindness? - CORRECT ANSWERS ✔✔All of
|/ |/ |/ |/ |/ |/ |/ |/ |/
these options are important. Seeing spots or floaters is common
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
, |/ after middle age, but an acute onset may indicate retinal
|/ |/ |/ |/ |/ |/ |/ |/ |/
|/ detachment, which is a medical emergency. |/ |/ |/ |/ |/
To avoid trauma or damage to the ear canal ALWAYS ..... -
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CORRECT ANSWERS ✔✔ALWAYS look through the otoscope while
|/ |/ |/ |/ |/ |/ |/ |/
entering canal and have control of the patient's head during the
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exam.
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Otoscopic examination or infants, and young children steps -
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CORRECT ANSWERS ✔✔A parent or a staff member should
|/ |/ |/ |/ |/ |/ |/ |/ |/
immobilize the head. The examiner's hand should be stable
|/ |/ |/ |/ |/ |/ |/ |/ |/
against the head to allow for movement with the pediatric
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
patient. For a patient under age 3 the pinna is grasped and
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
pulled downward and back for optimal visualization.
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Otoscopic examination of adults - CORRECT ANSWERS ✔✔The
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auricle is grasped and pulled upward, backward, and slightly
|/ |/ |/ |/ |/ |/ |/ |/ |/
away from the head.
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Insufflator - CORRECT ANSWERS ✔✔Usually Peds and used as a
|/ |/ |/ |/ |/ |/ |/ |/ |/
pneumatic device attached to the Otoscope. It tests for mobility
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
of the ear drum, which is often absent when there is fluid behind
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
the TM.
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Normal Tympanic Membrane - CORRECT ANSWERS ✔✔Inspect TM
|/ |/ |/ |/ |/ |/ |/
Landmarks
Color - pearly white
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Contour
answers
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Diabetic Retinopathy - CORRECT ANSWERS ✔✔proliferative:
|/ |/ |/ |/ |/
damage occurs to the retina due to diabetes - can lead to
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
blindness. Abnormal new blood vessels form at the back of the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
eye, which can burst and bleed. Can lead to cotton wooly
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
patches
|/
Papillary Edema - CORRECT ANSWERS ✔✔Describes the swelling
|/ |/ |/ |/ |/ |/ |/
of the optic disk and anterior bulging of the physiologic cup.
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Increased intracranial pressure is transmitted to the optic nerve.
|/ |/ |/ |/ |/ |/ |/ |/ |/
Sign of a serious disorder of brain (meningitis, subarachnoid
|/ |/ |/ |/ |/ |/ |/ |/ |/
hemorrhage, trauma, etc)
|/ |/ |/
AV Knicking - CORRECT ANSWERS ✔✔Small arteries is seen
|/ |/ |/ |/ |/ |/ |/ |/
crossing a small vein, which results in the compression of the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
vein with bulging on either side of the crossing.
|/ |/ |/ |/ |/ |/ |/ |/ |/
Questions for Adults |/ |/ |/
Do you have difficulty driving?
|/ |/ |/ |/
Do you use eye drops for glaucoma?
|/ |/ |/ |/ |/ |/
Have activities such as reading decreased? - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/
✔✔Difficulty driving may indicate a loss of depth perception or
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
central vision. When symptoms of glaucoma are absent, an
|/ |/ |/ |/ |/ |/ |/ |/ |/
aging adult may not use prescribed eyedrops. A decrease in
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
activities may result from macular degeneration. An aging adult
|/ |/ |/ |/ |/ |/ |/ |/ |/
may have dry eyes because tear production decreases with age.
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
,Eye Medical Emergencies - CORRECT ANSWERS ✔✔Sudden
|/ |/ |/ |/ |/ |/
Blindness
|/
Flashing light or spots moving in front of eyes
|/ |/ |/ |/ |/ |/ |/ |/
Eye pain in and around the eyes
|/ |/ |/ |/ |/ |/
Sudden Blindness - CORRECT ANSWERS ✔✔Sudden loss of vision
|/ |/ |/ |/ |/ |/ |/ |/
can indicate a retinal detachment or central retinal artery
|/ |/ |/ |/ |/ |/ |/ |/ |/
occlusion
|/
Flashing light or spots moving in front of eyes - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔Flashing lights or spots moving in front of the eyes
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
can indicate a retinal tear, retinal detachment, or a posterior
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
vitreal detachment.
|/ |/
Eye pain in and around the eyes - CORRECT ANSWERS ✔✔Eye
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
pain can indicate corneal abrasion and ulcers, acute angle-
|/ |/ |/ |/ |/ |/ |/ |/ |/
closure glaucoma, uveitis, trauma, tumors or migraines.
|/ |/ |/ |/ |/ |/
Which question is most likely to elicit information about a
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
medical emergency? |/
Do spots move in front of your eyes?
|/ |/ |/ |/ |/ |/ |/
Do your eyes feel tired?
|/ |/ |/ |/
Do your eyes seem watery?
|/ |/ |/ |/
Do you have night blindness? - CORRECT ANSWERS ✔✔All of
|/ |/ |/ |/ |/ |/ |/ |/ |/
these options are important. Seeing spots or floaters is common
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
, |/ after middle age, but an acute onset may indicate retinal
|/ |/ |/ |/ |/ |/ |/ |/ |/
|/ detachment, which is a medical emergency. |/ |/ |/ |/ |/
To avoid trauma or damage to the ear canal ALWAYS ..... -
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔ALWAYS look through the otoscope while
|/ |/ |/ |/ |/ |/ |/ |/
entering canal and have control of the patient's head during the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
exam.
|/
Otoscopic examination or infants, and young children steps -
|/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔A parent or a staff member should
|/ |/ |/ |/ |/ |/ |/ |/ |/
immobilize the head. The examiner's hand should be stable
|/ |/ |/ |/ |/ |/ |/ |/ |/
against the head to allow for movement with the pediatric
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
patient. For a patient under age 3 the pinna is grasped and
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
pulled downward and back for optimal visualization.
|/ |/ |/ |/ |/ |/ |/
Otoscopic examination of adults - CORRECT ANSWERS ✔✔The
|/ |/ |/ |/ |/ |/ |/
auricle is grasped and pulled upward, backward, and slightly
|/ |/ |/ |/ |/ |/ |/ |/ |/
away from the head.
|/ |/ |/ |/
Insufflator - CORRECT ANSWERS ✔✔Usually Peds and used as a
|/ |/ |/ |/ |/ |/ |/ |/ |/
pneumatic device attached to the Otoscope. It tests for mobility
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
of the ear drum, which is often absent when there is fluid behind
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
the TM.
|/ |/
Normal Tympanic Membrane - CORRECT ANSWERS ✔✔Inspect TM
|/ |/ |/ |/ |/ |/ |/
Landmarks
Color - pearly white
|/ |/ |/
Contour
