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Foundations Exam 2 Study Guide and Practice Questions with Answers

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Foundations Exam 2 Study Guide and Practice Questions with Answers

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foundations: exam two



HEENT - answer-head, ears, eyes, nose, throat

cranial nerves - answer-12 pairs of nerves that lead directly from the brain to the
head, neck and trunk

sensory nerves - answer-involved with the five senses

motor nerves - answer-control muscles or regulate glands

on old olympus towering tops, a fin and a german viewed some hops -
answer-olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial,
acoustic, glossopharyngeal, vagus, spinal accessory, hypoglossal

HEENT: present health status - answer-chronic conditions (vision/hearing loss,
allergies), medications (Rx, OTC, herbal)

HEENT: past medical / surgical history - answer-injuries involving face / sensory
structures and neck, surgeries, stroke

HEENT: family history - answer-HEENT cancers, hearing/vision/thyroid problems,
stroke

HEENT: psychosocial history - answer-last dental/vision/hearing exam, daily
practices, use of corrective devices, occupational risks, smoking and alcohol use

HEENT: history of present illness - answer-common chief complaints: headache,
dizziness, hearing loss, vision changes, earache, sore throat, nasal drainage,
toothache, neck pain or swelling

headache - answer-- *red flag*




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- "worst headache of my life" --> may be life threatening, needs immediate
attention

headache + high fever + acute neck stiffness - answer-signs of meningitis, needs
immediate attention

presyncope - answer-near faint, no loss of consciousness

syncope - answer-fainting, brief loss of consciousness

disequilibrium - answer-feeling of fainting

vertigo - answer-spinning sensation (cardinal symptom of vestibular dysfunction)

otalgia - answer-ear pain

otorrhea - answer-ear drainage

pharyngitis - answer-sore throat

rhinorrhea - answer-runny nose

epistaxis - answer-nose bleed

inspect head - answer-- normocephalic
- microcephaly: abnormally small
- macrocephaly: abnormally large

inspect face - answer-symmetric, even skin tone, smooth movements, facial hair
appropriate for gender and age

cranial nerve V (trigeminal) - answer-- plays a role in chewing and facial
sensation
- test: palpate clenched teeth, identify light tough with closed eyes
- normal: equal muscle tone of the jaw, intact sensation

cranial nerve VII (facial) - answer-- plays a role in facial movement and taste




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- test: smile, close eyes tightly, open eyes wide, raise eyebrows, show teeth, puff
cheeks, salt vs. sugar test
- normal: symmetrical face movements, intact taste

bells palsy - answer-- inflammation of CN VII
- affects face symmetry only
- recovery time of 2 weeks - 6 months

stroke - answer-- ischemic injury to CN VII
- facial asymmetry, speech abnormalities, extremity weakness
- may be permanent or improve over time

eyes: focused history - answer-vision changes or loss, light sensitivity, eye pain
or swelling, redness, drainage, corrective lenses

vision assessment - answer-- assess visual acuity (CN II)
- snellen chart (distance)
- rosenbaum card (near)

assess visual fields - answer-assess peripheral vision, confrontation test
(compares client's peripheral vision with your own)

diplopia - answer-double vision

hemianopia - answer-vision loss in half of the visual field

macular degeneration - answer-loss of central vision

myopia - answer-nearsightedness

hyperopia - answer-farsightedness

presbyopia - answer-farsightedness caused by age and loss of lens elasticity

inspect: external eye - answer-inspect eyebrows, eyelashes and eyelids
(symmetric, no drainage or swelling)




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ptosis - answer-drooping of upper eye lid

blepharitis - answer-inflammation of the eyelid

inspect: conjunctiva - answer-pink, clear, no drainage

inspect: sclera - answer-should be white/slight yellow

red reflex test - answer-can be completed by RN, light reflects off the retina
(visible glow)

corneal light reflex test - answer-have patient look in distance, shine penlight
toward bridge of nose, light should be symmetrical in each cornea

strabismus - answer-abnormal alignment of the eye, light reflects is not
symmetrical during corneal light reflex test, can be caused by an eye muscle or
nerve problem

CN III, IV, VI - answer-- 3, 4, 6 - eyes do tricks
- control the extraocular movements of the eyes

six cardinal fields of gaze test - answer-smooth movements, able to follow finger /
object without problems

nystagmus - answer-involuntary, jerking eye movement (CN injury, inner ear
diseases, injury to brainstem)

inspect: pupils - answer-CN III, PEERLA, consensual response

PEERLA - answer-pupils are equal, round, reactive to light and accomodation

accommodation of pupils - answer-pupils constrict for close objects and dilate for
distance object

fixed / blown pupil - answer-stays dilated

pinpoint pupil - answer-stays constricted




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1:39:29 PM

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