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ADVANCED HEALTH ASSESSMENT EXAM 1
AND STUDYGUIDE NEWEST 2024-2025 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
ADVANCED HEALTH ASSESSMENT EXAM 1
How do you test pupil accommodation? - CORRECT
ANSWER-have the patient look at a distant object and then a
test object held 10 cm from bridge of nose. Expect the pupils to
constrict when eyes focus on the near object
If pupils fail to respond to light but retains constriction during
accommodation, what can be the cause? - CORRECT
ANSWER-sometimes seen with diabetes or syphilis
What is miosis? - CORRECT ANSWER-it is pupil constriction
of less than 2 mm with causes of miotic eyedrop use, drug abuse
What is mydriasis? - CORRECT ANSWER-it is pupil dilation
of more than 6 mm with causes including mydriatic drops,
midbrain lesions, hypoxia, CN III damage, drug abuse, acute
angle glaucoma
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What is argyll robertson pupil? - CORRECT ANSWER-it is a
bilateral, miotic, irregular shaped pupils that fail to constrict to
light and caused by syphilis, DM, midbrain lesions
What is anisocoria? - CORRECT ANSWER-unequal pupil sizes
which may be normal in about 20% of the population
What is iritis? - CORRECT ANSWER-constrictive response,
acute uveitis with pain and red eye
What can occur to pupils with damage to CN III (oculomotor) -
CORRECT ANSWER-pupil dilated and fixed with eye deviated
lateral and down with ptosis
What is an Adie pupil? - CORRECT ANSWER-a tonically
dilated pupil that reacts slowly or fails to react to light but does
respond to convergence. due to destruction of postganglionic
nerve innervation to the eye by an infection.
What are normal finding when inspecting the lens? - CORRECT
ANSWER-it should be clear and transparent
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What are normal findings when inspecting the sclera? -
CORRECT ANSWER-it is white and visible above the iris only
when eyes are wide open
What are some abnormal findings when inspecting the sclera? -
CORRECT ANSWER-pigmentation of yellow or green. Senile
hyaline plaque is a dark, slate gray anterior to insertion of
medial rectus muscle
How do you inspect and palpate the lacrimal apparatus? -
CORRECT ANSWER-inspect it by palpating the lower orbital
rim near the inner canthus and the upper temporal orbit.
What do you do if the temporal aspect of the upper eyelid feels
full? - CORRECT ANSWER-then evert the superior eyelid and
inspect the lacrimal gland which is normally non-palpable with
no tenderness and no regurgitation of fluid from the
nasolacrimal duct
What can cause lacrimal gland enlargement? - CORRECT
ANSWER-tumors, lymphoid infiltration, sarcoid disease,
sjogrens syndrome
How do you test the extraocular movements of CN II, CN IV,
CN VI? - CORRECT ANSWER-hold the patient's chin and ask
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them to watch your finder as it moves through the 6 cardinal
fields of gaze. Then have the patient follow your finger in a
vertical plane from ceiling to floor. Movement should be
smooth.
What are the six cardinal fields of gaze? - CORRECT
ANSWER-*Lateral to the left (left eye lateral rectus, CN IV;
right eye medial rectus CNIII)
*Left eye looking laterally and then up (left eye uses superior
rectus and right eye uses inferior oblique)
*Left eye looking laterally and then down (left eye uses inferior
rectus and right eye uses superior oblique
*Lateral to the right (right eye lateral rectus, CN VI; left eye
medial rectus CNIII
*right eye looking laterally and then up (right eye uses superior
rectus and left eye uses inferior oblique)
*right eye looking laterally and then down (right eye uses
inferior rectus and left eye uses superior oblique
Abnormal findings when testing extraocular movements? -
CORRECT ANSWER-if lid lag occurs or sclera is seen above
the iris it may indicate thyroid disease
How to test balance of extraocular muscles? - CORRECT
ANSWER-by using the corneal light reflex. direct the light at
ADVANCED HEALTH ASSESSMENT EXAM 1
AND STUDYGUIDE NEWEST 2024-2025 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
ADVANCED HEALTH ASSESSMENT EXAM 1
How do you test pupil accommodation? - CORRECT
ANSWER-have the patient look at a distant object and then a
test object held 10 cm from bridge of nose. Expect the pupils to
constrict when eyes focus on the near object
If pupils fail to respond to light but retains constriction during
accommodation, what can be the cause? - CORRECT
ANSWER-sometimes seen with diabetes or syphilis
What is miosis? - CORRECT ANSWER-it is pupil constriction
of less than 2 mm with causes of miotic eyedrop use, drug abuse
What is mydriasis? - CORRECT ANSWER-it is pupil dilation
of more than 6 mm with causes including mydriatic drops,
midbrain lesions, hypoxia, CN III damage, drug abuse, acute
angle glaucoma
,2|Page
What is argyll robertson pupil? - CORRECT ANSWER-it is a
bilateral, miotic, irregular shaped pupils that fail to constrict to
light and caused by syphilis, DM, midbrain lesions
What is anisocoria? - CORRECT ANSWER-unequal pupil sizes
which may be normal in about 20% of the population
What is iritis? - CORRECT ANSWER-constrictive response,
acute uveitis with pain and red eye
What can occur to pupils with damage to CN III (oculomotor) -
CORRECT ANSWER-pupil dilated and fixed with eye deviated
lateral and down with ptosis
What is an Adie pupil? - CORRECT ANSWER-a tonically
dilated pupil that reacts slowly or fails to react to light but does
respond to convergence. due to destruction of postganglionic
nerve innervation to the eye by an infection.
What are normal finding when inspecting the lens? - CORRECT
ANSWER-it should be clear and transparent
,3|Page
What are normal findings when inspecting the sclera? -
CORRECT ANSWER-it is white and visible above the iris only
when eyes are wide open
What are some abnormal findings when inspecting the sclera? -
CORRECT ANSWER-pigmentation of yellow or green. Senile
hyaline plaque is a dark, slate gray anterior to insertion of
medial rectus muscle
How do you inspect and palpate the lacrimal apparatus? -
CORRECT ANSWER-inspect it by palpating the lower orbital
rim near the inner canthus and the upper temporal orbit.
What do you do if the temporal aspect of the upper eyelid feels
full? - CORRECT ANSWER-then evert the superior eyelid and
inspect the lacrimal gland which is normally non-palpable with
no tenderness and no regurgitation of fluid from the
nasolacrimal duct
What can cause lacrimal gland enlargement? - CORRECT
ANSWER-tumors, lymphoid infiltration, sarcoid disease,
sjogrens syndrome
How do you test the extraocular movements of CN II, CN IV,
CN VI? - CORRECT ANSWER-hold the patient's chin and ask
, 4|Page
them to watch your finder as it moves through the 6 cardinal
fields of gaze. Then have the patient follow your finger in a
vertical plane from ceiling to floor. Movement should be
smooth.
What are the six cardinal fields of gaze? - CORRECT
ANSWER-*Lateral to the left (left eye lateral rectus, CN IV;
right eye medial rectus CNIII)
*Left eye looking laterally and then up (left eye uses superior
rectus and right eye uses inferior oblique)
*Left eye looking laterally and then down (left eye uses inferior
rectus and right eye uses superior oblique
*Lateral to the right (right eye lateral rectus, CN VI; left eye
medial rectus CNIII
*right eye looking laterally and then up (right eye uses superior
rectus and left eye uses inferior oblique)
*right eye looking laterally and then down (right eye uses
inferior rectus and left eye uses superior oblique
Abnormal findings when testing extraocular movements? -
CORRECT ANSWER-if lid lag occurs or sclera is seen above
the iris it may indicate thyroid disease
How to test balance of extraocular muscles? - CORRECT
ANSWER-by using the corneal light reflex. direct the light at
