Final Exam Seidel Physical Assessment
Study online at https://quizlet.com/_1td930
1. AV nicking is key in the world of hypertension. These AV Nicking
are the only capillaries you can see in the body. Nick-
ing is a classic sign of vessel disease. ** looks like
vein stops on either side of the artery.
2. Small, odd shaped, yellow colored plaques are lipid Xanthelasma
deposits and indicate lipid metabolism problem.
3. lower lid turned away from eye Ectropion
4. lid turned inward Entropion
5. drooping/sagging upper eyelid. Over the globe of the Ptosis:
eye caused by problem in cranial nerve 3.
6. crusting along eyelashes Blepharitis:
7. infected Acute purulent
conjunctive:
8. abnormal growth of conjunctiva that extends over the Pterygium:
cornea from the limbus. Overexposure to ultraviolet
rays
9. lipids deposited in the periphery of the cornea Arcus senilis:
10. those lipids in a complete circle Cornal arcus se-
nilis:
11. bright red blood in a sharply defined area. Sometimes Subconjuctival he-
present PG and labor resolve on own. morrhage
12. red, cobblestone caused by allergic reaction Erythema
13. small discrete spots that are slightly more yellow Drusen bodies
than the retina. With time they enlarge, aging but can
be precursor for senile macular degeneration. If they
are increasing in number and color intensity use an
Amsler grid to eval central vision.
, Final Exam Seidel Physical Assessment
Study online at https://quizlet.com/_1td930
14. glaucoma Cupping of optic
disc
15. hypertension. Infarcts of retina cotton wool spots
16. diabetes cotton wool spots
and hemorrhage
17. cataracts- risk factors Opacities blocking
family hx, steroid med use, UV light, smoking cigs, red reflex
DM, aging.
18. like a curtain or shadow has come down on part of my partial retinal de-
visual field. tachment
19. Pupils equal reactive to light not the same size anisocoria
20. Flame- nerve layer fibers blood spreads parallel to Hemorrhages
fibers
Round- in deeper layers darker color
Dot- microaneurysm- diabetic retinopathy
At disc margin- poorly controlled/undiagnosed glau-
coma
21. crossed eye. exotropic is outward toward midline. Strabismus
Esotropic is inward toward the nose.
22. 20/200 legal blindness
23. cranial nerve II VISUAL ACUITY-
Blurry- problem with visual acuity or dbl vi-
sion/diplopia? Monocular diplopia is a optical prob.
Binocular is alignment.
24. Snellen chart cover one eye smallest line for fraction. Distance vision-
Cover other eye.
25. hold card 35cm from eye smallest line. Cover one eye Near vision-
at a time.
, Final Exam Seidel Physical Assessment
Study online at https://quizlet.com/_1td930
26. confrontation test. Cover each eye in turn. You wiggle Peripheral vision-
fingers into the center . pt says I see.
27. refer to eye specialist if there is a two line difference Pediatric pt
in the visual acuity of different eyes.
28. size, hair texture, extension beyond eye. Inspect eyebrows
for:
:
:
:
:.
:
29. edema, puffiness, sagging tissue Inspect orbital
area for
30. spasms=hyperthyroid, ability open wide and close. Inspect eyelids for
Redness, swelling, flakes. Do eyelashes curve in?
Ptosis? Eversion-ectropion ot Inversion-entropion
31. nodules Palpate eyelids for
32. very firm: glaucoma, hyperthyroid, retrobulbar tumor Palpate eye
33. clear? Red? Swelling? Exudate? Hemorrhage? ptery- Inspect conjuncti-
gium ? Only peel up and down if foreign body present. vae
34. shine light tangentially to assess clarity. Should be Examine Cornea:
clear. Corneal arc, circle may be hyperlipidemia
***
35. - cranial nerve 5/V. touch cotton to eye they need to Corneal sensitivity
blink.
36. if the cornea is clear and even in contour
, Final Exam Seidel Physical Assessment
Study online at https://quizlet.com/_1td930
Look at the eye
from the far side-
ways position to
see
37. 1. inspect iris for being clearly visible and same color Assess iris and
2. Observe pupil shape and size pupil- 5 character-
3. ***Test pupil response to light- direct and con- istics
sensually- simultaneous constriction. Shine in one
eye-constrict in both.
4. Perform swinging flashlight test. Shine one a=eye
and then go rapidly to the next. If second eye doesn't
constrict afferent pupil defect/optic nerve disease.
5. ***Accommodation- nerve IV. look distant object
then focus object 10 cm from nose. Pupil should
constrict.
6. Nystagmus in book
38. Tear duct in the nasal corner of the eye medial canthus.
39. plaque dark slate gray pigment. Not disease, just Senile hyaline
note.
40. A. CN 3-III-oculomotor, 4-IV-trochlear, 6-VI-abducens A. Extraocular
(lateral eye muscle moves) muscles there are
B. Cardinal gaze 6 work with
Up and down B. 4 techniques:
Corneal light reflex-pt look nearby object, shine light
nasal bridge, eyes should converge and reflect light
symmetrically
if this reflex unbalanced, perform cover-uncover test
41. Inspect interior eye: Opthalmoscopic
Red reflex-look for opacities that look like black den- exam
sities
Fundus- an easy way to find your way around the
fundus is to Follow the branching of the blood ves-
sels that always branch away from the optic disc.
Pigment-yellow or reddish pink, varies and can be
darker with skin color.
Study online at https://quizlet.com/_1td930
1. AV nicking is key in the world of hypertension. These AV Nicking
are the only capillaries you can see in the body. Nick-
ing is a classic sign of vessel disease. ** looks like
vein stops on either side of the artery.
2. Small, odd shaped, yellow colored plaques are lipid Xanthelasma
deposits and indicate lipid metabolism problem.
3. lower lid turned away from eye Ectropion
4. lid turned inward Entropion
5. drooping/sagging upper eyelid. Over the globe of the Ptosis:
eye caused by problem in cranial nerve 3.
6. crusting along eyelashes Blepharitis:
7. infected Acute purulent
conjunctive:
8. abnormal growth of conjunctiva that extends over the Pterygium:
cornea from the limbus. Overexposure to ultraviolet
rays
9. lipids deposited in the periphery of the cornea Arcus senilis:
10. those lipids in a complete circle Cornal arcus se-
nilis:
11. bright red blood in a sharply defined area. Sometimes Subconjuctival he-
present PG and labor resolve on own. morrhage
12. red, cobblestone caused by allergic reaction Erythema
13. small discrete spots that are slightly more yellow Drusen bodies
than the retina. With time they enlarge, aging but can
be precursor for senile macular degeneration. If they
are increasing in number and color intensity use an
Amsler grid to eval central vision.
, Final Exam Seidel Physical Assessment
Study online at https://quizlet.com/_1td930
14. glaucoma Cupping of optic
disc
15. hypertension. Infarcts of retina cotton wool spots
16. diabetes cotton wool spots
and hemorrhage
17. cataracts- risk factors Opacities blocking
family hx, steroid med use, UV light, smoking cigs, red reflex
DM, aging.
18. like a curtain or shadow has come down on part of my partial retinal de-
visual field. tachment
19. Pupils equal reactive to light not the same size anisocoria
20. Flame- nerve layer fibers blood spreads parallel to Hemorrhages
fibers
Round- in deeper layers darker color
Dot- microaneurysm- diabetic retinopathy
At disc margin- poorly controlled/undiagnosed glau-
coma
21. crossed eye. exotropic is outward toward midline. Strabismus
Esotropic is inward toward the nose.
22. 20/200 legal blindness
23. cranial nerve II VISUAL ACUITY-
Blurry- problem with visual acuity or dbl vi-
sion/diplopia? Monocular diplopia is a optical prob.
Binocular is alignment.
24. Snellen chart cover one eye smallest line for fraction. Distance vision-
Cover other eye.
25. hold card 35cm from eye smallest line. Cover one eye Near vision-
at a time.
, Final Exam Seidel Physical Assessment
Study online at https://quizlet.com/_1td930
26. confrontation test. Cover each eye in turn. You wiggle Peripheral vision-
fingers into the center . pt says I see.
27. refer to eye specialist if there is a two line difference Pediatric pt
in the visual acuity of different eyes.
28. size, hair texture, extension beyond eye. Inspect eyebrows
for:
:
:
:
:.
:
29. edema, puffiness, sagging tissue Inspect orbital
area for
30. spasms=hyperthyroid, ability open wide and close. Inspect eyelids for
Redness, swelling, flakes. Do eyelashes curve in?
Ptosis? Eversion-ectropion ot Inversion-entropion
31. nodules Palpate eyelids for
32. very firm: glaucoma, hyperthyroid, retrobulbar tumor Palpate eye
33. clear? Red? Swelling? Exudate? Hemorrhage? ptery- Inspect conjuncti-
gium ? Only peel up and down if foreign body present. vae
34. shine light tangentially to assess clarity. Should be Examine Cornea:
clear. Corneal arc, circle may be hyperlipidemia
***
35. - cranial nerve 5/V. touch cotton to eye they need to Corneal sensitivity
blink.
36. if the cornea is clear and even in contour
, Final Exam Seidel Physical Assessment
Study online at https://quizlet.com/_1td930
Look at the eye
from the far side-
ways position to
see
37. 1. inspect iris for being clearly visible and same color Assess iris and
2. Observe pupil shape and size pupil- 5 character-
3. ***Test pupil response to light- direct and con- istics
sensually- simultaneous constriction. Shine in one
eye-constrict in both.
4. Perform swinging flashlight test. Shine one a=eye
and then go rapidly to the next. If second eye doesn't
constrict afferent pupil defect/optic nerve disease.
5. ***Accommodation- nerve IV. look distant object
then focus object 10 cm from nose. Pupil should
constrict.
6. Nystagmus in book
38. Tear duct in the nasal corner of the eye medial canthus.
39. plaque dark slate gray pigment. Not disease, just Senile hyaline
note.
40. A. CN 3-III-oculomotor, 4-IV-trochlear, 6-VI-abducens A. Extraocular
(lateral eye muscle moves) muscles there are
B. Cardinal gaze 6 work with
Up and down B. 4 techniques:
Corneal light reflex-pt look nearby object, shine light
nasal bridge, eyes should converge and reflect light
symmetrically
if this reflex unbalanced, perform cover-uncover test
41. Inspect interior eye: Opthalmoscopic
Red reflex-look for opacities that look like black den- exam
sities
Fundus- an easy way to find your way around the
fundus is to Follow the branching of the blood ves-
sels that always branch away from the optic disc.
Pigment-yellow or reddish pink, varies and can be
darker with skin color.
