AND FINAL EXAM (2025 VERSIONS) | COMPLETE
QUESTIONS AND CORRECT ANSWERS | GRADED A+
| VERIFIED ANSWERS
ADVANCED HEALTH ASSESSMENT EXAM 1
How do you document distance vision? ---------CORRECT ANSWER---------
--------the numerator is 20 and the denominator is the distance at which the
average eye can read the line.
How do you measure near vision? ---------CORRECT ANSWER----------------
-by using a rosenbaum pocket screener and have the patient hold it about
14 inches from eyes and read the smallest line possible with one eye and
then the other
How do you measure peripheral vision? ---------CORRECT ANSWER--------
---------by using the confrontation test. Have the patient sit directly across
from you and look directly at you. Have them cover their left eye and your
cover your right eye. Then test nasal, temporal, superior, and inferior fields.
Have the patient tell you as soon as they see your finger in each of those
fields.
What may be some causes of abnormal results from the confrontation test?
---------CORRECT ANSWER-----------------stroke, retinal detachment, optic
neuropathy, pituitary tumor, central retinal vascular occlusion
How would you perform an external examination of the eyes? ---------
CORRECT ANSWER-----------------Systematically beginning with
appendages and move inward
,eyebrows
orbits/periorbital area
eyelids
What is being assessed when looking at the patient's eyebrows? ---------
CORRECT ANSWER-----------------size, extension beyond temporal
canthus, texture of hair
If the eyebrows do not extend beyond the temporal canthus or are course
what may be the cause? ---------CORRECT ANSWER-----------------
hypothyroidism
What is being assessed when looking at the patient's orbits/periorbital
area? ---------CORRECT ANSWER-----------------edema, puffiness, sagging
tissue below orbit
What can cause periorbital edema? ---------CORRECT ANSWER--------------
---thyroid disease, allergies, or nephrotic syndrome (children)
What are xanthelasma? ---------CORRECT ANSWER-----------------yellowish
deposits on the periorbital tissue most often on the nasal side that
represents a lipid metabolism disorder
How do you document a finding of ptosis? ---------CORRECT ANSWER-----
------------by recording the difference between the two eyelids in millimeters
(the average lid is 2 mm below the border of the cornea and sclera.
average lower lid is at the lower limbus)
,What is ectropion? ---------CORRECT ANSWER-----------------it is when the
lower eyelid turns away from the eye and may result in excessive tearing
because the tear collecting system can't collect the secretions
What is entropion? ---------CORRECT ANSWER-----------------it is when the
eyelid turns toward the globe which can cause corneal and conjunctival
irritation and risk for secondary infection
What is a hordeolum? ---------CORRECT ANSWER-----------------it is an
acute suppurative inflammation of an eyelash follicle which causes an
erythematous or yellowish lump
What may be the cause of crusting along eyelashes? ---------CORRECT
ANSWER-----------------blepharitis caused by blockage of tiny oil glands or
by bacteria, seborrhea, psoriasis, rosacea, allergic response
What is lagophthalmos? ---------CORRECT ANSWER-----------------it is when
the eyelids to not meet completely when closed and can be caused by
thyroid disease, bell's palsy, aggressive ptosis, blepharoplasty
When you palpate the eyes what are you assessing for? ---------CORRECT
ANSWER-----------------eyelids for nodules
orbit for intraocular pressure
, If the patient complains of pain when you palpate the orbit what can be the
cause? ---------CORRECT ANSWER-----------------scleritis, orbital cellulitis,
cavernous sinus thrombosis
If the eye is very firm or resists palpation what does this indicate? ---------
CORRECT ANSWER-----------------it can be a sign of severe glaucoma or
retrobulbar tumor
How do you inspect the lower conjunctiva? ---------CORRECT ANSWER----
-------------have the patient look up while you draw the lower eyelid down
and note the translucency and vascular pattern, erythema, exudate
How do you inspect the upper conjunctiva? ---------CORRECT ANSWER----
-------------this is only done when there is a foreign object present. Evert the
upper lid one a cotton swab
What can cause erythema or cobblestone appearance to conjunctiva? ------
---CORRECT ANSWER-----------------allergic or infections conjunctivitis
What is a subconjunctival hemorrhage? ---------CORRECT ANSWER---------
--------it is seen as bright red blood in a sharply defined area that is
surrounded by healthy conjunctiva which may occur spontaneously in
pregnancy or labor
What is a pterygium? ---------CORRECT ANSWER-----------------it is the
abnormal growth of conjunctiva tissue over the cornea and more common
on the nasal side. This is more common in persons exposed to UV light.