NURS 190 Quiz 2: eyes, Ears, nose,
mouth, and throat
Achalasia - ANS failure of the lower esophagus sphincter muscle to relax
-unknown cause
\acute glaucoma - ANS The result of sudden increase in intraocular pressure resulting
from blocked flow of fluid from the anterior chamber. Pupil is oval-shaped and dilated;
cornea appears cloudy with circumcorneal redness. Pain onset is sudden and
accompanied by decrease in vision and halos around lights. Acute glaucoma requires
immediate intervention.
-Halos around the lights and a decrease in vision
-acute glaucoma requires immediate intervention
-leading cause of blindness
\Adie's Pupil - ANS -also known as tonic pupil
-sluggish pupillary response
-usually unilateral but can be bilateral
-occurs because of damage to parasympathetic nerves that innervate the eye
\Air conduction - ANS the process by which sound waves enter the ear through the pinna
\Amosmia - ANS lack of sense of smell
-may be neurologic, hereditary or because of a deficiency of zinc in the diet
\black hairy tongue - ANS Temporary condition caused by the inhibition of normal
bacteria and the overgrowth of fungus on the papillae of the tongue. Usually associated
with the use of antibiotics.
\bone conduction - ANS occurs as the eardrum vibrates and moves the auditory ossicles
\Cataract - ANS An opacity of the lens of the eye; usually develops later in life
-lens thicken and yellow, forming a dense area that reduces lens clarity
\complaints about cataracts - ANS blurred vision and decreased perception of colors
\Conjunctivitis - ANS inflammation of the conjunctiva
-infection of the conjunctiva usually because of bacteria or virus but which may result
from chemical exposure.
-commonly called pink eye
\consensual constriction - ANS The simultaneous response of one pupil to the stimuli
applied to the other
\convergence of eyes - ANS Medial rotation of the eyes
-turning eye inward
-lack of convergence and failure of the pupils to construct indicates dysfunction of
cranial nerves 3,4, and 6
\cranial nerve 8 - ANS whisper and rhomber test
\Cranial Nerve II: Optic - ANS -Function: sensory - carries impulse for vision
-Testing procedure: eye chart testing, visual field testing
\dysphagia - ANS difficulty swallowing
, -frequently related to age related changes in swallowing physiology; stroke, dementia
and other neurological diseases; cancers of the head, neck or esophagus
\epistaxis - ANS nosebleed
-may follow trauma, such as a blow to the nose, or it may accompany another alternation
in health such as rhinitis, hypertension, or a blood coagulation disorder, nasal sprays
\exophthalmos - ANS abnormal protrusion of one or both eyeballs
-usually occurs secondary to Graves' disease (hyperthyroidism); causes also may
include infectious disease, certain forms of cancer and other disorders
\extraocular movements - ANS eye movements controlled by several pairs of eye
muscles
-stand about 2 ft in front of the patient
-hold pen 18 inches from patients face
-Letter H method:
-Wagon wheel method:
\Findings of Snellen Chart - ANS -any findings other than 20/20 are considered abnormal.
ex: 20/40 means that the line the patient can read at 20 feet away can be read by a person
with normal vision at 40 feet away
\glaucoma complaints - ANS halos and cloudy
-decrease peripheral vision
\Herpes Simplex - ANS "cold sores"; clear vesicles with red base that evolve into
pustules, usually at lip-skin junction
-heal within 2 weeks
-usually recur, especially after heavy exposure to bright sunlight
\Hirschberg test - ANS Corneal light reflex examination checking for ocular alignment
\History of frequent respiratory problems may indicate what ? - ANS underlying
respiratory problem such as allergies or recurring infections
\Hyperopia - ANS farsightedness
-can not see close up
-the light rays focus behind the retina
\inferior oblique - ANS Oculomotor (III)
-inability to move eye upward or temporally
\Inferior Rectus - ANS Oculomotor (III)
-inability to move eye downward or temporally
\Lateral Rectus - ANS Abducens (VI)
-inability to move eye temporally
\Lesions of the mouth or tongue - ANS -may be benign or malignant
-cold sores
-mouth ulcers
-cysts
\Leukoplakia - ANS thickened, white, leathery-looking spots on the inside of the mouth
that can develop into oral cancer
-white thickening of the mucous membrane in the mouth of tongue that can not be
scraped off.
-often associated with heavy smoking or drinking.
mouth, and throat
Achalasia - ANS failure of the lower esophagus sphincter muscle to relax
-unknown cause
\acute glaucoma - ANS The result of sudden increase in intraocular pressure resulting
from blocked flow of fluid from the anterior chamber. Pupil is oval-shaped and dilated;
cornea appears cloudy with circumcorneal redness. Pain onset is sudden and
accompanied by decrease in vision and halos around lights. Acute glaucoma requires
immediate intervention.
-Halos around the lights and a decrease in vision
-acute glaucoma requires immediate intervention
-leading cause of blindness
\Adie's Pupil - ANS -also known as tonic pupil
-sluggish pupillary response
-usually unilateral but can be bilateral
-occurs because of damage to parasympathetic nerves that innervate the eye
\Air conduction - ANS the process by which sound waves enter the ear through the pinna
\Amosmia - ANS lack of sense of smell
-may be neurologic, hereditary or because of a deficiency of zinc in the diet
\black hairy tongue - ANS Temporary condition caused by the inhibition of normal
bacteria and the overgrowth of fungus on the papillae of the tongue. Usually associated
with the use of antibiotics.
\bone conduction - ANS occurs as the eardrum vibrates and moves the auditory ossicles
\Cataract - ANS An opacity of the lens of the eye; usually develops later in life
-lens thicken and yellow, forming a dense area that reduces lens clarity
\complaints about cataracts - ANS blurred vision and decreased perception of colors
\Conjunctivitis - ANS inflammation of the conjunctiva
-infection of the conjunctiva usually because of bacteria or virus but which may result
from chemical exposure.
-commonly called pink eye
\consensual constriction - ANS The simultaneous response of one pupil to the stimuli
applied to the other
\convergence of eyes - ANS Medial rotation of the eyes
-turning eye inward
-lack of convergence and failure of the pupils to construct indicates dysfunction of
cranial nerves 3,4, and 6
\cranial nerve 8 - ANS whisper and rhomber test
\Cranial Nerve II: Optic - ANS -Function: sensory - carries impulse for vision
-Testing procedure: eye chart testing, visual field testing
\dysphagia - ANS difficulty swallowing
, -frequently related to age related changes in swallowing physiology; stroke, dementia
and other neurological diseases; cancers of the head, neck or esophagus
\epistaxis - ANS nosebleed
-may follow trauma, such as a blow to the nose, or it may accompany another alternation
in health such as rhinitis, hypertension, or a blood coagulation disorder, nasal sprays
\exophthalmos - ANS abnormal protrusion of one or both eyeballs
-usually occurs secondary to Graves' disease (hyperthyroidism); causes also may
include infectious disease, certain forms of cancer and other disorders
\extraocular movements - ANS eye movements controlled by several pairs of eye
muscles
-stand about 2 ft in front of the patient
-hold pen 18 inches from patients face
-Letter H method:
-Wagon wheel method:
\Findings of Snellen Chart - ANS -any findings other than 20/20 are considered abnormal.
ex: 20/40 means that the line the patient can read at 20 feet away can be read by a person
with normal vision at 40 feet away
\glaucoma complaints - ANS halos and cloudy
-decrease peripheral vision
\Herpes Simplex - ANS "cold sores"; clear vesicles with red base that evolve into
pustules, usually at lip-skin junction
-heal within 2 weeks
-usually recur, especially after heavy exposure to bright sunlight
\Hirschberg test - ANS Corneal light reflex examination checking for ocular alignment
\History of frequent respiratory problems may indicate what ? - ANS underlying
respiratory problem such as allergies or recurring infections
\Hyperopia - ANS farsightedness
-can not see close up
-the light rays focus behind the retina
\inferior oblique - ANS Oculomotor (III)
-inability to move eye upward or temporally
\Inferior Rectus - ANS Oculomotor (III)
-inability to move eye downward or temporally
\Lateral Rectus - ANS Abducens (VI)
-inability to move eye temporally
\Lesions of the mouth or tongue - ANS -may be benign or malignant
-cold sores
-mouth ulcers
-cysts
\Leukoplakia - ANS thickened, white, leathery-looking spots on the inside of the mouth
that can develop into oral cancer
-white thickening of the mucous membrane in the mouth of tongue that can not be
scraped off.
-often associated with heavy smoking or drinking.
