Maryville 612 Exam 1 Advanced Health
Assessment Explore New Questions and
Answers|2025 Update | 100% Correct.
How do you assess extra ocular movements and determine what's normal? -
CORRECT ANSWER-Movement of eyes controlled by cranial nerves III, IV, and VI and
the six extra ocular muscles. Six cardinal fields of gaze: hold pts chin in place, ask to
watch your finger as you move them through the 6 cardinal fields of gaze. Normal-
movement should be accomplished smoothly with out exposure of the sclera. Abnormal-
observe for nystagmus and lid lag.
How do you use an ophthalmoscope? - CORRECT ANSWER-Inspect interior of the
eye. Allows visualization of the optic disc, arteries, veins, and retina. Adequate papillary
dilation is necessary. Examine the patients right eye with your right eye and the patients
left eye with your left eye. A lesion in the eye is described in relation to the disk
diameter. For example, two disk diameters from the optic disc at the 2 o'clock position.
Papilledema-lost of definition of the optic disk margin that usually occurs due to
increased intraocular pressure. Glaucoma with head cupping. Disk margins are raised
with a lower central area. Corneal abrasion cannot be seen without staining the eye.
What is the red reflex? - CORRECT ANSWER-Reflex caused by the light illuminating
the retina. Absence of the red reflex is often d/t improper use position of
ophthalmoscope, but may also indicate cataract or hemorrhage.
What is the correct placement of the ophthalmoscope light and rotate the scope? -
CORRECT ANSWER-Examine the pts right eye with your right eye and the pts left eye
with your left eye. Hold ophthalmoscope in the hand that corresponds to the examining
eye.
What is the apical PMI? - CORRECT ANSWER-Point of maximal impulse (PMI), the
point at which the apical impulses are most readily seen or felt. Usually at the 5th ICS,
midclavicular line in adults. 4th ICS medial to nipple in children.
Know the oral cancer assessment, screening. - CORRECT ANSWER-Inspecting the
oral cavity, have pt lift tongue, move side to side, up and stick out, palpate with gloved
hand.
What is the most common site of oral cancer? - CORRECT ANSWER-Vermilion border
of the lips (line that goes around the outside of the lips).
, What are the steps of the hearing exam with the tuning fork? - CORRECT ANSWER-
Weber test- used with a tuning fork for you to compare hearing by bone conduction with
that by air conduction. You're going to strike the tuning fork and you're going to put that
at the top of the patient's head and the ask them to tell you whether or not there is
sound from the vibration both ears equally or dose it lateralize to the affected side.
Rhinne Test- Assesses and compares patient's ability to hear both through bone and air
conduction. Again, you strike the tuning fork and you actually place it on the mastoid
bone behind the patients ear one at a time and when the patient can no longer hear the
vibration, you move the tuning fork to place it next to the ear, laterally to the ear and
then ask the patient to tell you when the sound stops. You're going to compare the air
conduction with the bone conduction and the actual air conduction is supposed to be
more than bone conduction, which is normal, ac is more than bc.
What do both of the hearing tests meanin reference to length of sound and fork
positions? - CORRECT ANSWER-Weber- should hear vibration bilaterally. Rhinne- 2:1
air to bone, air should be twice as long.
What are the anatomical parts of the ear? - CORRECT ANSWER-Helix, triangular
fossa, antihelix, antitraugus, traugus, lobule, and external auditory meatus.
What are the anatomical parts of the ear drum? - CORRECT ANSWER-Malleus, incus,
semicircular canals, cochlea, oval window, round window, eustation tube, stapes, and
footplate.
What are the different parts of the tympanic membrane? - CORRECT ANSWER-Para
tensa, para flaccida, light reflex, surrounded by the annulus, its concave shaped or
umbo.
Assessment and dx of otitis media? - CORRECT ANSWER-Middle ear with fluid or pus,
red, bulging tympanic membrane, loss of red reflex, inability to visualize bone
structures, conductive hearing loss, pain, loud abnormal sounds, rupture, foul smelling
drainage. Otitis media with effusion-fluid in ear. Acute otitis media fluid becomes
infected, pus.
Ear congestion assessment and dx: - CORRECT ANSWER-Assessment: examine the
external ear structures. Manipulate the external ear to identify any tenderness before
inserting the otoscope. Examine the canal for masses or swelling. Observe the TM for
dullness, decreased light reflect, bulging, retraction, or inflammation, which may indicate
fluid or infection.
Dx: Meniere's dx (AOM, otitis externa), OM with effusion, allergies, cerumen impaction
of foreign body.
Eustachian tube malfunction assessment and diagnosis: - CORRECT ANSWER-The
Eustachian tub drain into the posterior aspect of the inferior turbinate of the nose. The
tubes help the ears drain fluid. They also keep air pressure in the ears at the right level.
Assessment Explore New Questions and
Answers|2025 Update | 100% Correct.
How do you assess extra ocular movements and determine what's normal? -
CORRECT ANSWER-Movement of eyes controlled by cranial nerves III, IV, and VI and
the six extra ocular muscles. Six cardinal fields of gaze: hold pts chin in place, ask to
watch your finger as you move them through the 6 cardinal fields of gaze. Normal-
movement should be accomplished smoothly with out exposure of the sclera. Abnormal-
observe for nystagmus and lid lag.
How do you use an ophthalmoscope? - CORRECT ANSWER-Inspect interior of the
eye. Allows visualization of the optic disc, arteries, veins, and retina. Adequate papillary
dilation is necessary. Examine the patients right eye with your right eye and the patients
left eye with your left eye. A lesion in the eye is described in relation to the disk
diameter. For example, two disk diameters from the optic disc at the 2 o'clock position.
Papilledema-lost of definition of the optic disk margin that usually occurs due to
increased intraocular pressure. Glaucoma with head cupping. Disk margins are raised
with a lower central area. Corneal abrasion cannot be seen without staining the eye.
What is the red reflex? - CORRECT ANSWER-Reflex caused by the light illuminating
the retina. Absence of the red reflex is often d/t improper use position of
ophthalmoscope, but may also indicate cataract or hemorrhage.
What is the correct placement of the ophthalmoscope light and rotate the scope? -
CORRECT ANSWER-Examine the pts right eye with your right eye and the pts left eye
with your left eye. Hold ophthalmoscope in the hand that corresponds to the examining
eye.
What is the apical PMI? - CORRECT ANSWER-Point of maximal impulse (PMI), the
point at which the apical impulses are most readily seen or felt. Usually at the 5th ICS,
midclavicular line in adults. 4th ICS medial to nipple in children.
Know the oral cancer assessment, screening. - CORRECT ANSWER-Inspecting the
oral cavity, have pt lift tongue, move side to side, up and stick out, palpate with gloved
hand.
What is the most common site of oral cancer? - CORRECT ANSWER-Vermilion border
of the lips (line that goes around the outside of the lips).
, What are the steps of the hearing exam with the tuning fork? - CORRECT ANSWER-
Weber test- used with a tuning fork for you to compare hearing by bone conduction with
that by air conduction. You're going to strike the tuning fork and you're going to put that
at the top of the patient's head and the ask them to tell you whether or not there is
sound from the vibration both ears equally or dose it lateralize to the affected side.
Rhinne Test- Assesses and compares patient's ability to hear both through bone and air
conduction. Again, you strike the tuning fork and you actually place it on the mastoid
bone behind the patients ear one at a time and when the patient can no longer hear the
vibration, you move the tuning fork to place it next to the ear, laterally to the ear and
then ask the patient to tell you when the sound stops. You're going to compare the air
conduction with the bone conduction and the actual air conduction is supposed to be
more than bone conduction, which is normal, ac is more than bc.
What do both of the hearing tests meanin reference to length of sound and fork
positions? - CORRECT ANSWER-Weber- should hear vibration bilaterally. Rhinne- 2:1
air to bone, air should be twice as long.
What are the anatomical parts of the ear? - CORRECT ANSWER-Helix, triangular
fossa, antihelix, antitraugus, traugus, lobule, and external auditory meatus.
What are the anatomical parts of the ear drum? - CORRECT ANSWER-Malleus, incus,
semicircular canals, cochlea, oval window, round window, eustation tube, stapes, and
footplate.
What are the different parts of the tympanic membrane? - CORRECT ANSWER-Para
tensa, para flaccida, light reflex, surrounded by the annulus, its concave shaped or
umbo.
Assessment and dx of otitis media? - CORRECT ANSWER-Middle ear with fluid or pus,
red, bulging tympanic membrane, loss of red reflex, inability to visualize bone
structures, conductive hearing loss, pain, loud abnormal sounds, rupture, foul smelling
drainage. Otitis media with effusion-fluid in ear. Acute otitis media fluid becomes
infected, pus.
Ear congestion assessment and dx: - CORRECT ANSWER-Assessment: examine the
external ear structures. Manipulate the external ear to identify any tenderness before
inserting the otoscope. Examine the canal for masses or swelling. Observe the TM for
dullness, decreased light reflect, bulging, retraction, or inflammation, which may indicate
fluid or infection.
Dx: Meniere's dx (AOM, otitis externa), OM with effusion, allergies, cerumen impaction
of foreign body.
Eustachian tube malfunction assessment and diagnosis: - CORRECT ANSWER-The
Eustachian tub drain into the posterior aspect of the inferior turbinate of the nose. The
tubes help the ears drain fluid. They also keep air pressure in the ears at the right level.
