Physical Assessment – HEENT with all Correct & 100%
Verified Answers |Latest Update |Already Graded A+
order of HEENT exam ✔Correct Answer-1. general survey
2. vital signs
3. head and face
4. eyes
5. ears
6. nose
7. mouth and throat
8. neck
head and face ✔Correct Answer-1. inspection: head, face, scalp
2. palpation: skull, hair
3. palpation: TMJ
things to note on inspection of head ✔Correct Answer-hair: quantity, distribution, texture, pattern
of loss, nits
face: facial expressions - asymmetry, edema, masses
scalp: scaliness
skin: color, pigmentation, texture, thickness, hair distribution, lesions
things to note on palpation of skull and hair ✔Correct Answer-skull: size, shape, contour
hair: texture (fine, coarse?)
things to note on palpation of TMJ ✔Correct Answer-tenderness, crepitus
eyes ✔Correct Answer-1. inspection
2. assess visual acuity
3. assess extraocular muscles
4. assess visual fields
5. assess pupillary constriction and convergance
6. assess pupillary reaction to light (direct and consensual)
7. perform ophthalmic examination
aspects of eye inspection ✔Correct Answer-eyebrows
eyelashes
upper and lower lids
conjunctivae
sclera
corneas
lacrimal glands
how to assess visual acuity ✔Correct Answer-Snellen chart - patient 20 feet away, covers one eye,
and reads smallest line possible
how to assess extraocular muscles ✔Correct Answer-make the "H"
things to look for during extraocular muscle assessment ✔Correct Answer-nystagmus
, lid lag
CNs being tested during extraocular assessment ✔Correct Answer-CNs III, IV, and VI
how to assess visual fields ✔Correct Answer-confrontation
numbers to use during visual field assessment ✔Correct Answer-1, 2, 5
how to assess pupillary constriction - near reaction ✔Correct Answer-hold finger or pencil in front
of patient's face, ask them to alternatively focus on a far wall/object and your finger/pencil
what to look for during near reaction ✔Correct Answer-pupillary constriction and convergance
how to assess convergance ✔Correct Answer-ask patient to follow your finger or a pencil as you
move it closer to the bridge of their nose
how to assess pupillary reaction to light ✔Correct Answer-darken the room, ask patient to focus on
a far wall/object and shine pen light into each pupil
direct reaction ✔Correct Answer-pupillary constriction in same eye exposed to light source
consensual reaction ✔Correct Answer-pupillary constriction in opposite eye exposed to light
source
things to look for during ophthalmoscopic exam ✔Correct Answer-presence or absence of red
reflex
optic disc - sharpness, color, size
others not mentioned: cherry red spot, cotton-wool spots, blood and thunder fundus, evidence of
retinal detachment, etc.
ears ✔Correct Answer-inspection: external appearance
palpation: auricle, tragus, and mastoid
assess gross hearing
Weber test
Rinne test
inspection: ear canal and tympanic membrane using otoscope
things to look for on inspection of external ear appearance ✔Correct Answer-deformities, lumps,
lesions of auricle
things to note on palpation of auricle, tragus, and mastoid ✔Correct Answer-positive tug test -
otitis externa?
tenderness behind ear - otitis media?
how to test gross hearing ✔Correct Answer-test one ear at a time
have patient occlude ear not being tested
stand 1-2 ft away and whisper
cover mouth so patient cannot read lips
What does Weber test for? ✔Correct Answer-lateralization
Verified Answers |Latest Update |Already Graded A+
order of HEENT exam ✔Correct Answer-1. general survey
2. vital signs
3. head and face
4. eyes
5. ears
6. nose
7. mouth and throat
8. neck
head and face ✔Correct Answer-1. inspection: head, face, scalp
2. palpation: skull, hair
3. palpation: TMJ
things to note on inspection of head ✔Correct Answer-hair: quantity, distribution, texture, pattern
of loss, nits
face: facial expressions - asymmetry, edema, masses
scalp: scaliness
skin: color, pigmentation, texture, thickness, hair distribution, lesions
things to note on palpation of skull and hair ✔Correct Answer-skull: size, shape, contour
hair: texture (fine, coarse?)
things to note on palpation of TMJ ✔Correct Answer-tenderness, crepitus
eyes ✔Correct Answer-1. inspection
2. assess visual acuity
3. assess extraocular muscles
4. assess visual fields
5. assess pupillary constriction and convergance
6. assess pupillary reaction to light (direct and consensual)
7. perform ophthalmic examination
aspects of eye inspection ✔Correct Answer-eyebrows
eyelashes
upper and lower lids
conjunctivae
sclera
corneas
lacrimal glands
how to assess visual acuity ✔Correct Answer-Snellen chart - patient 20 feet away, covers one eye,
and reads smallest line possible
how to assess extraocular muscles ✔Correct Answer-make the "H"
things to look for during extraocular muscle assessment ✔Correct Answer-nystagmus
, lid lag
CNs being tested during extraocular assessment ✔Correct Answer-CNs III, IV, and VI
how to assess visual fields ✔Correct Answer-confrontation
numbers to use during visual field assessment ✔Correct Answer-1, 2, 5
how to assess pupillary constriction - near reaction ✔Correct Answer-hold finger or pencil in front
of patient's face, ask them to alternatively focus on a far wall/object and your finger/pencil
what to look for during near reaction ✔Correct Answer-pupillary constriction and convergance
how to assess convergance ✔Correct Answer-ask patient to follow your finger or a pencil as you
move it closer to the bridge of their nose
how to assess pupillary reaction to light ✔Correct Answer-darken the room, ask patient to focus on
a far wall/object and shine pen light into each pupil
direct reaction ✔Correct Answer-pupillary constriction in same eye exposed to light source
consensual reaction ✔Correct Answer-pupillary constriction in opposite eye exposed to light
source
things to look for during ophthalmoscopic exam ✔Correct Answer-presence or absence of red
reflex
optic disc - sharpness, color, size
others not mentioned: cherry red spot, cotton-wool spots, blood and thunder fundus, evidence of
retinal detachment, etc.
ears ✔Correct Answer-inspection: external appearance
palpation: auricle, tragus, and mastoid
assess gross hearing
Weber test
Rinne test
inspection: ear canal and tympanic membrane using otoscope
things to look for on inspection of external ear appearance ✔Correct Answer-deformities, lumps,
lesions of auricle
things to note on palpation of auricle, tragus, and mastoid ✔Correct Answer-positive tug test -
otitis externa?
tenderness behind ear - otitis media?
how to test gross hearing ✔Correct Answer-test one ear at a time
have patient occlude ear not being tested
stand 1-2 ft away and whisper
cover mouth so patient cannot read lips
What does Weber test for? ✔Correct Answer-lateralization
