FINAL EXAM SEIDEL PHYSICAL
ASSESSMENT QUESTIONS WITH
COMPLETE VERIFIED CORRECT
ANSWERS
AV nicking is key in the world of hypertension. These are the only capillaries you can see in the body.
Nicking is a classic sign of vessel disease. ** looks like vein stops on either side of the artery. - answer
✔✔-AV Nicking
Small, odd shaped, yellow colored plaques are lipid deposits and indicate lipid metabolism problem. -
answer ✔✔-Xanthelasma
lower lid turned away from eye - answer ✔✔-Ectropion
lid turned inward - answer ✔✔-Entropion
drooping/sagging upper eyelid. Over the globe of the eye caused by problem in cranial nerve 3. - answer
✔✔-Ptosis:
crusting along eyelashes - answer ✔✔-Blepharitis:
infected - answer ✔✔-Acute purulent conjunctive:
abnormal growth of conjunctiva that extends over the cornea from the limbus. Overexposure to
ultraviolet rays - answer ✔✔-Pterygium:
,lipids deposited in the periphery of the cornea - answer ✔✔-Arcus senilis:
those lipids in a complete circle - answer ✔✔-Cornal arcus senilis:
bright red blood in a sharply defined area. Sometimes present PG and labor resolve on own. - answer
✔✔-Subconjuctival hemorrhage
red, cobblestone caused by allergic reaction - answer ✔✔-Erythema
small discrete spots that are slightly more yellow 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. - answer ✔✔-Drusen bodies
glaucoma - answer ✔✔-Cupping of optic disc
hypertension. Infarcts of retina - answer ✔✔-cotton wool spots
diabetes - answer ✔✔-cotton wool spots and hemorrhage
cataracts- risk factors
family hx, steroid med use, UV light, smoking cigs, DM, aging. - answer ✔✔-Opacities blocking red reflex
like a curtain or shadow has come down on part of my visual field. - answer ✔✔-partial retinal
detachment
Pupils equal reactive to light not the same size - answer ✔✔-anisocoria
Flame- nerve layer fibers blood spreads parallel to fibers
Round- in deeper layers darker color
Dot- microaneurysm- diabetic retinopathy
,At disc margin- poorly controlled/undiagnosed glaucoma - answer ✔✔-Hemorrhages
crossed eye. exotropic is outward toward midline. Esotropic is inward toward the nose. - answer ✔✔-
Strabismus
20/200 - answer ✔✔-legal blindness
cranial nerve II
Blurry- problem with visual acuity or dbl vision/diplopia? Monocular diplopia is a optical prob. Binocular
is alignment. - answer ✔✔-VISUAL ACUITY-
Snellen chart cover one eye smallest line for fraction. Cover other eye. - answer ✔✔-Distance vision-
hold card 35cm from eye smallest line. Cover one eye at a time. - answer ✔✔-Near vision-
confrontation test. Cover each eye in turn. You wiggle fingers into the center . pt says I see. - answer
✔✔-Peripheral vision-
refer to eye specialist if there is a two line difference in the visual acuity of different eyes. - answer ✔✔-
Pediatric pt
size, hair texture, extension beyond eye. - answer ✔✔-Inspect eyebrows for:
:
:
:
:.
, :
edema, puffiness, sagging tissue - answer ✔✔-Inspect orbital area for
spasms=hyperthyroid, ability open wide and close. Redness, swelling, flakes. Do eyelashes curve in?
Ptosis? Eversion-ectropion ot Inversion-entropion - answer ✔✔-Inspect eyelids for
nodules - answer ✔✔-Palpate eyelids for
very firm: glaucoma, hyperthyroid, retrobulbar tumor - answer ✔✔-Palpate eye
clear? Red? Swelling? Exudate? Hemorrhage? pterygium ? Only peel up and down if foreign body
present. - answer ✔✔-Inspect conjunctivae
shine light tangentially to assess clarity. Should be clear. Corneal arc, circle may be hyperlipidemia -
answer ✔✔-Examine Cornea:
***
- cranial nerve 5/V. touch cotton to eye they need to blink. - answer ✔✔-Corneal sensitivity
if the cornea is clear and even in contour - answer ✔✔-Look at the eye from the far sideways position to
see
1. inspect iris for being clearly visible and same color
2. Observe pupil shape and size
3. ***Test pupil response to light- direct and consensually- 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.
ASSESSMENT QUESTIONS WITH
COMPLETE VERIFIED CORRECT
ANSWERS
AV nicking is key in the world of hypertension. These are the only capillaries you can see in the body.
Nicking is a classic sign of vessel disease. ** looks like vein stops on either side of the artery. - answer
✔✔-AV Nicking
Small, odd shaped, yellow colored plaques are lipid deposits and indicate lipid metabolism problem. -
answer ✔✔-Xanthelasma
lower lid turned away from eye - answer ✔✔-Ectropion
lid turned inward - answer ✔✔-Entropion
drooping/sagging upper eyelid. Over the globe of the eye caused by problem in cranial nerve 3. - answer
✔✔-Ptosis:
crusting along eyelashes - answer ✔✔-Blepharitis:
infected - answer ✔✔-Acute purulent conjunctive:
abnormal growth of conjunctiva that extends over the cornea from the limbus. Overexposure to
ultraviolet rays - answer ✔✔-Pterygium:
,lipids deposited in the periphery of the cornea - answer ✔✔-Arcus senilis:
those lipids in a complete circle - answer ✔✔-Cornal arcus senilis:
bright red blood in a sharply defined area. Sometimes present PG and labor resolve on own. - answer
✔✔-Subconjuctival hemorrhage
red, cobblestone caused by allergic reaction - answer ✔✔-Erythema
small discrete spots that are slightly more yellow 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. - answer ✔✔-Drusen bodies
glaucoma - answer ✔✔-Cupping of optic disc
hypertension. Infarcts of retina - answer ✔✔-cotton wool spots
diabetes - answer ✔✔-cotton wool spots and hemorrhage
cataracts- risk factors
family hx, steroid med use, UV light, smoking cigs, DM, aging. - answer ✔✔-Opacities blocking red reflex
like a curtain or shadow has come down on part of my visual field. - answer ✔✔-partial retinal
detachment
Pupils equal reactive to light not the same size - answer ✔✔-anisocoria
Flame- nerve layer fibers blood spreads parallel to fibers
Round- in deeper layers darker color
Dot- microaneurysm- diabetic retinopathy
,At disc margin- poorly controlled/undiagnosed glaucoma - answer ✔✔-Hemorrhages
crossed eye. exotropic is outward toward midline. Esotropic is inward toward the nose. - answer ✔✔-
Strabismus
20/200 - answer ✔✔-legal blindness
cranial nerve II
Blurry- problem with visual acuity or dbl vision/diplopia? Monocular diplopia is a optical prob. Binocular
is alignment. - answer ✔✔-VISUAL ACUITY-
Snellen chart cover one eye smallest line for fraction. Cover other eye. - answer ✔✔-Distance vision-
hold card 35cm from eye smallest line. Cover one eye at a time. - answer ✔✔-Near vision-
confrontation test. Cover each eye in turn. You wiggle fingers into the center . pt says I see. - answer
✔✔-Peripheral vision-
refer to eye specialist if there is a two line difference in the visual acuity of different eyes. - answer ✔✔-
Pediatric pt
size, hair texture, extension beyond eye. - answer ✔✔-Inspect eyebrows for:
:
:
:
:.
, :
edema, puffiness, sagging tissue - answer ✔✔-Inspect orbital area for
spasms=hyperthyroid, ability open wide and close. Redness, swelling, flakes. Do eyelashes curve in?
Ptosis? Eversion-ectropion ot Inversion-entropion - answer ✔✔-Inspect eyelids for
nodules - answer ✔✔-Palpate eyelids for
very firm: glaucoma, hyperthyroid, retrobulbar tumor - answer ✔✔-Palpate eye
clear? Red? Swelling? Exudate? Hemorrhage? pterygium ? Only peel up and down if foreign body
present. - answer ✔✔-Inspect conjunctivae
shine light tangentially to assess clarity. Should be clear. Corneal arc, circle may be hyperlipidemia -
answer ✔✔-Examine Cornea:
***
- cranial nerve 5/V. touch cotton to eye they need to blink. - answer ✔✔-Corneal sensitivity
if the cornea is clear and even in contour - answer ✔✔-Look at the eye from the far sideways position to
see
1. inspect iris for being clearly visible and same color
2. Observe pupil shape and size
3. ***Test pupil response to light- direct and consensually- 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.
