WITH SOLUTIONS GRADED A+
✔✔nystagmus - ✔✔Involuntary rapid eye movements
✔✔lid lag - ✔✔abnormal white rim of sclera visible between the upper eyelid and the iris
when a person moves the eyes downward
✔✔What should you do before performing the fundascopic exam? - ✔✔dim the lights
and tell the pt to look straight ahead
✔✔Identifying the optic disc on exam - ✔✔-round yellow-orange to creamy pink
-neuroretinal rim and central depression
-clarity/sharpness, size, color
✔✔What diopter should you start with on the ophthalmoscope? - ✔✔0 diopters
✔✔How do you look into the macula? - ✔✔ask pt to look at the light of the
ophthalmoscope
✔✔Landmarks of the tympanic membrane - ✔✔pars flaccida, pars tensa, handle of the
malleus, light reflex
✔✔Structures of the inner ear - ✔✔cochlea, semicircular canals, vestibule, distal end of
auditory nerve
✔✔Structures of the middle ear - ✔✔ossicles (malleus, incus, stapes)
✔✔What connects the middle ear to the nasopharynx? - ✔✔eustachian tube
✔✔Structures of the external ear - ✔✔auricle and ear canal
✔✔Which hearing pathway is more sensitive? (AC or BC) - ✔✔AC
✔✔Inspecting the ear - ✔✔-outer: palpate auricle
-inner: note any discharge, foreign bodies, cerumen, erythema, edema
✔✔How to perform whisper test - ✔✔stand 2-5ft behind the pt, have them close one
ear, whisper 3 letters/numbers, have them repeat it back
✔✔Test for lateralization - ✔✔Weber test
✔✔Test for conduction - ✔✔Rinne Test