Eye Examination Quiz

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Questions and Answers

What is the normal appearance of the cornea during an eye assessment?

  • Rough and dry
  • Transparent with no opacities (correct)
  • Moist with opacities
  • Red with signs of inflammation

Which condition is indicated by yellow sclera in an eye assessment?

  • Nasolacrimal sac obstruction
  • Jaundice/Icterus (correct)
  • Cataracts
  • Subconjunctival hemorrhage

What does bright red eyes without other symptoms indicate during an eye assessment?

  • Cataracts
  • Nasolacrimal sac obstruction
  • Jaundice/Icterus
  • Subconjunctival hemorrhage (correct)

Which condition could cause the lower lid to appear cyanotic during an eye assessment?

<p>Heart or lung disorder (C)</p> Signup and view all the answers

During an eye assessment, what might redness or swelling around the puncta indicate?

<p>Infection or inflammation (D)</p> Signup and view all the answers

What is the normal appearance of the iris during an eye assessment?

<p>Round, flat, and evenly colored (A)</p> Signup and view all the answers

What is the term used to describe a constant misalignment of the eyes?

<p>Strabismus (A)</p> Signup and view all the answers

Which of the following is an abnormal finding during the cardinal field gaze test?

<p>Nystagmus, an oscillating movement of the eyes (A)</p> Signup and view all the answers

What is the term used to describe a protruding eyeball, which can be a sign of Graves' disease (hyperthyroidism)?

<p>Exophthalmos (B)</p> Signup and view all the answers

Which of the following is a condition where the lower eyelid is everted?

<p>Ectropion (A)</p> Signup and view all the answers

Which of the following is a normal finding when inspecting the bulbar conjunctiva?

<p>Clear, moist, and smooth with visible tiny blood vessels (D)</p> Signup and view all the answers

Which eye muscle strength assessment is performed during the cardinal field gaze test?

<p>Extraocular muscle strength (D)</p> Signup and view all the answers

Which of the following is NOT one of the extraocular muscles responsible for eye movement?

<p>Levator (A)</p> Signup and view all the answers

The bulbar conjunctiva covers which part of the eye?

<p>The cornea (C)</p> Signup and view all the answers

Which condition is characterized by a lack of coordination between the two eyes?

<p>Strabismus (B)</p> Signup and view all the answers

Which part of the eye would be assessed to evaluate eye muscle strength?

<p>Extraocular muscles (C)</p> Signup and view all the answers

What is the function of the iris?

<p>Contains pigments that determine eye color (D)</p> Signup and view all the answers

Nystagmus refers to which of the following conditions?

<p>Involuntary eye movement (B)</p> Signup and view all the answers

Flashcards

Abnormal conjunctiva

Inflammation of the conjunctiva, may indicate foreign bodies.

Jaundice/Icterus

Yellowing of the sclera, indicating a disorder.

Subconjunctival hemorrhage

Bright red appearance in the eyes due to blood under the conjunctiva; usually harmless.

Cyanosis (lower lid)

Bluish discoloration of the lower eyelid, indicating heart or lung problems.

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Swelling of lacrimal apparatus

Swelling in or around the lacrimal apparatus may indicate blockage, infection, or inflammation.

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Cataracts

Opacities of the lens of the eye.

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Anisocoria

Unequal pupil sizes.

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Nystagmus

Oscillating movement of the eye, possibly indicating inner ear disorder, multiple sclerosis, brain lesions, or narcotics use.

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Ptosis (blepharoptosis)

Drooping of the upper eyelid, indicating oculomotor nerve damage.

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Entropion

Inverted lower eyelid.

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Ectropion

Everted lower eyelid.

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Chalazion

Infection of the meibomian gland.

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Exophthalmos

Bulging eyeballs, indicating Graves disease (hyperthyroidism).

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Sunken eyes

Sunken eyes, indicating dehydration or chronic wasting illness

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Choroid layer

The layer of the eye containing blood vessels between the retina and sclera.

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Optic disc

Area where the optic nerve exits the eye; also known as the blind spot.

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Cornea

Clear membrane that covers the front of the eye.

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Iris

Controls the amount of light that enters the eye.

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Study Notes

Eye Inspection

  • Abnormal conjunctiva: conjunctivitis, inflammation, or foreign bodies
  • Abnormal episclera: local, noninfectious inflammation of the sclera
  • Jaundice/Icterus: yellow sclera
  • Subconjunctival hemorrhage: bright red eyes (harmless, disappears in 1-2 weeks)

Palpebral Conjunctiva

  • Normal: clear and no swelling or lesions, no foreign bodies or trauma
  • Abnormal: cyanosis (lower lid) – heart or lung disorder
  • Irritation, burning, pain, and/or swelling of the upper eyelid – foreign body

Lacrimal Apparatus

  • Normal: no swelling or redness, visible puncta
  • Abnormal: swelling – blockage, infection, or inflammation
  • Redness or swelling around puncta – infection or inflammation
  • Excessive tearing – nasolacrimal sac obstruction

Cornea and Lens

  • Normal: transparent, no opacities; moist cornea; no opacities in the lens
  • Abnormal: rough or dry cornea – injury or allergic reaction
  • Cataracts – opacities of the lens

Iris and Pupil

  • Normal: iris is round, flat, and evenly colored; pupil is round, regular border, centered in iris (3-5mm)
  • Abnormal: anisocoria – inequality of pupils

Eye Movement

  • Normal: smooth eye movement; symmetric in all six directions
  • Abnormal: nystagmus – oscillating movement of the eye (inner ear disorder, multiple sclerosis, brain lesions, or narcotics use)

External Eye Structures

  • Normal: eyelids and eyelashes are normal; eyeballs are symmetrical without protrusion or sinking
  • Abnormal: ptosis (blepharoptosis) – oculomotor nerve damage
  • Entropion – inverted lower lid
  • Ectropion – everted lower lid
  • Chalazion – infection of the meibomian gland
  • Seborrhea/blepharitis
  • Exophthalmos – Graves disease (hyperthyroidism)
  • Sunken eyes – dehydration or chronic wasting illness

Anatomy and Physiology

  • External structure of the eyes: choroid layer, optic disc, retina vessels
  • Visual field: conjunctiva, lacrimal apparatus, extraocular muscles
  • Internal structure of the eye: retina, optic nerve, light rays, optic nerve impulse, interpretation
  • Visual perception: light rays strike the retina, nerve impulse, optic nerve, interpretation
  • Visual reflex: pupillary light reflex, accommodation, scalera, cornea, iris, lens

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