Module 4: Head, Eyes and Ears - Eyes Examination Guidelines

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Questions and Answers

What is the recommended frequency for eye examinations for people under 40 years of age?

  • Every 2 years
  • Every year
  • Every 5 to 7 years
  • Every 3 to 5 years (correct)

At what age does presbyopia typically begin?

  • 50 years
  • 30 years
  • 45 years (correct)
  • 40 years

What is the term for nearsightedness?

  • Myopia (correct)
  • Hyperopia
  • Astigmatism
  • Presbyopia

Which refractive error is characterized by the loss of ability to see close objects?

<p>Presbyopia (D)</p> Signup and view all the answers

What condition necessitates the use of bifocals for vision correction?

<p>Both far and near vision requiring correction (C)</p> Signup and view all the answers

Which eye assessment involves evaluation of the area an individual can see when looking straight ahead?

<p>Visual fields assessment (A)</p> Signup and view all the answers

Which condition refers to upper eyelids that lie at or below the pupil margin?

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

What is the term used for an outturning of the eyelid?

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

Which condition involves an in-turning of the eyelid?

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

Cloudy pupils are frequently indicative of which eye condition?

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

Mydriasis (enlarged pupils) may indicate injury or glaucoma and can result from the use of which drug?

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

Anisocoria (unequal pupils) may be a result of a disorder in which system?

<p>Central nervous system (D)</p> Signup and view all the answers

What type of hearing loss occurs when there is damage to the inner ear, the auditory nerve, or the hearing center in the brain?

<p>Sensorineural hearing loss (B)</p> Signup and view all the answers

Which type of hearing loss involves an interruption in the transmission of sound waves through the outer and middle ear structures?

<p>Conductive hearing loss (D)</p> Signup and view all the answers

What type of hearing deficit is characterized by the inability to hear high-frequency sounds like f, s, sh, and ph?

<p>Sensorineural hearing loss (B)</p> Signup and view all the answers

Which test assesses conduction hearing loss and impaired sound transmission to the inner ear?

<p>Rinne Test (D)</p> Signup and view all the answers

What evaluation measures hearing at various decibels and is recommended for children and older adults?

<p>Audiometric evaluations (D)</p> Signup and view all the answers

Bone-conducted sound transmission occurs when:

<p>Skull bones transport sound directly to the auditory nerve (D)</p> Signup and view all the answers

What is the common symptom associated with hordeolum (stye)?

<p>Itching and tearing (C)</p> Signup and view all the answers

What is a distinguishing feature of cataracts?

<p>Opacity of the lens or its capsule (B)</p> Signup and view all the answers

Which condition is a frequent cause of blindness in individuals over age 40?

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

What can occur in infants if the mother contracted rubella in the first trimester of pregnancy?

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

What is a danger sign of glaucoma?

<p>Blurry vision and difficulty focusing on close objects (D)</p> Signup and view all the answers

What is a characteristic symptom of iritis (inflammation of the iris)?

<p>Tearing and photophobia (C)</p> Signup and view all the answers

What does it mean if a patient hears a tone better in one ear than the other?

<p>Conductive hearing loss (B)</p> Signup and view all the answers

In the Rinne test, what does it indicate when a patient hears the air conduction (AC) tone twice as long as the bone conduction (BC) tone?

<p>Conductive hearing loss (C)</p> Signup and view all the answers

What is the likely issue if a patient hears only in their impaired ear?

<p>Sensorineural hearing loss (C)</p> Signup and view all the answers

What can be deduced from a blue/dark red tympanic membrane?

<p>Acute Otitis Media (B)</p> Signup and view all the answers

Which abnormality may affect the external ear and ear canal as shown in the text?

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

What is essential for promoting equilibrium and barring infection in the ear?

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

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Study Notes

Eye Care and Abnormalities

  • Regular eye examinations are recommended every 3-5 years for people under 40, and every 2 years after 40.
  • Eye examinations assess external structures, visual acuity, ocular movement, and visual fields.
  • Refractive errors include myopia (nearsightedness), hyperopia (farsightedness), and presbyopia (loss of elasticity of the lens).
  • Presbyopia begins around 45 years of age, causing difficulty reading newsprint.
  • Bifocals are used to correct both far and near vision.
  • Ptosis is a droopy eyelid, often associated with aging, edema, or systemic diseases.
  • Ectropion and entropion are abnormalities of the eyelid, often due to scarring injuries or aging.

Pupils and Iris

  • Normal pupils are black, equal in size (3-7 mm), and have round, smooth borders.
  • Cloudy pupils may indicate cataracts.
  • Mydriasis (enlarged pupils) may indicate injury, glaucoma, or certain drugs.
  • Miosis (constricted pupils) may indicate inflammation of the iris, certain drugs, or age-related change.

Hearing and Abnormalities

  • Audiometric evaluations are recommended for children and older adults.
  • Conductive hearing loss occurs when sound waves are interrupted in the outer and middle ear.
  • Sensorineural hearing loss is due to damage to the inner ear, auditory nerve, or brain.
  • Mixed hearing loss is a combination of conduction and sensorineural loss.
  • Weber's Test and the Rinne Test assess conduction hearing loss, sensorineural hearing loss, and nerve conduction or inner ear function.

Eyes and Ears Abnormalities

  • Cataracts occur in individuals over 65, but can occur at any age, causing opacity of the lens or its capsule.
  • Glaucoma is a disturbance in aqueous fluid circulation, causing increased intraocular pressure and potential blindness.
  • Danger signs of glaucoma include blurred vision, loss of peripheral vision, and difficulty focusing.
  • Abnormalities of the external ear and ear canal include infections, abnormal growths, and buildup of cerumen.
  • Abnormalities of the tympanic membrane, such as acute otitis media, can have serious consequences.

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