Neck, Eyes, Ears Assessment

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Questions and Answers

What does 20/40 vision on the Snellen chart indicate?

The patient sees at 20 feet what a normal person sees at 40 feet (correct)

The patient has better than normal vision

The patient needs to stand closer than 40 feet to see

The patient has perfect vision

Which term describes age-related difficulty in seeing near objects?

Myopia

Presbyopia (correct)

Diplopia

Glaucoma

Which of the following findings requires further evaluation during an eye assessment?

Equal, round pupils reacting to light

Sclera appearing white

Cloudy cornea (correct)

Conjunctiva clear and pink

What does the acronym PERRLA stand for in an eye assessment?

Pupils, Equal, Round, Reactive to Light and Accommodation Signup and view all the answers

During a PERRLA assessment, which finding indicates normal accommodation?

Pupils constrict when looking at a near object Signup and view all the answers

Which of the following indicates an abnormal conjunctiva during a physical assessment?

Pale or jaundiced conjunctiva Signup and view all the answers

What condition is characterized by drooping of the eyelid?

Ptosis Signup and view all the answers

Which test is commonly used to assess the cardinal fields of vision?

Follow-the-object test Signup and view all the answers

Which symptom is most likely associated with thyroid disease?

Intolerance to cold or heat Signup and view all the answers

Which muscle is responsible for dividing the neck into two triangles?

Sternocleidomastoid muscle Signup and view all the answers

What is considered a normal finding during thyroid gland palpation?

The gland is not palpable Signup and view all the answers

What is the preferred position of the patient when palpating the thyroid gland?

Standing behind the patient Signup and view all the answers

Which of the following is commonly observed when palpating lymph nodes in adults?

Non-palpable lymph nodes Signup and view all the answers

Which lymph node is found at the base of the skull?

Occipital Signup and view all the answers

What primary condition is associated with enlarged, tender lymph nodes in the neck?

Bacterial infection Signup and view all the answers

What is a common age-related change in the thyroid gland of older adults?

Atrophy of the thyroid gland Signup and view all the answers

Which eye condition is associated with increased intraocular pressure leading to potential vision loss?

Glaucoma Signup and view all the answers

What visible change might be expected in the eyes of an older adult?

Development of arcus senilis Signup and view all the answers

Which assessment method is used to compare air and bone conduction of sound?

Rinne test Signup and view all the answers

What does the Rinne test specifically measure?

Conduction of sound through air versus bone Signup and view all the answers

What is the typical appearance of a healthy tympanic membrane?

Pearly gray and semi-transparent Signup and view all the answers

What type of hearing loss is characterized by damage to the cochlear nerve?

Sensorineural hearing loss Signup and view all the answers

During the whispered voice test, what is the primary purpose?

To determine hearing acuity in each ear Signup and view all the answers

In a patient with conductive hearing loss, what would be expected from the Weber test results?

Louder sound in the affected ear Signup and view all the answers

Study Notes

Neck, Thyroid, and Lymph Node Assessment

Thyroid disease symptom: intolerance to cold or heat
Neck muscle dividing into triangles: sternocleidomastoid muscle
Normal thyroid palpation finding: not palpable
Typical method for palpating the thyroid: standing behind the patient
Normal finding for lymph nodes in adults: non-palpable
Lymph node located at the base of the skull: occipital
Cause of enlarged, tender lymph nodes: infection
Age-related thyroid change in older adults: atrophy
Characteristics to assess for lymph nodes: size, shape, and tenderness
Priority action for difficulty swallowing and enlarged thyroid: refer for further evaluation

Eye Assessment

20/40 vision on the Snellen chart meaning: patient sees at 20 feet what a normal person sees at 40 feet
Test assessing cardinal fields of vision: follow-the-object test
Abnormal finding in conjunctiva: pale or jaundiced
Age-related difficulty seeing near objects: presbyopia
Abnormal finding requiring further evaluation: cloudy cornea
PERRLA stands for: Pupils, Equal, Round, Reactive to Light and Accommodation
Condition involving eyelid drooping: ptosis
Normal accommodation finding: pupils constrict when looking at a near object
Halos around lights may indicate: glaucoma
Expected change in older adult's eye: development of arcus senilis

Ear Assessment

Test comparing air conduction to bone conduction: Rinne test
Rinne test evaluation: conduction of sound through air versus bone
Normal tympanic membrane appearance: pearly gray and semi-transparent
Hearing loss from cochlear nerve damage: sensorineural hearing loss
Purpose of the whispered voice test: determine hearing acuity in each ear
Gradual hearing loss in older adults: presbycusis
Weber test finding in conductive hearing loss: louder sound in affected ear
Increased cerumen in older adults may indicate: conductive hearing loss

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Description

Test your knowledge on neck and eye assessments including thyroid palpation, lymph node evaluation, and vision testing. This quiz covers important clinical signs and normal findings to help reinforce your understanding of these assessments.