Week 3: Eyes and Ears Assessment
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Questions and Answers

Which structure is NOT considered part of the external anatomy of the eye?

  • Lacrimal apparatus
  • Cornea (correct)
  • Conjunctiva
  • Eyelids

During an eye assessment, which of the following cranial nerves is evaluated when assessing pupil constriction?

  • Abducens (VI)
  • Optic (II)
  • Trochlear (IV)
  • Oculomotor (III) (correct)

A patient reports difficulty seeing objects up close. Which age-related change is the MOST likely cause of this issue?

  • Decreased tear production
  • Presbyopia (correct)
  • Cataract formation
  • Macular degeneration

Which test assesses extraocular muscle function by observing the alignment of light reflection on the corneas?

<p>Corneal light reflex test (D)</p> Signup and view all the answers

When examining the ocular fundus with an ophthalmoscope, which structure is observed?

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

Which of the following provides constant lubrication to the eye?

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

Which cranial nerve is responsible for lateral eye movement?

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

Up to what age is an infant's macula expected to fully develop?

<p>8 months (D)</p> Signup and view all the answers

Which of the following conditions primarily affects the inner ear or cranial nerve VIII, leading to sensorineural hearing loss?

<p>Prolonged exposure to loud noises causing damage to the cochlea (C)</p> Signup and view all the answers

A patient reports experiencing vertigo along with tinnitus and gradual hearing loss. Which cranial nerve is MOST likely involved?

<p>Cranial nerve VIII (Vestibulocochlear) (D)</p> Signup and view all the answers

During an ear assessment of an older adult, which of the following findings is MOST indicative of presbycusis?

<p>Gradual, bilateral hearing loss more pronounced at higher frequencies (B)</p> Signup and view all the answers

Which of the following assessment findings in an infant's ear examination is considered an anatomical variation that increases the risk of ear infections?

<p>A shorter, more horizontal Eustachian tube (A)</p> Signup and view all the answers

A patient presents with hearing loss. During the Weber test, the sound lateralizes to the left ear. In the Rinne test, air conduction is greater than bone conduction in the right ear, but bone conduction is greater than air conduction in the left ear. What type of hearing loss is MOST likely present?

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

Flashcards

Inner Ear Structures

Includes the vestibule, semicircular canals, and cochlea responsible for hearing and balance.

Conductive Hearing Loss

Loss due to blockage in the external or middle ear such as earwax or otitis media.

Sensorineural Hearing Loss

Loss caused by damage to the inner ear or cranial nerve VIII, often from aging or noise exposure.

Cranial Nerve VIII

The vestibulocochlear nerve responsible for hearing and balance.

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Ear Assessment History Questions

Key inquiries regarding hearing loss, pain, discharge, tinnitus, vertigo, infections, and noise exposure.

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External anatomy of eye

Includes eyelids, conjunctiva, lacrimal apparatus, sclera, and cornea.

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Internal anatomy of the eye

Consists of three layers: outer (sclera, cornea), middle (choroid, ciliary body, iris), inner (retina).

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Key questions for eye assessment

Questions about vision difficulties, pain, redness, swelling, discharge, history of problems.

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Central visual acuity test

Test conducted with the Snellen eye chart to measure vision sharpness.

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Cranial nerves and eye

Cranial nerves II (Optic), III (Oculomotor), IV (Trochlear), VI (Abducens) are involved in vision and eye movement.

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Age-related eye changes in infants

Infants have intact peripheral vision at birth, and the macula develops fully by 8 months.

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Age-related changes in older adults

Older adults may experience presbyopia, cataracts, macular degeneration, and decreased tear production.

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Anatomical landmarks of the ear

External ear includes auricle and auditory canal; middle ear includes tympanic membrane and ossicles.

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Study Notes

Week 3 Notes: Eyes and Ears Assessment

  • Eye Review: External anatomy includes eyelids, conjunctiva, lacrimal apparatus, extraocular muscles, sclera, and cornea. Internal anatomy contains three layers: outer (sclera and cornea), middle (choroid, ciliary body, and iris), and inner (retina).
  • Ocular History: Questions should address vision difficulties, pain, redness, swelling, discharge, history of ocular problems, glaucoma, use of corrective lenses, and self-care behaviors.
  • Eye Assessment: Tests for central visual acuity (Snellen chart), visual fields (confrontation test), extraocular muscle function (corneal light reflex, cover-uncover, and diagnostic positions), external structures (eyelid, lashes, conjunctiva, sclera), anterior eyeball structures (cornea, lens, iris, pupil), and ocular fundus (optic disc, retinal vessels, macula).
  • Cranial Nerves for Vision: Cranial nerves associated with eye assessment include II (Optic – vision), III (Oculomotor – eyelid movement, pupil constriction, most extraocular movements), IV (Trochlear – downward and inward eye movement), and VI (Abducens – lateral eye movement).
  • Age-Related Eye Changes: Infants are born with peripheral vision intact, and the macula fully develops by 8 months. Older adults experience presbyopia (lens loses elasticity), cataracts, macular degeneration, and decreased tear production.
  • Ear Anatomy Review: The external ear consists of the auricle and external auditory canal. The middle ear includes the tympanic membrane, ossicles (malleus, incus, stapes), and Eustachian tube. The inner ear contains the vestibule, semicircular canals, and cochlea.
  • Hearing Loss Types: Conductive hearing loss is caused by blockage in the external or middle ear (e.g., impacted wax, otitis media). Sensorineural hearing loss results from inner ear or cranial nerve VIII damage (e.g., aging, noise exposure).
  • Ear Assessment History: Questions should address hearing loss, pain, discharge, tinnitus, vertigo, infections, and exposure to noise.
  • Ear Testing: The assessment includes inspecting the external ear (size, shape, lesions, tenderness), using an otoscope to examine the tympanic membrane and ear canal (for abnormalities), performing hearing tests (whisper test, tuning fork tests – Weber and Rinne), and testing for hearing acuity.
  • Cranial Nerves for Hearing: Cranial nerve VIII (Vestibulocochlear) is responsible for hearing and balance.
  • Age-Related Ear Changes: Infants have shorter, more horizontally oriented Eustachian tubes, increasing infection risk. Older adults experience cerumen impaction, presbycusis (age-related hearing loss), and decreased acuity.

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Description

This quiz covers the anatomical aspects of the eyes, including both external and internal structures, ocular history, and assessment techniques. Additionally, it addresses the relevant cranial nerves involved in vision. Prepare to test your knowledge on eye anatomy and assessment methods.

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