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ASSESEMENT NG 1. On the Snelten eye chart, the symbol on the top line can be read by people with normal Vision at a distance or 100 foct. b 200 feet 150 feet d. 20 fect. c. 50 feet 2. An illuminated instrument used to examine the car is an a ophthalmoscope banoscope. c. otoscope d. cystoscope e sigmoidoscope. 3. To measure intraocular pressure, the instrument used is the a. eye spud b. ophthalmoscope c. probe d. tonometer. c. otoscope 4. Infection of the ear involving fluid buildup behind the eardrum is a otitis externa b. otitis media c. pruritus. d. ossicles c. rhinitis. 5. Hearing loss associated with age is a. myopia. b. myringa. c. presbyopia. d. presbycusis. e. anacusis. 6. Ear irrigations are performed a. daily b. to remove cerumen and foreign matter. c. as part of every physical examination. d. to relieve conjunctivitis. e. to relieve retinitis. 7. What chart is used to measure near vision acuity? a. Snellen b. Pelli-Robson c. Jaeger d. Ishihara e. nomogram 8. Impaired color vision is a factor of old age. his hereditary cis more common in females d. is correctable with surgery. e. improves over time. 9. To straighten the ear canal of a child under 3 years, you would pull the earlobe down and back pull the car lobe up and back. c. leave the car lobe untouched d. straighten the car drum. e ask the parent to do it. 10. The term used to describe someone who is nearsighted is a. emmetropic b. hyperopic c. myopic. d. presbyopic e astigmatic Critical Thinking Refer to the case study at the beginning of the chapter 38 and use what you have learned to answer the following questions. 1. What do Kyle’s results of the Snellen examination mean? 2. What could you say to Kyle to help put him at ease about the eyedrops he needs to receive? 3. Dr. Miller writes a prescription for corrective lenses for Kyle. After Dr. Miller leaves the room, Kyle says, “I will never wear glasses because my friends will make fun of me.” What would you say to Kyle? On the Job Agnes Jones, the medical assistant in a busy ENT office, is asked to transcribe the following ophthalmology report for the physician: . Reason for consultation-Evaluation of progressive loss of vision in right eye. History of present illness–Patient has noted a gradual deterioration of vision and increasing photophobia over the past year, particularly in the right eye. She states that it feels like there is a film over her right eye. She denies any change of vision in her left eye. Results of physical examination-Visual acuity test showed no changes in this patient’s long-standing hyperopia. The eye muscles function properly, and there is no evidence of conjunctivitis or nystagmus. The pupils react properly to light. Intraocular pressure is within normal limits (WNL). Ophthalmoscopy after application of mydriatic drops revealed presence of a large, opaque cataract forming in the right eye. There is no evidence of retinopathy, macular degeneration, or keratitis. 1. The results of the physical exam state that the patient’s pupils react properly to light What does this mean? 2. This patient wears corrective lenses for which condition? 3. The patient history states that she does not have nystagmus or conjunctivitis. Explain these two conditions.
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