MSN572 HEENT Exam Study Questions
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head - ✔✔Inspect hair - distribution - texture- patient has black hair that is well
distributed and no dry throughout
head - ✔✔Assess shape, trauma, rash or lesion - patient has well rounded
symmetrical skill with no visible trauma or rash
head - ✔✔Palpate for cyst, lesion or depression - no visible lesions, cysts or
depression in skull
eye - ✔✔Visual acuity - cover each eye then both together- snellen chart at
least 6 feet away - perfect vision 20/20
eye - ✔✔General inspection - exophthalmos (bulging eyes), ptosis (drooping
eye), eyelids - general inspection of patients eye with no visible ptosis,
exophthalmos
Eyes - ✔✔Inspect conjunctiva - pull down pts lower eye lids and have them
look different directions and check the white part - checking the pts conjunctiva
which is pink and moist with no visible discharge from the lacrimal system
Eyes - ✔✔Inspection of sclera (white part), iris(color of eyes) and cornea (layer
over iris) - inspecting the patients sclera which is white with no visible
hemorrhage or erythema, inspecting the it's iris which is brown with crisp edges
and no abnormalities, inspecting the cornea which is clear with no abnormalities
, Eye - ✔✔Inspect pupils reaction to light - directly shine light into pupil and see
each contract and indirectly shine line to one pupil and see the other contract
Eye - ✔✔Check CN 3 (occulomotor) - have pt cover one eye and have them
follow pen to top right corner and bottom corner
eye - ✔✔Check CN 4 ( trochlear) - have pt follow finger middle face downward
- separate eyes then together
Eye - ✔✔Check CN 6 (Abducens) - have pt follow finger to middle line lateral -
each eye separate
Eye - ✔✔Check for nystagmus which is when eye involuntary moves quickly
side to side
Eye - ✔✔Convergence - use pen light placed mid face, tell pt to follow pen
from outer to tip of nose
Eye - ✔✔Accommodation- place pen in front of mid face- have pt look at pen,
then to corner of room and see pupils constrict
Eye - ✔✔Confrontation (wiggle fingers test) - we are checking visual fields -
one eye at a time by wiggling fingers from behind the pts head forward and tell
them " let me know when you see my fingers".
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