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Maryville 612 Exam 1 Questions and Answers 100% Pass
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Maryville 612 Exam 1 Questions and Answers 100% Pass Claudication - a condition in which cramping pain in the leg is induced by exercise, typically caused by obstruction of the arteries. May be characterized as a dull ache with accompanying muscle fatigue and cramps. Usually appears with sustai...

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  • January 19, 2025
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  • 2024/2025
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Maryville 612 Exam 1 Questions and
Answers 100% Pass


Claudication - ✔✔a condition in which cramping pain in the leg is induced by exercise,

typically caused by obstruction of the arteries. May be characterized as a dull ache with

accompanying muscle fatigue and cramps. Usually appears with sustained exercise. Site

of pain is distant to narrowing.


How do you test EOM? - ✔✔Eye movement is controlled by 6 extraocular muscles and

3 cranial nerves, III, IV, and VI. To evaluate eye movement, use 4 techniques.


● First have the patient watch your finger move through the 6 cardinal fields of gaze.

Jerking or sustained nystagmus is abnormal. A few beats of horizontal nystagmus may

occur.


● Second have the patient follow your finger vertically from the ceiling to the floor.The

globes and the upper eyelids should move smoothly without eyelid lag or exposure of

the sclera.


● Third, test extraocular muscle balance using the corneal light reflex. WIth the patient

looking at a nearby object, shine a light on the nasal bridge. The eyes should converge

and reflect the light symmetrically.


Katelyn Whitman, All Rights Reserved © 2025 1

,● Fourth, if the corneal light reflex is imbalanced, perform the cover-uncover test. As

the patient stares at a fixed point nearby, cover one eye and observe the uncovered eye.

Then remove the cover and observe that eye as it focuses on the object. Note any eye

movement.


Your patient should be able to follow your finger with full, smooth extraocular

movements and without nystagmus, or "shaky" eye motion. Normal extraocular

movements indicate intact cranial nerves III, IV, and VI.


*******What is the difference between objective and subjective data? What components

of the health history are objective and subjective? *********** - ✔✔Seidel pg 618:

objective: "direct observation, what you see, hear, and touch". This includes vital signs

and actual assessment. Subjective: "information patients offer about their condition or

feelings." This includes chief complaint, past medical history, history or present illness,

family history, and review of symptoms.


Erb's point - ✔✔Erb's point is the auscultation location for heart sounds and heart

murmurs located at the third intercostal space and the left lower sternal border. Erb's

point, found two interspaces below the pulmonic area, does not reflect sound from one

particular heart valve, but is a common listening post, lying halfway between the base

and the apex of the heart.


Tonsil assessment - ✔✔• Enlargement; Acute infection, 2+, 3+, or 4+




Katelyn Whitman, All Rights Reserved © 2025 2

,o 1+ - visible


o 2+ halfway between tonsillar pillars


o 3+ touching uvula


o 4+ touching each other


Order physical assessment is done - ✔✔Inspection, Palpation, Percussion, Auscultation


Proper use of Otoscope on adult or child - ✔✔Adult- straighten the external auditory

canal by pulling auricle up and back




Child- face child sideways with one arm around parents waist. Pull auricle either

downward and back or upward and back to gain best view of tympanic membrane.


How do you assess for sensoineural hearing loss - ✔✔air conduction heard longer than

bone conduction with Rinne Test; lateralization to unaffected ear; loss of high-frequency

sounds


How do you assess for conductive hearing loss - ✔✔bone conduction heard longer than

air conduction with Rinne Test; lateralization to affected ear with Weber Test; loss of

low frequency sounds; loss of 11-30 decibels on audiometry with cerumen impaction.


Rinne Test***** - ✔✔helps distinguish whether patient hears better by air or bone

conduction. Place the tuning fork at base of vibrating tuning fork against the patient's



Katelyn Whitman, All Rights Reserved © 2025 3

, mastoid bone and ask patient to tell you when the sound is no longer heard. Time this

interval of bone conduction noting number of seconds. Continue timing the interval of

sound due to by air conduction heard by the patient. Compare # of seconds air vs. bone.

Air conducted should be heard twice as long as bone conducted sounds. (If bone

conducted heard for 15 seconds, air conducted should be heard for additional 15

seconds).


Weber Test - ✔✔helps assess unilateral hearing loss. Place base of fork on mid-line of

patient's head. Ask patient if sound heard equally in both ears or in one ear

(lateralization of sound). Should hear sound equally.


Presbyopia - ✔✔Progressive weakening of accommodation (focusing power). The major

physiologic change that occurs after the age of 45 years; the lens becomes more rigid,

and the ciliary muscle becomes weaker.


Strabismus - ✔✔a condition in which both eyes do not focus on the object

simultaneously, although either eye can focus independently; may be paralytic or non-

paralytic.


Photopsia - ✔✔presence of perceived flashes of light. (Most commonly associated with

posterior vitreous detachment, migraine with aura, retinal break, or detachment).


Amblyopia - ✔✔also called lazy eye; is disorder of sight d/t eye and brain not working

well together. Results in decreased vision in an eye that otherwise typically appears




Katelyn Whitman, All Rights Reserved © 2025 4

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