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Maryville 612 Exam 1 Questions and Complete Solutions Graded A+.
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Maryville 612 Exam 1 Questions and Complete Solutions Graded A+.
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Maryville 612Exam 1 Questions
and Complete
Solutions Graded
A+
Denning [Date] [Course title]
,Claudication - Answer: 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? - Answer: 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.
● 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? *********** - Answer: 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 - Answer: 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 - Answer: • Enlargement; Acute infection, 2+, 3+, or 4+
o 1+ - visible
o 2+ halfway between tonsillar pillars
o 3+ touching uvula
, o 4+ touching each other
Order physical assessment is done - Answer: Inspection, Palpation, Percussion, Auscultation
Proper use of Otoscope on adult or child - Answer: 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 - Answer: 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 - Answer: 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***** - Answer: 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 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 - Answer: 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 - Answer: 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 - Answer: 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.
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