Pa

Front 1

PER-RLA

Back 1

PER= Pupils equal and round

RLA= reactive light accommodating

Front 2

Anisocoria

Back 2

Unequal pupillary size

Happens in 20% of people

Worry

Front 3

CN 1

Back 3

Olfaction

Front 4

Parasympathetic activity

Back 4

Light in someone’s eyes making them constrict

Front 5

CN 3 & 4 are located in

Back 5

Midbrain (the nuclei)

Front 6

CN 5,6,7,8 located in

Back 6

Cross PONDS (bridge) midbrain to mandala.

Front 7

CN 9,10,11,12 are located in

Back 7

Brian stem in the mandala (really important for gag reflex)

Front 8

CN 2

Back 8

receives all information. Afferent nerve. Arriving nerve. Something that you can see is revived by cranial nerve.

Front 9

CN 3

Back 9

Parasympathetic activity.

Contracts the eyes

&

Holds eyelid up

Front 10

Nastagness

Back 10

Dancing eyes

Front 11

Ptosis

Back 11

Drooping of the eyelid. Cranial nerve damage or systemic neuromuscular weakness

Caused by CN 7 not just CN 3 and caused by sympathetic chain.

Front 12

Hornersyndome

Back 12

A result of blockage of sympathetic nerve stimulation. Unilateral small regular pupil that is no reactive to light. Ptosis and anhidrosis of the same side accompany the pupillary signs.

* Ptosis: drooping eye. miosis:constricting pupil, anhydrosis:loss of sweat on the face

Front 13

Miosis

Back 13

Decreased pupil size, constricted. Happens with use of narcotics, damage to ponds or a result from glaucoma treatment.

Front 14

CN 3

Back 14

Pulsy (explain more from book)

(Midbrain stroke)

Front 15

Two common finding in the eyes of geriatric patients (45 and older)

Back 15

1) presbyopia: inability to focus, inability to accommodate for near vision

2) dryness of eyes

Front 16

Entropion

Back 16

Inward eyelid (senile cause)

*inversion

Front 17

Ectropion

Back 17

Outward eyelid (senile cause)

*eversion

Front 18

Cataract

Back 18

Blurry, low definition, inability to preview colors.

Reversible blindness

(The lens of the eye has developed emphatheleal cells. The cells shed and recycle and can’t go anywhere. So the stuff builds up.

Front 19

Cataract surgery time

Back 19

One month interval to change the lens

Front 20

Macular degeneration

Back 20

Leading cause of blindness in US in geriatric pts. Loss of central vision. Clear and crisp.

Happens more in males then females.

*peripheral vision stays in tact. Risk factors: hypertension and smoking

Front 21

Leading cause of blindness in the world

Back 21

Diabetes

Front 22

Angiogenesis

Back 22

(Pathalogic) look up in book

Front 23

4 Micro vascular Damage from diabetes are:

Back 23

Retinopathy

Neuropathy

Nephropathy

Cardiomyopathy

Front 24

How many pokes should diabetes pt do?

Back 24

8X a day

Front 25

HGA1C > 11 means

Back 25

Blood sugar is above 300 average a day. Causing osmotic damage. Glucose goes i to cell, water follows.

Front 26

Acute glaucoma

Back 26

*Ocular emergency: Immense amount of pressure behind the eyes. Due to blocked flow or fluid from anterior chamber. Pupil is oval shaped and dilated. Cornea appears cloudy with corcumcorneal redness. Pain onset is sudden and accompanied by halos around lights and a decrease in vision.

*NV and abdominal pain: Occult, facio, Espophago, Vago, Abdominal Nerve

Nothing to do with hypertension. Closed angle glaucoma is worse.

Front 27

Blepharitis

Back 27

Any inflammation of the eye lids

Staphylococcal infection leads to red, scaly, and crusted eyes. Burns itches and tears

Front 28

Basal Cell Carcinoma

Back 28

Usually seen on lower lid and medical canthus. A papular appearance

Front 29

Chalazion

Back 29

Inflammatory lesion of the eyelid. A firm, non tender nodule of eyelid, arising from infection of the meibomian gland. Not painful unless inflamed.

* obstruction of the sebaceous gland

Front 30

Hordeolum

Back 30

A stye. A staph infection. Puss in the middle. A bacterial infection.

Front 31

Conjunctivitis

Back 31

Layer that cover sclera that you don’t see. That layer can get Infection/ inflammation

Front 32

Pterygium

Back 32

Surfers eye

Non cancerous growth that develops from conjunctiva and extends to sclera

*Collagen breakdown spreads into the cornea

Front 33

Pingueculae

Back 33

Surfers eye

Yellowish nodules that are thickened areas of the bulbar conjunctive. Caused by prolonged exposure to the sun wind and dust

* Fibrovascular growth in the inner Canthus

Front 34

Adies tonic pupil

Back 34

Sluggish pupilares response. Usually unilateral but can be lateral.

Viral issues

Front 35

Talking to someone who’s blind:

Back 35

Speak directly to their face

Front 36

Talking to someone who is hearing impaired:

Back 36

Go on the side they have good and speak clearly to them on that side. Do not scream.

Front 37

Angryll Robastin

Back 37

Both pupils constricted. The light reflex is absent but accommodation is present.

(Prostitutes eye) syphilis, tumor or narcotic use

Front 38

Hornersyndrome

Back 38

Book

Front 39

How to look into Ottis Media

Back 39

Look in, pull pinna back, push on tragus.. if pain and erythema might be otitis exterma

Expected: should look pearly grey tympanic membrane

Infection= purulent fluid

Front 40

Otitis externa is

Back 40

Swimmers ear. Avoid swimming for a week.

Pain and erythema on pinna and tragus

Front 41

Otitis media is normally caused by

Back 41

Strep throat because it travels to the middle ear and the membrane now looks errythmatoc.

Purulent drainage=infection

Clear drainage: basal skull fracture, cerebral skull leakage.

Front 42

Otitis externa

Back 42

Ear canal is externa

Front 43

Romberg

Back 43

Test of procioception

1. Vision

2. Inner ear intact

3. Peripheral neuropathy

If you take one component away you should still have perception.

Front 44

Rinne test

Back 44

Air conduction is better than bone conduction. By ration of 2:1

Tap tuning fork and place on mastoid bone to feel vibration.

Front 45

Webber test

Back 45

Sensory neuro exam.

Test inner ear disease.

Place Tunning fork above head and should feel vibration to both sides.

Front 46

CN 3, 4 & 6

Back 46

3) oculomotor

4) trochlear

6) abduces

Control movement of the eye

Front 47

CN 5

Back 47

Trigeminal

Stimulates movement for mastication

Front 48

CN 7

Back 48

Facial

Controls movement of the face

Front 49

CN 3 controls:

Back 49

Pupillary construction and dialation

Front 50

Periorbital Edema

Back 50

Swollen, puffy lids. Occurs with crying, infection, trauma, and systemic problems such as kidney failure, heart failure and allergy.

*conjunctivitis infection/inflammation of the iris

Front 51

Exphothalmus

Back 51

Abnormal protrusion of one or both eyeballs

Secondary to Graves’ disease

Front 52

Conjunctivitis

Back 52

Infection in the conjunctiva. Because of bacteria. Pink eye.

Front 53

Irititis

Back 53

Serious disorder characterized by redness around iris and cornea. Decreased vision and deep aching pain. Pupil often irregular.

Front 54

Subconjunctival Hemorrhage

Back 54

Ruptured blood vessel leads to blood accumulation in the subconjuntival space

Front 55

Hyphema

Back 55

Collection of blood in anterior chamber of the eye

Front 56

Cataract

Back 56

Opacity in the lens, usually develops later in life

* blurry, low definition, inability to preview colors.

* the only reversible blindness

Front 57

Hypertensive Retinopathy

Back 57

Changes in retina and vasculature due to high BP.

Front 58

Myopia

Back 58

Nearsightedness

Front 59

Hyperopia

Back 59

Fearsightedness

Front 60

CN 8

Back 60

Auditory nerve

Front 61

What is near vision acuity?

Back 61

14/14

Front 62

What medications cause hearing loss?

Back 62

Streptomycin

Neomycin

Aprin (ringing in ears)

Front 63

A cyst within the macula could mean…

Back 63

Impaired central vision

Front 64

What measures intraocular pressure? In glaucoma

Back 64

Tonometry

Front 65

How to assess a clients visual field with conformation?

Back 65

1) cover one eye with a card

2) sit 2-3 feet away and use a pen light

3) the client tells you when they see the object in theornperopheral vision

Front 66

If the Wharton ducts are painful red and swollen why other finding can the nurse anticipate?

Back 66

Dry mouth

Front 67

Anosmia is

Back 67

The inability to smell. Can be due to: heredity, neurological problem or diet deficit in zinc

Front 68

Cleaning ears with a cotton top can cause:

Back 68

Perforating the tympanic membrane and impacting the cerumen

Front 69

Excessive sun exposure puts you at risk for:

Back 69

Cataracts

Front 70

What part of the ears becomes blocked with pressure while flying?

Back 70

Ossicles because they transfer vibration

Front 71

If the patient does cocaine.. What will you find?

Back 71

Perforated septum, pale septum or constricted,

Front 72

Pt with headache and malaise van be caused by:

Back 72

Mastoiditis: pain and tenderness over the mastoid process behind the ears

Front 73

Halos around lights are associated with:

Back 73

Glaucoma

Front 74

Blackish, furry looking coating on the tongue could indicate:

Back 74

Antibiotic use

Front 75

Which structure of the nose is responsible for filtering, moostening and warming air that enters the respiratory tract?

Back 75

Turbinates

Front 76

Astigmatism can cause:

Back 76

Blurred or double vision

Front 77

Nystagmus is

Back 77

Dancing eyes

Front 78

Pupils that are fixed and dilated are due to:

Back 78

Glaucoma: mydriasis and deep anesthesia can cause the condition

Front 79

Pupils that are fixed and dilated are due to:

Back 79

Glaucoma: mydriasis and deep anesthesia can cause the condition

Front 80

Abtoddlerbwoth a fever jas a reddened ear canal and swollen with ourulent drainage. Which diagnosis might you give ?

Back 80

Otis externa