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56 Cards in this Set

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  • Back
List the Bones of the Skull
-Frontal Bone-Lacrimal Bone-Nasal Bone-Maxilla- Zygomatic Bone-Mandible-Temporal Bone-Parietal Bone-Occipital Bone-Mastoid Process
What are fontanels?
Areas of the skull that have not closed in newborns.
-Anterior: Diamond shaped and closes between 4 and 26 months
-Posterior: Triangle shaped and closes by 2 months
-normal-soft/flat
-full, bulging, or sunken
What are the important muscles of the face?
Masseter, Temporalis, Nasolabial folds, sternocleidomastoid, trapezius, Palpupil fissure (measure when lips are closed)
Structures of the external eye
-Palpebral Fissure (space between upper and lower lid)
-Pupil
-Sclera
-Limbus
-Canthus
-Caruncle
What should you consider when examining a child's head?
Did the mother drink alcohol?
What the birth vaginal?
Did the head grow and fontanels close on schedule?
At what age did the baby achieve head control?
What should you look for during inspection and palpation of the head, face and scalp?
-Symmetry
-general size and shape
-quantity and distribution of hair
-lice?
-normocephalic: normal size
-macrocephaly: >90% size
-caused by hydrocephaly
-microcephaly: < 10% size
-caused by chromosomal abnormalities, intrauterine infection, maternal drug/alcohol use
What is acromegaly?
Pituitary abnormality that causes brow and jaw prominence. Soft tissue is enlarged
What is characteristic of fetal alcohol syndrome?
thin upper lip
What is Cranial Nerve VII and what does it mediate?
Facial Nerve
-Mediates the facial muscles
-expression should be symmetrical
-palpebral fissures should be equal bilaterally
-nasolabial folds should be symmetric
What is the Tarsal Plate of the Eye?
The Connective Tissue that gives the eye its shape.
What is the Meibomian glands of the eye?>
They give oil to the eye and an air tight seal
What is the Bulbar conjunctiva?
What is the Palpebral conjunctiva?
PC: lines the lid
BC: lines the cornea
-with conjunctivitis the conjunctiva looks swollen and the Bulbar moves away
What is the Tarsal Plate of the Eye?
The Connective Tissue that gives the eye its shape.
What is the Meibomian glands of the eye?>
They give oil to the eye and an air tight seal
What is the Bulbar conjunctiva?
What is the Palpebral conjunctiva?
PC: lines the lid
BC: lines the cornea
-with conjunctivitis the conjunctiva looks swollen and the Bulbar moves away
What is the Lacrimal Apparatus?
-Provides constant irrigation
-Secretes tears which flow across the eye and drain into the puncta
-Tears then drain into the nasolacrimal sac and then to the nose
What is the internal eye anatomy?
Three layers
-Sclera
-Choroid
-Retina
Ciliary Body
Anterior Compartment
Posterior Compartment
What should you be able to see with an opthalmoscope?
-Four sets of retinal vessels
-Retinal field and background should be clear
-Optic disk should be bright yellow and is always on the nasal side
-Macula is the same size as the optic disk and about 2 diameters away
What is our visual field limited by?
Our eyebrows, cheeks and the side of our eyes
What is binocular and monocular vision?
Binocular: looking straight ahead
Monocular: looking sideways
How is an image seen on the receptors?
upside down and reversed
Where do visual fibers cross?
The optic chiasm
Where does a visual impulse have to travel to be interpreted by the brain?
Conducted through the retina, optic nerve, optic chiasm, and optic tract on each side and then through a curving tract called the optic radiation
What are direct and consensual reflexes?
Direct: the pupil that is exposed to light will constrict
Consensual: the pupil not exposed to direct light will constrict along with the one exposed
What is accommodation?
The adaptation of the pupils to focus on images close up or far away.
-As an image gets closer the pupils will constric
Where should the eyelid sit?
the upper iris should be covered by the lid, but not the pupil
What is strabismus?
Lazy eye
What is the snellen test?
Test for visual acuity
-20/20 vision means that an object 20 feet away can be seen at 20 feet away
-20/50 means that what is read at 20 ft away and person with 20/20 can read at 50ft away.
What is myopia?
What is hyperopia?
What is presbyopia?
-Myopia: nearsighted, focal point is in front of the retina
-Hyperopia: farsighted, focal point falls behind the retina
-Presbyopia: changes in the eye sight over time
What is a possible reason for 1/3 of an eyebrow missing?
Thyroid problem
What is ptosis of the eye?
Drooping of the upper eyelid
What is anisocoria?
one pupil is bigger than the other
What test is used to determine strabismus?
Corneal light reflex test
What occurs in an optic nerve cut?
Blindness in the eye effected
#1
What happens in an Optic Chiasm cut?
Bitemporal hemianopsia: involves the fivers crossing over to the opposite side. Since these fibers originate in the nasal half of each retina, visual loss involves the TEMPORAL half of each field.
-#3
Right Optic Tract Cut?
Left homonymous hemianopsia: lesion in the right optic tract interrupts fiber originating on the same side of the both eyes. Visual loss involves half of each eye. #4
What is Cranial Nerve I and its function?
Olfactory
-Smell
What is cranial nerve II and what is its function?
Optic
-Visual Acuity, visual fields, and ocular fundi
What is cranial nerve III and function?
Ocularmotor
-Pupillary reactions
-extraocular movements
Test using the 6 cardinal positions of gaze
What is cranial nerve IV and function?
Trochlear
-Extraocular movements
Test using 6 cardinal positions of gaze
What is cranial nerve V and what is its function?
Trigeminal
-Corneal reflexes, facial sensation and jaw movements
What is cranial nerve VI and what is its function?
Abducens
-Extraocular movements
What is cranial nerve VII and what is its functions?
Facial
-Facial movements
What is cranial nerve VIII and function?
Vestibulocochlear
-Hearing
What is cranial nerve IX and function?
Glossopharyngeal
-Swallowing, rise of the palate, gag reflex
What is cranial nerve X and function?
Vagus
-Swallowing, rise of the palate, gag reflex, and parasympathetic function
What is cranial nerve XI and function?
Accessory Nerve
-Movement of the Trapezius muscle
What is cranial nerve XII and function
Hypoglossal
-with trigeminal, vagus and facial it helps with voice and speech, tongue movements
What function does the medial rectus have and which CN innervates it?
Adduction (eye moves nasally)
-Ocularmotor (III)
What does the interior rectus do and what CN innervates it?
Depression (eye moves downward)
-Ocularmotor (III)
What does the superior rectus do? What CN innervates it?
Elevation (eye moves upward)
Abduction
-Ocularmotor (III)
What does the Inferior Oblique do and what CN innervates it?
-Elevation
-Adduction
-Extorsion
-Ocularmotor (III)
What does the Superior Oblique do and what CN innervates it?
-Depression
-Intorsion
-Adduction
-Trochlear (IV)
What does the Lateral Rectus do and what CN innervates it?
Abduction (eye moves temporally away from the nose
-Abducens (VI)
What is Papilledema?
Choking of the Optic disk due to an increase in intracranial pressure.
-The disk will appear fuzzy
-it will look like the disc is coming towards you.
-usually accompanied by a headache or following an injury
What is nystagmus?
A shuttering of the eye during the 6 cardinal fields of gaze test.
-it is normal at the end-points