Chap 20 And 21

Front 1

Use what kind of testing to determine degree of peripheral vision?

Back 1

Cover/uncover test

Front 2

If eyes dont fully dilate, pt will experience trouble with _

Back 2

Seeing in the dark/adjusting to dark. Encourage well lit room

Front 3

__is hearing loss due to age

Back 3

Presbycusis

Front 4

Common causes and reason for presbycusis?

Back 4

Noise pollution, systemic disease, poor nutrition, ototoxic drugs.

Over time damage to delicate hair cells of organ of cortisol. Sound transmission is diminished by calcification of ossicles

Front 5

Menieres disease is of the ___ear

Back 5

Inner

Front 6

Common s/sx of meneires disease and 2 hallmark s/sx include

Back 6

Vertigo, tinnitus, aural fullness, flucstin sensoneural hearing loss

**preceded by fullness in ear and "drop attacks"- feeling like they are being pulled to the floor**

Front 7

What are the ototoxic drugs

Back 7

Salicylates, loop diuretics, chemo drugs, NSAIDS, ATB

Front 8

___ is the procedure for low/high amounts of myopia/hyperopia w/ or w/o astigmatism. A flap is folded back , pulses from computer and adheres on its own

Back 8

Lasik

Front 9

___procedure is where the epithelium is replaced after surgery. It's a good opition for pts w/insufficient corneal thickness

Back 9

Lasek

Front 10

___ is the procedure that is good for pt with insufficient corneal thickness for a lasik flap, epithelium is removed. Laser sculpts cornea

Back 10

Photorefractive keratectomy (PRK)

Front 11

Post OP for lasix or lasek , what would need immediate reporting to the md?

Back 11

Pain level of 5 or greater. If sev pain , could mean hemorrhage, infection or increased IOP

Front 12

Cochlear implant is ideal for which pts?

Back 12

For sensorineural hearing loss. Ideal if became dead after speech/language was developed.

Front 13

What is age related macular degeneration?

Back 13

Irreversible central vision loss. Common in ppl >60

Front 14

What are the 2 types of age related macular denergeration?

Back 14

Dry- nonexcudate/most common/painless

Wet- more severe/excudate/ more rapid onset of vision loss

Front 15

When diagnosing age related degeneration, what is used and what teaching needs to be included

Back 15

Opthlamoscopy with verteporfin IV and cold laser, avoid direct sunlight and light for 5 days and completely cover the eye

Front 16

___ is caused by decrease in the tear film. Common in adults and certain diseases. Irritation worsens through the day **reports sand in eyes**

Back 16

Keratoconjuctivitis

Front 17

___(double vision) eyes unable to focus on an object, making it look like double vision

Back 17

Strabismus

Front 18

___inflammation of middle ear with collection of fluid w/feeling of "plugged" ear. No pain, no fever or discharge

Back 18

Otitis media with effusion

Front 19

___is infection of tympanic, ossicles,space in middle ear, swelling of auditory tube from colds/allergies can trap bacteria causing middle ear infection. S/sx redness, bulging, fever, malaise, decreased hearing. Tx: ATB, antihistamines, tympanosotomy tube.

Back 19

Acute OM

Front 20

___ purelent exudate, inflammation. Painless/hearing loss, nausea,dizzy . C&a needed, ear irrigations, otic and oral ATB, anagelsics

Back 20

Chronic otitis media

Front 21

____ inflammatory/infection of auricle & ear. Canal "swimmers ear" otolgia Is the 1st s/sx fever with infection. C&S if drainage. Shows improvement in 48 hrs. Tx for 7 to 14 days. Put in drops at room temp.

Back 21

External otitis

Front 22

___hearing loss occurs with conditions in outer middle ear, impair transmission of sound through air to inner ear

Back 22

Conductive

Front 23

__ hearing loss has the ability to hear sounds but not to understand speech, ability to hear high pitch sounds are diminished , sounds become muffled , hearing aids may help

Back 23

Sensorineural

Front 24

A __ is an infection of the sebaceous gland in the lid margin . Most common bacterial infection agents is staph aureus, red swollen, apply moist heat, if reoccurs scrub lids daily. May need ATB drops

Back 24

Herdeolum.

Front 25

___structure of the ear includes the auricle(pinna), external auditory canal, tympanic membrane, function is to collect and transmit sound waves to tympanic membranes. Cillia, oil and wax lubricate and kill bacteria, keep it free of debris.

Back 25

External ear.

Front 26

What is the normal appearance of tympanic membranes

Back 26

Shiny, translucent, pearly grey membranes

Front 27

Eustachian tube is located in the ___

Back 27

Middle ear

Front 28

___ is the receptor organ for hearing

Back 28

Cochlea

Front 29

___ is the uneven curvature of the cornea, which results in visual disorientation

Back 29

Astigmatism

Front 30

___ is the transparent mucous membrane that covers inner surfaces of the eyelids and extends over the sclera , forming a pocket under each eye lid

Back 30

Conjunctiva

Front 31

___far tightness, can see distant objects but close objects are blurred

Back 31

Hyperopia

Front 32

___is near sightness, can see clear up close but away is blurred

Back 32

Myopia

Front 33

Is abnormal eye movement that may be observed as a twitching of the eyeball or described as pt as blurry vision with head or eye movement.

Back 33

Nystagmus

Front 34

Loss of accommodation, causing an inability to focus on near objects, >40 years

Back 34

Presbyopia

Front 35

Eyes ability to bend light Ray's so that they fall on the retina

Back 35

Refraction

Front 36

The innermost layer that extends and forms the optic nerve , mostly made of neurons

Back 36

Retina

Front 37

Is ringing in the ears

Back 37

Tinnitus

Front 38

Is the sense that the person or objects are moving or spinning and is usually stimulated by movement of the head

Back 38

Vertigo

Front 39

Is composed of collagen fibers meshed together to form an opaque structure commonly referred as the "white"

Back 39

Sclera