CH. 39 Review

Milo is having an eye examination as he often experiences blurry vision. Opthamologist, Dr. Malone and Dr. Ryan have narrowed down a possible diagnosis to either astigmatism or hyperopia. Astigmatism is eventually agreed upon by the two doctors. Which of the following statements, if true, would strengthen their conclusion?

Milo's vision is clear in the center of the field but blurred along the outer edges.

Which of the following is least likely to cause blindness?

Loud noise

______is a term that means eardrum.

Myringa

Viva's vision has been clouding up because of a growing cataract. A surgery to replace the opaque lens is scheduled and will be performed by Dr. Sorkin. Dr. Sorkin is most likely to be an ___________.

Opthalmologist

Eleanor goes for a routine eye examination. There, she complains to Dr. Monroe that she is not able to see objects that are at a distance. In this case, what would be the most appropriate test for Dr. Monroe to conduct?

The Snellen chart test

Which of the following statements about ophthalmic medications is incorrect?

a patient may use an eye medication in the other eye, if it needs treatments

Under normal conditions, a persons with normal hearing should hear:

all frequencies up to 15 decibels

Keisha is seeing Dr. Lescott with complaints of inner ear pain. Dr. Lescott, an otorhinolaryngoloist(ENT), decides to examine Keisha's ear for sign of infection or inflammation. In this case, which of the following instruments should be Dr. Lescott choose for the examination?

an otoscope

To prevent eye injury or blindness, the medical assistant should instruct the patient to do all of the following except_______

apply a cold compress immediately if splashed by chemicals

The medical assistant should be aware that a visually impaired patient may be required greater __________ as compared to a patient with normal vision

attention

When performing audiometry, the medical assistant should:

begin with a low frequency

Which of the following statements is true about children and hearing impairment?

chronic ear infections may cause conductive hearing loss

How should a medical assistant speak to a visually impaired person?

clearly

As a result of the aging process, the ______ may develop a ring of fat around it.

cornea

A ______ refers to the intensity of sound

decibel

Camden has been experiencing dizziness, tinnitus, and frequent bouts of vertigo. Dr. Ronald decides on a(n)_______ to diagnose the cause of Camden's symptoms.

electronystagmography

Which of the following is not a possible cause of sensorineural hearing loss?

excess cerumen

When performing eye irrigation on a patient, the medical assistant should

Hold the irrigating syringe 1/2 inch from the eye

A medical assistant who is testing a patient for near vision acuity should do which of the following?

Ensure the Jaegar card is 14-16 inches from the patient

A medical assistant has given a patient the Ishihara test. The patient has color vision within normal limits if he identified how many plates correctly?

10

What does it mean to be legally blind?

A person sees at 20 feet what another person sees at 200 feet

Alex, a medical assistant to Dr. Carlos, is asked to carry out an audiometry test for an eight-year-old girl. Alexis directs the girl to the audiometry room, prepares the equipment, and explains the procedure to the patient. Then Alexis places the headphones over the patient's ear, begins with a low frequency sound and slowly increases the frequency. Simultaneously, Alexis also watches for an indication from the patient that she is able to hear the sound and ensures that the machine is recording the data. She completes the test in one ear and then goes on to the next and follows the same procedure. She then removes the headphones, cleans the equipment, and tells the patient, " Congrats! Your hearing is perfect for your age!" What did alexis do wrong?

Alexis informed the patient of the results from the hearing test.

Sean, a medical assistant, is tasked with irrigating a patient's ear. He starts by placing a towel on the patient's shoulder and then cleaning the external ear with a moistened cotton ball. He then pulls the earlobe up and back to straighten the ear canal, expels air from the syringe toward the floor of the canal, and then administers the warm irrigation solution in the same direction. Which of the following was an incorrect step taken in this procedure?

expelling air from the syringe into the ear canal and directing the irrigation solution towards the floor of the canal

After the medical assistant finishes an audiometer test, the patient wants to know the results. How should the assistant respond?

explain that the physician needs to interpret the results

Which of the following is a necessary step when instilling eye medication?

exposing the conjunctiva

What does an elctronystagmograph (ENG) measure?

eye movements

Which of the following statements about the effects of the aging process on the eye is incorrect?

eyes becomes less sensitive to glare

When assisting a visually impaired patient, the medical assistant should always:

face the patient while speaking

What does contrast sensitivity test?

faint differences in shades of gray

The medical assistant knows that an older adult patient is least likely to experience

increased tearing

Ear irrigation might be necessary for all of the following situations except:

instilling otic antibiotics

The term that means to rinse is

irrigate

Micheal is tasked with irrigating a patient's eye. He starts by opening the patient's eye with his non-dominant hand, places a tissue on the patient's cheekbone, irrigates from the outer canthus, and dries the area upon completion. Which of the following was an incorrect step taken in this procedure?

irrigating from the outer canthus to the inner canthus

Jake is having a complete eye examination. Dr. Landis, the opthalmologist, begins the examination and informs Jake that he will first measure the cornea. Which of the following instruments is Dr. Landis most likely to use for this measurement?

keratometer

Dr. Logan detects the presence of excess fluid in Miriam's middle ear. Miriam has also been complaining about pressure in her ear. Dr. Logan prepares for a procedure that will relieve the excessive pressure on the tympanic membrane. This procedure is a(n)__________________?

myringotomy

The first step in the procedure for instilling eye medication is:

perform hand hygiene

Which of the following statements about assisting with audiometry is incorrect?

perform the test on both ears simultaneously

Before performing ear irrigation, the medical assistant should do all the following except:

pour the cool solution into a sterile basin

All of the following are possible causes of conduction hearing loss except

repetitive exposure to loud noise

Fuzzy vision that may occur as a person ages is caused by changes in the ____

retina

What causes conduction hearing loss?

sound waves near reach the organ of corti

Which of the following statements about assisting a visually impaired is incorrect?

the medical assistant may need to bring the visually impaired patient home

Dr. Abigail and Dr. Payne are trying to determine the cause of Dianne's hearing loss. An initial diagnosis by both physicians leads them to two different conclusions Dr. Abigail thinks Dianne suffers from sensorineural hearing loss while Dr. Payne thinks she has conduction hearing loss. Which of the following symptoms supports Dr. Abigail's diagnosis?

the organ of the Corti is damaged

A patient has congenital blindness. What does this mean?

the patient was born with this defect

A medical assistant has just instilled otic medication into the right ear of a patient. The assistant next instructs the patient to remain with the affected ear facing up for

three to five minutes

Why would a medical assistant use a Snellen chart?

to test distance acuity

The medical assistant should pull the patient's earlobe down and back if the patient is

under age 3