Chapter 43
Assisting with Eye and Ear Care
Multiple Choice Questions
1. | Which progressive eye disease causes a loss of vision in the center of an image, while peripheral vision remains intact?
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2. | In which disorder do misaligned or unbalanced eye muscles cause the eyes to appear to be looking in two different directions?
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3. | Which condition, commonly called lazy eye, occurs when a child does not use one eye regularly and the eye becomes “lazy’ and the brain tends to ignore what the lazy eye sees?
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4. | A common eye disorder that develops with age and results in the loss of lens elasticity, causing difficulty seeing objects close up, is ____.
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5. | Cloudy, opaque areas on the lens that prevent light from going through the lens are ____.
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6. | Which of the following can be caused by a bacterial or viral infection?
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7. | Which of the following is indicated by an increase in intraocular pressure caused by a buildup of aqueous humor in the anterior chamber and can result in loss of vision and possible blindness.
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8. | The Snellen letter chart is commonly used to test for ____.
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9. | The Jaeger chart is used to test for ____.
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10. | Testing for which of the following can detect cataracts or problems of the retina even before the sharpness of the patient's vision is impaired?
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11. | Illustrations containing numbers or symbols made up of colored dots that appear among other colored dots are used to test for ____.
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12. | Which of the following is a disturbance in the equilibrium characterized by vertigo and tinnitus?
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13. | An ophthalmologist measures intraocular pressure with the aid of a(n) ____.
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14. | Which eye disorder is a chronic inflammation of the edges of the eyelid and is characterized by red, swollen eyelids with scaling or crusting?
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15. | Symptoms of retinal detachment include ____.
A. | red, itchy eyes and a crust that develops on the eye during sleep |
B. | pain or discomfort in one or both eyes |
C. | flashes of light or floating black shapes and progressively blurred vision |
D. | a red, painful swelling on the edge of the eye with a whitehead of pus |
E. | loss of vision at the center of an image |
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16. | Which of the following are common refractive disorders?
A. | Retinal detachment and macular degeneration |
B. | Cataracts, glaucoma, and iritis |
C. | Ptosis, sty, and corneal ulcer |
E. | Blepharitis and conjunctivitis |
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17. | Which condition distorts vision because the cornea is unevenly curved?
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18. | Which eye disorder can result from either an injury or infection and is treated with an antibiotic and the use of an eye patch?
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19. | Which ear disorder is the result of injury from a sharp object, an explosion, a sudden change in air pressure, or severe middle ear infection?
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20. | A common disorder of the inner ear that is caused by increased fluid in the labyrinth and produces symptoms of vertigo and tinnitus is ____.
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21. | Ringing in the ears is called ____.
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22. | In which ear disorder does the patient complain that the room appears to spin, causing dizziness, and the sensation is exacerbated by any movement, sometimes to the point of nausea and vomiting?
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23. | Which of the following is a type of sensorineural hearing loss and the most common form of hearing loss in older adults?
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24. | Which of these would the medical assistant be responsible for when preparing a patient for an eye examination?
A. | Checking visual acuity |
B. | Checking visual fields |
C. | Checking anterior structures of the eye |
E. | Performing the refraction examination |
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25. | Which of the following is used to test for distance vision?
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26. | What is the commonly used test for near vision?
E. | Vistech Consultants system |
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27. | Which of the following is used to test color vision?
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28. | Which of the following instructions is accurate when performing a visual acuity test using the Snellen letter chart?
A. | Close the eye not being tested |
B. | Stand with heels at the 20-foot mark |
C. | Start reading the chart at the 40-foot line |
D. | Stand with toes at the 20-foot mark |
E. | Hold the chart at arm's length |
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29. | Which of the following actions helps prevent systemic absorption of a topical medication used in the eye?
A. | Applying pressure just below the inner corner of the eye |
B. | Tilting the head toward the opposite eye |
C. | Irrigating the eye after applying the medication |
D. | Asking the patient to blink rapidly after applying the medication |
E. | Keeping the eye open (without blinking) for 15 seconds |
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30. | If the audiometer is adjusted to increase the frequency, the sound produced by the audiometer will become ____.
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31. | If the audiometer is adjusted to increase the decibel level, the sound produced by the audiometer will become ____.
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32. | An external hordeolum, which is the result of an eyelash follicle infection, is commonly known as ____.
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33. | Di was riding her bicycle when something flew into her left eye. She stopped and tried to get it out, but was unable to do so. She does not want to go to the hospital, but her eye is red and extremely irritated, and she thinks the object is still in her eye. A friend has offered to take her to the doctor. To which of the following specialists should her friend take her?
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34. | A drooping of the upper eyelid due to damage to the muscle that raises the eyelid is known as ____.
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35. | Fran is in the medical office because of a painful swelling at the edge of her eye. The physician examines it and tells her it is a sty. Which of the following statements might you include in your patient education for Fran?
A. | "Sty is caused by the same skin condition that causes dandruff." |
B. | "The best thing to do is wait until it forms a white head and then pop it." |
C. | "Applying warm, moist compresses may help the sty drain sooner." |
D. | "To prevent sty in the future, stay away from dust, smoke, wind, and excessive glare." |
E. | "We can irrigate the eye to help relieve the irritation from the sty." |
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36. | Which of the following statements about conjunctivitis is not true?
A. | It is a condition in which fluid pressure builds up inside the eye. |
B. | Standard Precautions should be used when working with a patient with conjunctivitis. |
C. | Excessive glare can cause conjunctivitis. |
D. | When caused by a virus, conjunctivitis produces a watery discharge from the eye. |
E. | When caused by bacteria, conjunctivitis may produce pus that may form a crust. |
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37. | Mr. Henderson is a 64-year-old patient whose wife insisted that he have his hearing tested because he often does not hear her when she speaks to him. When you speak to him, he answers, but some of his answers do not seem appropriate, and you suspect that he has not heard you or has misinterpreted what you said. Which of the following actions can you take to help make sure Mr. Henderson understands the questions you ask during the interview?
B. | Emphasize your lip movements |
C. | Face the patient while speaking to him |
E. | Speak in clear, high-pitched tones |
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38. | Which of the following is not a measure that can be taken to reduce the likelihood of a child having an ear infection?
A. | Teach children to wash their hands often |
B. | Keep immunizations up to date |
C. | Limiting exposure to second-hand smoke |
D. | Breastfeeding for at least 6 months |
E. | Bottle feeding in a horizontal position |
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39. | Which of the following is not a possible symptom of an ear infection in a young child?
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Fill in the Blank Questions
40. | When the cornea or lens has an abnormal shape, causing blurred images in near or distant vision, the condition is called ________.
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41. | A(n) ________ is a specialist who focuses on evaluating and correcting hearing problems.
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42. | A(n) ________ is an electronic device that measures hearing acuity by producing sounds in specific frequencies and intensities.
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43. | The number of complete waves of energy that pass a specific point in one second is _______.
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44. | ________ is the number of complete waves of energy per second.
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45. | Common symptoms of ________ include loss of central vision, distortions in vision, and difficulty seeing details.
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46. | A(n) ________ is a medical doctor who specializes in medical and surgical eye problems.
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47. | The _______ treats visual defects only with glasses or contacts and is not a medical doctor.
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48. | A medical doctor specializing in the health of the ear is a(n) ________.
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49. | The misalignment of the eyes is called ________ and makes it look like a person is looking in two different directions.
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50. | A(n) ________ is a handheld instrument with a light that is used to view the inner eye structures.
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51. | A(n) ________ exam is performed to verify the need for corrective lenses.
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52. | A(n) ________ is used to examine the eyelids, iris, lens, and cornea, and consists of a magnifying lens combined with a light source.
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53. | The medical assistant in the figure is shining the ________ light beam on her hand to check the strength of the beam.
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54. | Letter A in the figure is an example of ________ vision, in which light rays are focused directly on the retina.
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55. | Letter B in the figure is an example of a condition called ________, in which an elongated eyeball causes light rays to be focused in front of the retina.
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56. | Letter C in the figure is an example of a condition called ________, in which a shortened eyeball causes light rays to be focused behind the retina.
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57. | The branch of medicine specializing in the anatomy and diseases of the eye is ________.
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58. | The most common eye disorders treated by ophthalmologists are visual ________.
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59. | The only medications that should be used in the eye are called _______ medications.
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60. | The medical assistant must avoid touching a medicine dropper or ointment tube tip to the eye because doing so can cause infection, injure the eye, or _______ the medication.
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61. | An eye should be flushed out, or ________, to wash out foreign materials such as dust, sand, or chemicals.
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62. | An otology specialist who also specializes in problems affecting the nose and throat is called a(n) ________.
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63. | A buildup of earwax in the ear canal is known as ________ impaction.
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64. | Before administering eardrops, the medication should be slightly ________ to avoid making the patient dizzy.
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65. | A person who is profoundly deaf and cannot benefit from using a hearing aid may be a candidate for a(n) ________, which stimulates the auditory nerve.
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66. | The medical term for drooping of the upper eyelid is ________.
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67. | The common term for an external hordeolum is ________.
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68. | Another name for anterior uveitis is ________.
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69. | In a procedure known as ________, a hole in the retina is fixed using surgical fixation with cold.
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70. | An infection of the outer ear that is sometimes called swimmer's ear and is usually caused by bacteria or fungi is ________.
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71. | An overgrowth of bone tissue in the ear that prevents the stapes from transmitting sound vibrations to the inner ear is ________.
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Multiple Choice Questions
72. | An inflammation of the track in the eye that includes the iris, ciliary body, and choroid is called ________.
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73. | In which hearing test does the practitioner strike a tuning fork on a hard surface to produce a sound and places the tuning fork in the middle of the patient’s head to determine if the patient has conductive or sensorineural hearing loss?
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Fill in the Blank Questions
74. | The most common type of uveitis, an inflammation of the uveal track, is known as ______ uveitis.
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75. | To perform the _____ hearing test, the practitioner measures the amount of time the patient can hear the sound from a tuning fork placed near the mastoid bone. This is then followed by measuring the amount of time the patient can hear the sound when the tuning fork is placed near the ear canal.
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