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Bates physical exam Questions and answers, Graded A+

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Bates physical exam Questions and answers, Graded A+ Pupillary constriction occulomotor nerve (CN III) EOM Visual acuity Snellen chart Myopia impaired far vision-- can not see far away, but has to pull things in. vision acuity expressed as 2 numbers 20/30 1st- distance...

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  • August 8, 2023
  • 42
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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Bates physical exam Questions and
answers, Graded A+

Pupillary constriction

occulomotor nerve (CN III)




EOM




Visual acuity

Snellen chart




Myopia

impaired far vision-- can not see far away, but has to pull things in.




vision acuity expressed as 2 numbers

20/30

1st- distance pt is from letters

2nd- distance a normal eye can read the letters



LARGE 2nd # = worse, 20/200--> patient at 20 feet can read print that a normal vision person can read at
200 feet.




presbyopia

,impaired vision as a result of aging---> "far sighted".... they see the card further away... 2/2 failure of
near sight.




Legally blind

20/200 or less




Visual fields test

Used to determine degree of peripheral vision




Hemianopsia



Hemianopsia, or hemianopia, is a loss of vision or blindness (anopsia) in half the visual field, usually on
one side of the vertical midline. The most common causes of this damage are stroke, brain tumor, and
trauma.




homonymous hemianopsia

loss of half of the field of view on the same side in both eyes




a temporal defect in the visual field of one eye suggests

a nasal defect in the other eye




Bitemporal hemianopsia

,loss of both temporal visual fields




Normal blind spot

meas. at 15 degrees to the temporal line of gaze




an enlarged blind spot

occurs in dz affecting the optic n--> optic neuritis, glaucoma, papilledema.




Lateral sparseness of eye brows

hypothyroidism




Ectropion

eyelid eversion




intropion

inversion of the eyelid




Large pupils

>5mm




Small pupils

<3mm

, miosis

pupillary constriction




mydriasis

pupillary dilation




Pupillary light reaction

normal for DIRECT reaction w/ pupillary constriction in the same eye and for CONSENSUAL reaction w/
pupillary constriction in the opposite eye.




Dysconjugate gaze

asymmetry of the corneal reflex, deviation from normal ocular alignment.




Lid lag

hyperthyroidism, a rim of the sclera is visible above the iris with a downward gaze




Poor convergence

hyperthyroidism




Loss of red reflex

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