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Opthalmoscopy + Otoscopy
30問 • 1年前
  • holly shea
  • 通報

    問題一覧

  • 1

    What restraint is required?

    Minimal but muzzle for direct opthalmoscopy

  • 2

    What is the first stage?

    Observation - hands off + lights on

  • 3

    What are the 3 components of first stage?

    Behaviour, abnormal signs, facial conformation

  • 4

    What do you look for in the first stage?

    Movement, posture + behaviour

  • 5

    Abnormal signs in the first stage?

    Excessive blinking or squinting, overflow of tears + photophobia (sensitivity to light)

  • 6

    What facial conformation are you looking for in first stage?

    Symmetry, discharge + globe position

  • 7

    What is stage 2?

    Hands on + lights on

  • 8

    What are the 4 components of stage 2?

    Adnexa examination, retropulse globes, pupil size + symmetry, reflexes

  • 9

    What parts of adnexa do you examine in second stage?

    Eyelids, conjunctiva + nictitating membrane

  • 10

    What are you assessing with retropulse globes?

    Globe pressure upper eyelids = degree which eyeball moves back in socket should be bilateral, symmetrical and non-painful

  • 11

    What 3 reflexes/responses are you testing in second stage?

    Corneal light reflex, palpebral reflex, menace response

  • 12

    What is the 3rd stage?

    Hands off + lights off = pen torch alone

  • 13

    What are the 3 components to third stage?

    Examine adnexa/cornea/anterior segment/iris, pupillary light response, dazzle response

  • 14

    What is 4th stage?

    Distance direct opthalmoscopy = dark room

  • 15

    What are you examining in fourth stage?

    Tapetal reflex = green reflection of tapetum (clear path from cornea to tapetum)

  • 16

    What 2 things must you consider with direct opthalmoscopy?

    Medially dilate pupil + right eye to examine animals right eye

  • 17

    What is the 5th stage?

    Close direct opthalmoscopy = dark room

  • 18

    What are you examining in fifth stage?

    Fundus + anterior segment

  • 19

    What adjustment should you make when starting the fifth stage?

    Reduce brightness via rheostat

  • 20

    What are you looking for in the fifth stage?

    Optic disc + blood vessels

  • 21

    How should you examine the retina in fifth stage?

    Divide into quadrants = systematic exam —> look for lesions, pigment changes, detachment

  • 22

    What should you change the strength to for examining what areas in fifth stage?

    Lens = +10D, anterior segment = +20D

  • 23

    How should you start an otoscope exam?

    Examine external opening to ear canal = discharge or inflammation

  • 24

    What considerations need to be made for diseased ears?

    Sedation = painful

  • 25

    How should you introduce speculum?

    Gentle angle downwards = vertical canal is first

  • 26

    What should you change the angle to and why?

    Change angle to 90 degrees to skull = horizontal canal

  • 27

    Where will you find the eardrumb?

    Tympanic membrane = end of horizontal ear —> grey translucent membrane

  • 28

    What must you do before repeating the ear examination in the other ear?

    Disinfect specula or use new one

  • 29

    What is the functions of the different beam shapes?

    Circle = different sizes - patient pupil size, half = obstruction in pupil - lesion in eye (reduce reflection), slit = anterior segment, grid = measure lesions

  • 30

    Functions of the different beam colours?

    White = normal exam, red = blood vessels + retinal nerve fibres, blue = corneal defects

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    問題一覧

  • 1

    What restraint is required?

    Minimal but muzzle for direct opthalmoscopy

  • 2

    What is the first stage?

    Observation - hands off + lights on

  • 3

    What are the 3 components of first stage?

    Behaviour, abnormal signs, facial conformation

  • 4

    What do you look for in the first stage?

    Movement, posture + behaviour

  • 5

    Abnormal signs in the first stage?

    Excessive blinking or squinting, overflow of tears + photophobia (sensitivity to light)

  • 6

    What facial conformation are you looking for in first stage?

    Symmetry, discharge + globe position

  • 7

    What is stage 2?

    Hands on + lights on

  • 8

    What are the 4 components of stage 2?

    Adnexa examination, retropulse globes, pupil size + symmetry, reflexes

  • 9

    What parts of adnexa do you examine in second stage?

    Eyelids, conjunctiva + nictitating membrane

  • 10

    What are you assessing with retropulse globes?

    Globe pressure upper eyelids = degree which eyeball moves back in socket should be bilateral, symmetrical and non-painful

  • 11

    What 3 reflexes/responses are you testing in second stage?

    Corneal light reflex, palpebral reflex, menace response

  • 12

    What is the 3rd stage?

    Hands off + lights off = pen torch alone

  • 13

    What are the 3 components to third stage?

    Examine adnexa/cornea/anterior segment/iris, pupillary light response, dazzle response

  • 14

    What is 4th stage?

    Distance direct opthalmoscopy = dark room

  • 15

    What are you examining in fourth stage?

    Tapetal reflex = green reflection of tapetum (clear path from cornea to tapetum)

  • 16

    What 2 things must you consider with direct opthalmoscopy?

    Medially dilate pupil + right eye to examine animals right eye

  • 17

    What is the 5th stage?

    Close direct opthalmoscopy = dark room

  • 18

    What are you examining in fifth stage?

    Fundus + anterior segment

  • 19

    What adjustment should you make when starting the fifth stage?

    Reduce brightness via rheostat

  • 20

    What are you looking for in the fifth stage?

    Optic disc + blood vessels

  • 21

    How should you examine the retina in fifth stage?

    Divide into quadrants = systematic exam —> look for lesions, pigment changes, detachment

  • 22

    What should you change the strength to for examining what areas in fifth stage?

    Lens = +10D, anterior segment = +20D

  • 23

    How should you start an otoscope exam?

    Examine external opening to ear canal = discharge or inflammation

  • 24

    What considerations need to be made for diseased ears?

    Sedation = painful

  • 25

    How should you introduce speculum?

    Gentle angle downwards = vertical canal is first

  • 26

    What should you change the angle to and why?

    Change angle to 90 degrees to skull = horizontal canal

  • 27

    Where will you find the eardrumb?

    Tympanic membrane = end of horizontal ear —> grey translucent membrane

  • 28

    What must you do before repeating the ear examination in the other ear?

    Disinfect specula or use new one

  • 29

    What is the functions of the different beam shapes?

    Circle = different sizes - patient pupil size, half = obstruction in pupil - lesion in eye (reduce reflection), slit = anterior segment, grid = measure lesions

  • 30

    Functions of the different beam colours?

    White = normal exam, red = blood vessels + retinal nerve fibres, blue = corneal defects