ICEV eye and ear examinations

Visual acuity

Sharpness or clarity of vision

Medical assistant before the physician exams the patient

Who normally performs visual acuity tests and when?

Snellen chart

Used to test far vision

200 to 10 millimeters

What is the largest to smallest size of letters

Standing 20 feet from the chart, a person should be able to read the letters on row 20, which are 20 millimeters high

What is 20/20 vision?

The distance from the chart

What does the top number mean?

The height of the letters the patient can read at that distance

What does the bottom number mean?

Can only see objects close to you

What is myopia

Nearsightedness

What is another name for myopia?

Well-lit

The examination room for the snellen chart should be ____-___

OU

both eyes

OD

right eye

OS

left eye

Eye occluder

Held over eye not being tested

Twice

If the patient is wearing corrective lenses, then perform the test ______

Date, physician's name, vision test results, and name and title.

What should be written when documenting far vision?

Jaeger chart

a chart for testing near vision.

Had blocks of text with the first one being the smallest and the bottom being the biggest.

How does a Jaeger Chart work?

14 to 16 inches

How far away from the eyes should the Jaeger chart be away from the eyes?

Hyperopia

Can only see things far away

Farsightedness

What is another name for hyperopia

Presbyopia

Farsightedness that occurs as a result of aging, when the lens loses elasticity

The date, physicians name, and vision test results, followed by te patient's name

How do you document the Jaeger chart?

Achromatic vision

total color blindness; can only see black, white, and grey (very rare)

Daltonism

When a person cannot tell the difference between red and green

Ishihara test

tests for red-green color vision

There is a series of color plates with numbers in the middle and contrasting dots of color

How does the Ishihara test work

Natural lighting

What kind of lighting should the Ishihara test be performed with

The date, physician's name, and color test results, followers by the medical assistant's name and title

How should you record the Ishihara test

Auditory acuity

The ability to perceive sounds clearly

Conduction hearing loss

A result of an obstruction in the ear canal that prevents sound waves from reaching rye middle ear

Nerve hearing loss

May result in a hearing aid and occurs when the inner ear of auditory nerve is damaged and sound waves cannot be transmitted to the brain.

Gross hearing test

General hearing ability. Patient will cover one ear with a hand and the physician will whisper words into the patient's ear and they will repeat it back.

Weber test

Reveals which ear the patient can hear from the best. The tuning fork is pleased at the crown of the patient's head and then rang to see which one the patient can hear better from

Rinne test

Used to distinguish between conduction hearing loss and nerve hearing loss.

tympanometry

A procedure that is used to determine whether or not the middle ear is transmitting sound waves to the brain.

tympanometer

instrument used to measure middle ear function

audiometry

A test that measures the ability to hear sounds at different frequencies. Reveals the extent of a patient's hearing loss.

Away

The patient faces _____ from the medical assistant

EENT exam

Examination of the eyes, ears, nose, and throat

As part of a complete physical exam or performed by a physician who specializes in it

When can an EENT exam be performed

Disinfect the room, restock supplies, set the lightning, and cover the exam table with fresh paper

What should the medical assistant do to prepare the exam room before the EENT exam?

Otoscope, Ophthalmoscope, tonometer, nasal speculum, tuning forks, laryngeal mirror, snellen chart, jaeger chart, ishihara plates, tounge depressor, cotton swab, microscope slides, culturette and an audiometer

What equipment is needed for an EENT exam?

Culturette

A sterile tube that contains a sterile cotton swab and a culture medium. It is used to collect culture specimen

Escort the patient to the exam room and instruct them to sit on the exam table

How does the MA prepare the patient for the EENT exam?

do not, disrobe, gown, CPE

EENT exams __ ___ require the patient to ______ and put on a ______ unless the exam is part of a ___

To assist the physician in any way that is needed

What is relee primary role of a MA during an EENT exam?