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Chapter 19
Paramedic: Diseases of the Eyes, Ears, Nose, and Throat
165
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02/03/2013

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Term
What is a spherical structure measuring about 1 inch in diameter that is housed within the eye socket, or orbit?
Definition
Globe or Eyeball 1091
Term
What innervates the muscles that cause motion of the eyeballs and upper eyelids; also carries parasympathetic nerve fibers that cause constriction of the pupil and accommodation of the lens?
Definition
Oculomotor Nerve (III) 1091
Term
What provides the sense of vision?
Definition
Optic Nerve (II) 1091
Term
What is a tough, fibrous coat that helps maintain the shape of the eye and protect the contents of the eye?
Definition
Sclera 1091
Term
What is the white of the eye?
Definition
Sclera 1091
Term
What is the transparent anterior portion of the eye that overlies the iris and pupil?
Definition
Cornea 1091
Term
What is clouding of the cornea during aging?
Definition
Cataract 1091
Term
What is a delicate mucous membrane that covers the sclera and internal surfaces of the eyelid but not the iris?
Definition
Conjunctiva 1091
Term
What is the pigmented part of the eye that surrounds the pupil?
Definition
Iris 1092
Term
What consists of muscles and blood vessels that contract and expand to regulate the size of pupils?
Definition
Iris 1092
Term
What is the circular adjustable opening within the iris through which light passes to the lens?
Definition
Pupil 1092
Term
What is behind the pupil and iris?
Definition
Lens 1092
Term
What is a transparent structure that can alter its thickness to focus light on the retina at the back of the eye?
Definition
Lens 1092
Term
What lies in the posterior aspect of the interior globe, is a delicate, 10-layered structure of nervous tissue that extends from the optic nerve?
Definition
Retina 1092
Term
What receives light impulses and converts them to nerve signals that are conducted to the brain by the optic nerve and interpreted as vision?
Definition
Retina 1092
Term
What it the portion of the globe between the lens and the cornea?
Definition
Anterior Chamber 1092
Term
What is a clear watery fluid that fills the anterior chamber?
Definition
Aqueous Humor 1092
Term
What is the portion of the globe between the iris and lens that is filled with vitreous humor?
Definition
Posterior Chamber 1092
Term
What is a jellylike substance that fills the posterior chamber and maintains the shape of the globe?
Definition
Vitreous Humor 1092
Term
If ______ _______ is lost through a penetrating injury to the eye, it will gradually be replenished.
Definition
Aqueous Humor 1092
Term
If ______ _______ is lost, it cannot be replenished, and blindness may result.
Definition
Vitreous Humor 1092
Term
What does the optic nerve transmit images to the brain, and it converted into conscious images?
Definition
Visual Cortex 1092
Term
What are the two types of vision?
Definition
Central and Peripheral 1092
Term
What facilitates visualization of objects directly in front of you and is processed by the macula, the central portion of the retina?
Definition
Central Vision 1092
Term
What enables visualization of lateral objects while a person is looking forward?
Definition
Peripheral Vision 1092
Term
What secretes and drains tears from the eyes?
Definition
Lacrimal Apparatus 1092
Term
What is the passage through which tears drain from the lacrimal sacs into the nasal cavity?
Definition
Nasolacrimal Duct 1092
Term
What is the leading cause of new cases of blindness in adults according to the CDC?
Definition
Diabetes 1093
Term
What is a condition associated with diabetes, in which small blood vessels of the retina are affected and can eventually lead to blindness?
Definition
Diabetic Retinopathy 1093
Term
How many diabetic adults older than 40 years have diabetic retinopathy?
Definition
1 in 3 1093
Term
How many adults have diabetic retinopathy?
Definition
42 Million 1093
Term
How many adults that have diabetic retinopathy have vision alterations?
Definition
655,000 1093
Term
What are symptoms that may indicate a serious ocular condition?
Definition
Visual Loss, Double Vision, Severe Eye Pain, Foreign Body Sensation 1093
Term
What is paralysis of gaze or lack of coordination between the movements of the two eyes?
Definition
Dysconjugate Gaze 1093
Term
Eye lubricants are available for protecting eyes that do not produce tears as a result of damage to what nerve?
Definition
Seventh 1093-1094
Term
What is a condition in which pupils are not of equal size?
Definition
Anisocoria 1094
Term
Approximately how many people have anisocoria?
Definition
20% 1094
Term
When irrigating eyes, what is the proper method of flushing?
Definition
Inside corner to the outside of the eye 1094
Term
How much does burns to the eye account for in eye injuries?
Definition
Between 7% and 15% 1094
Term
What is the surrounding structures and accessories of an organ?
Definition
Adnexa 1094
Term
What occurs when a patient is burned in the face during a fire, although the eyes usually close rapidly because of the heat?
Definition
Thermal Burns 1094
Term
What kind of burns of the eye results from ultraviolet rays from an arc welding unit, prolonged exposure to a sunlamp, or reflected light from a bright snow-covered area (snow blindness)?
Definition
Superficial Burns 1094
Term
What can cause significant damage to the sensory cells of the eye when rays of light become focused on the retina?
Definition
Infrared Rays, Eclipse Light, and Laser Burns 1094
Term
What happened if the patient has looked directly at the sun?
Definition
Eclipse Light 1094
Term
When full examination is possible of the eye, what should you check?
Definition
6 Cardinal Positions of Gaze 1095
Term
What are the 6 positions of cardinal gaze?
Definition
Right, Right up, Right Down, Left, Left Up, and Left Down 1095
Term
What pattern should you follow when performing the 6 positions of cardinal gaze?
Definition
H or Z Pattern 1095
Term
What is an eye irrigation device?
Definition
Morgan Lens 1095
Term
What is a condition where the conjunctiva becomes inflamed or red?
Definition
Conjunctivitis or Pink Eye 1097
Term
What condition most often starts in one eye and spreads to the other eye?
Definition
Conjunctivitis 1097
Term
What condition most often starts in one eye and spreads to the other eye?
Definition
Conjunctivitis 1097
Term
What is a thin layer that lines the inside of the eyelids and the white part of the eye?
Definition
Conjunctiva 1097
Term
What kind of conjunctivitis is highly contagious and can become an epidemic?
Definition
Viral or Bacterial 1097
Term
What accounts for the most absences in daycare or school settings according to the CDC?
Definition
Conjunctivitis 1097
Term
What are particular inflammatory because they cause a "rust ring" after 24 hours, which must be removed in the hospital?
Definition
Metal Filings 1098
Term
What are the most common eye injury seen in emergency departments?
Definition
Corneal Abrasions 1098
Term
What is sensitivity to light?
Definition
Photophobia 1098
Term
What is a topical anesthetic that can relieve some symptoms of an eye injury?
Definition
Tetracaine 1098
Term
What is the movement of both eyes in unison?
Definition
Sympathetic Eye Movement 1098
Term
What is a small, swollen bump or pustule on the external eyelid, resulting when the eyelid's oil glands or ducts become blocked?
Definition
Chalazion 1098
Term
What is a red tender lump in the eyelid or at the lid margin?
Definition
Hordeolum or Stye 1098
Term
What is a group of conditions that lead to increased intraocular pressure, causing damage to the optic nerve and is a leading cause of blindness?
Definition
Glaucoma 100
Term
What is bleeding into the anterior chamber of the eye that obscures vision, partially or completely?
Definition
Hyphema 1100
Term
Approximately how many hyphemas are associated with globe injuries?
Definition
25% 1100
Term
What is inflammation of the iris?
Definition
Iritis 1101
Term
What is another term for iritis?
Definition
Anterior Uveitis 1101
Term
What is the third leading preventable cause of blindness?
Definition
Uveitis 1101
Term
What presents as a red area surrounding the iris, cloudy vision, or an unusually shaped pupil?
Definition
Iritis 1101
Term
What results from swelling or inflammation of the optic nerve at the rear part of the eye?
Definition
Papilledema 1101
Term
What is separation of the inner layers from the underlying choroid?
Definition
Retinal Detachment 1101
Term
What is the vascular membrane that nourishes the retina?
Definition
Choroid 1101
Term
What is often seen in sports injuries, especially boxing?
Definition
Retinal Detachment 1101
Term
What is a painless condition that produces flashing lights, specks, or "floaters" in the field of vision, and a cloud or shade over the patient's vision?
Definition
Retinal Detachment 1101
Term
What are both most commonly caused by staphylococcus and streptococcus bacterial infections?
Definition
Periorbital and Orbital Cellulitis 1101
Term
What is an infection of the eyelid?
Definition
Periorbital Cellulitis 1102
Term
What is also known as preseptal cellulitis or eyelid cellulitis?
Definition
Periorbial Cellulitis 1102
Term
What is an infection within the eye socket and is considered a medical emergency because it can lead to permanent vision problems and blindness?
Definition
Orbital Cellulitis 1102
Term
What is a tumor that grows on the eighth cranial nerve and can affect the inner ear and balance?
Definition
Acoustic Neuroma 1102
Term
What is a large health problem for adults, most likely associated with occupational noise injury?
Definition
Loss of hearing 1102
Term
What are the 3 anatomic parts of the ear?
Definition
External, Middle, and Inner 1102
Term
What consists of the pinna, external auditory canal, and the exterior portion of the tympanic membrane?
Definition
External Ear 1102
Term
What is commonly known as the eardrum?
Definition
Tympanic Membrane 1102
Term
What consists of the inner portion of the tympanic membrane and the ossicles?
Definition
Middle Ear 1102
Term
What consists of the cochlea and semicircular canals?
Definition
Inner Ear 1102
Term
What is the large outside portion of the ear through which sound waves enter the ear?
Definition
Auricle or Pinna 1102
Term
What is the area which sound waves are received from the auricle (pinna) before they travel to the eardrum?
Definition
External Auditory Canal or Ear Drum 1102
Term
What are the 3 small bones on the inner side of the tympanic membrane?
Definition
Ossicles 1102
Term
What is a canal within the cochlea that receives vibrations from the ossicles?
Definition
Cochlear Duct 1102
Term
What is the opening between the middle ear and the vestibule?
Definition
Oval Window 1102
Term
What is a shell-shaped structure in the inner ear?
Definition
Cochlea 1102
Term
What is a structure located in the cochlea that contains hairs that are stimulated by vibrations to form nerve impulses that travel to the brain and are perceived as sound?
Definition
Organ of Corti 1102
Term
When this moves it causes fluid with the cochlea.
Definition
Oval Window 1102
Term
What can cause excessive pressures behind the eardrum?
Definition
Inner Ear Infections 1102
Term
What can burst the eardrum?
Definition
Blast Pressure Waves 1102
Term
What is ringing in the ears?
Definition
Tinnitus 1103
Term
What is bruising over the mastoid bone behind the ear commonly seen following a basilar skull fracture?
Definition
Battle Sign 1103
Term
What is also called retroauricular ecchymosis?
Definition
Battle Sign 1103
Term
What in the ear are most likely to be seen in the pediatric population?
Definition
Foreign Bodies 1103
Term
What is ear wax?
Definition
Cerumen 1104
Term
What is the yellowish oily substance found in the outer ear canal?
Definition
Cerumen 1104
Term
What helps prevent dirt and water from entering the middle ear canal and may protect the ear from bacteria or fungus?
Definition
Cerumen 1104
Term
What occurs when too much cerumen builds up and gets stuck in the outer ear canal?
Definition
Impaction 1104
Term
What is a disease that causes more production of cerumen?
Definition
Keratosis 1104
Term
What is most recognized as the feeling of vertigo or loss of balance after an ear infection or upper respiratory infection?
Definition
Labyrinthitis 1104
Term
What is dizziness?
Definition
Vertigo 1105
Term
What is perception of sound in the inner ear with no external environment cause?
Definition
Tinnitus 1105
Term
What is an infection that results from bacterial growth in the ear canal?
Definition
Otitis 1105
Term
What is draining of the middle ear by needle aspiration?
Definition
Tympanocentesis 1106
Term
What is perforation of the tympanic membrane?
Definition
Ruptured Eardrum 1106
Term
What is the total loss of smell?
Definition
Anosmia 1106
Term
What is a distorted sense of smell in which the person perceives unpleasant odors when the odors do not exist?
Definition
Dysosmia 1106
Term
What is increased sensitivity to smell?
Definition
Hyperosmia 1106
Term
What is a decreased sense of smell?
Definition
Hyposmia 1106
Term
What is the loss of smell from normal aging?
Definition
Presbyosmia 1106
Term
What is the separation between the nostrils and is located midline?
Definition
Nasal Septum 1106
Term
What are layers of bones within each nasal chamber and are covered with a moist lining?
Definition
Turbinates 1106
Term
What are hollowed sections of bone in the front of the head, that are lined with mucous membrane and drain into the nasal cavity?
Definition
Paranasal Sinuses 1106
Term
What is a nosebleed?
Definition
Epistaxis 1107
Term
What is one of the most common causes of nosebleeds?
Definition
Digital Trauma (Picking Nose) 1107
Term
What is cerebrospinal fluid drainage from the nose?
Definition
Cerebrospinal Rhinorrhea 1107
Term
What is nose picking?
Definition
Rhinotillexomania 1108
Term
What is a nasal disorder generally caused by allergens, which, once inhaled, result in production of chemicals that can cause inflammation?
Definition
Rhinitis 1108
Term
How many people does sinusitis affect each year?
Definition
31 Million 1108
Term
What is an infection of the sinuses, characterized by thick nasal discharge, sinus and facial pressure, headache, and fever?
Definition
Sinusitis 1108
Term
What cranial nerves all play a role in swallowing?
Definition
VI, VII, IX, and XII 1108
Term
What is swallowing problems?
Definition
Dysphagia 1108
Term
What is the top portion of the tooth, external to the gum?
Definition
Crown 1109
Term
What are points at the top of a tooth?
Definition
Cusps 1109
Term
What is the principal mass of the tooth, which is made up of a material that is much more dense and stronger than bone?
Definition
Dentin 1109
Term
What is a specialized connective tissue within the pulp cavity of a tooth?
Definition
Pulp 1109
Term
What fills the center of the tooth and contains blood vessels, nerves, and specialized connective tissue?
Definition
Pulp Cavity 1109
Term
What are the bony sockets for the teeth that reside in the mandible and maxilla?
Definition
Alveoli 1109
Term
What are the ridges between the teeth, which are covered with thickened connective tissue and epithelium?
Definition
Alveolar Ridges 1109
Term
What attaches teeth to the alveolar bone?
Definition
Periodontal Membrane 1109
Term
What is the chewing of food by the teeth?
Definition
Mastication 1109
Term
What is attached at the mandible and hyoid bone, is covered by a mucous membrane, and extends from the back of the mouth upward and forward to the lips?
Definition
Tongue 1109
Term
What provides motor function to the muscles of the tongue?
Definition
Hypoglossal Nerve XII 1110
Term
What provides taste sensation to the posterior portions of the tongue and carries parasympathetic fibers to the salivary glands on each side of the face?
Definition
Glossopharyngeal Nerve IX 1110
Term
What provides motor innervation to the muscles of mastication?
Definition
Trigeminal Nerve V 1110
Term
What provides the sense of taste to the anterior two thirds of the tongue and cutaneous sensations to the tongue and palate?
Definition
Facial Nerve VII
Term
What are the major arteries of the neck that supply oxygenated blood directly to the brain?
Definition
Carotid and Vertebral Arteries 1110
Term
What is a tooth ache?
Definition
Dentalgia 1110
Term
What occurs when the bacteria growth spreads directly from the cavity into the gums, facial tissue, bones, and/or neck?
Definition
Dental Abscess 1110
Term
What has been linked to heart disease, stroke, diabetes, osteoporosis, and low birth weight babies?
Definition
Gum Disease 1111
Term
What affects the lining of the heart and heart valves and can be linked directly to tooth infection and gum disease?
Definition
Infective Endocarditis 1111
Term
What are painful sores on the lips and around the mouth caused by a type of herpes virus?
Definition
Cold Sores 1111
Term
What are painful sores in the mouth or on the gums caused by bacteria or virus?
Definition
Canker Sores 1111
Term
What is a yeast infection that causes white patches in the mouth or on the tongue?
Definition
Thrush 1111
Term
What is a smoker's disease that causes excess cell growth in the mouth, cheek, or gums and presents as white patches?
Definition
Leukoplakia 1111
Term
What are red swollen gums that bleed easily during brushing?
Definition
Gingivitis 1111
Term
What is usually linked to impacted plaque and poor oral hygiene?
Definition
Bad Breath 1111
Term
What releases sulfur compounds that account for the foul smell in bad breath?
Definition
Bacteria 1111
Term
What is a condition that presents as white lesions on the tongue and inner checks, caused by the fungus Candida albicans?
Definition
Oral Candidiasis or Thrush 1111
Term
What is a type of cellulitis that occurs on the floor of the mouth under the tongue; caused by bacteria from an infected tooth root (tooth abscess) or mouth injury?
Definition
Ludwig Angina 1113
Term
What is an inflammation of the epiglottis?
Definition
Epiglottitis 1113
Term
What is often the cause of epiglottitis?
Definition
H influenzae Type B virus 1113
Term
What is painful swallowing?
Definition
Dysphagia 1113
Term
What is swelling and inflammation of the larynx that is associated with hoarseness or loss of voice?
Definition
Laryngitis 1113
Term
What is the cause of the most common form of laryngitis?
Definition
Virus 1113
Term
What is a bacterial infection of the trachea and is caused by the bacterium Staphylocococcus aureus?
Definition
Tracheitis 1113
Term
What is the length-based tape measurement of the child?
Definition
Broselow 1114
Term
What is swelling and inflammation of the tonsils?
Definition
Tonsillitis 1114
Term
What is an inflammation of the pharynx, which is the back of the throat between the tonsils and the larynx?
Definition
Pharyngitis 1114
Term
What is a collection of infected material around the tonsils?
Definition
Peritonsillar Abscess 1114
Term
What is a collection of disorders that present with jaw pain, and which occur when the connection between the temporal bone and the temporomandibular joint erodes or moves out of proper alignment?
Definition
Temporomandibular Joint Disorders 1115
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