ࡱ> QSP{ c1bjbjzz AZ2)0PP8$+------$ V#QQf++:,G0 u|Y |0.##G#GQQ#P p: Test A FINAL EXAM FOR VISION SCREENERS (DISTANCE ACUITY, HIRSCHBERG, & COVER AND UNCOVER) INSTRUCTIONS: Read the questions carefully. Select the one best answer and mark an X over the appropriate letter on the Answer Sheet. The screener is responsible to see that: the screen is properly conducted results of the screen are properly recorded follow-up on each child referred is being done, if at all possible all of the above The eye chart should always be placed so that the: 20/20 line is level with the eyes of the child being screened Top of the chart is level with the eyes of the child being screened 20/50 line is three feet from the ground The passing line (20/30 or 20/40) is level with the eyes of the child being screened Always begin screening for distance acuity one line above the passing line one line below the passing line at the 20/20 line at the 20/200 line Before any of the three eye charts may be used for screening, the child must: show an understanding of how the test works, i.e., how the game is played demonstrate ability to respond accurately (match or name, as the case may be) to sample symbols 100% of the time be able to transfer the game to the eye chart for accurate screening all of the above The H:O:T:V Matching Symbol Test may be used at a 20-foot distance. True False When a window cover card must be used in distance acuity screening, linear test procedures are preferred. This means that: the child stands behind a line to read a chart a straight line is drawn between the child and the chart one line of letters or symbols is exposed at a time all of the above Final Exam for Vision Screeners Test A Page 2 The 20/30 is the passing line for children who are: 5 years old 6 through 10 years of age 11 through 18 years of age all of the above Passing the visual acuity screen is determined by the childs ability to read the majority (at least one more that half) of the symbols of his or her passing line. True False The 20/40 is the passing line for children who are: 5 years old 3 and 4 years of age 11 through 18 years of age none of the above If the child wears glasses, referrals are made on the basis of the distance acuity measured with glasses on. True False After the second screen, a 4-year-old child has 20/40 acuity in the right eye and 20/20 acuity on the left eye. That child should be: failed and referred to an eye specialist passed with no further testing passed with observation by the classroom teacher none of the above A fifth-grader read the 20/20 line with his right eye and the 20/30 line with his left eye. You should: not refer the child refer the child If the child fails the first distance acuity screen and had no obvious signs or symptoms of visual difficulty that child should be: immediately referred to an eye specialist sent home immediately rescreened the next year rescreened within two or three weeks Final Exam for Vision Screeners Test A Page 3 When the penlight is used in the HIRSCHBERG corneal light reflex test, it is held ________ (distance) from the subjects eyes. 2 inches 3-4 inches 12-13 inches 18-20 inches Passing criteria for the Hirschberg corneal light reflex tests is a reflection in the center of each pupil, or slightly toward the nose, an equal distance from center of both eyes. True False The Hirschberg corneal light reflex test is used to detect possible: significant hyperopia (farsightedness) severe myopia (nearsightedness) strabismus (constant muscle imbalance) astigmatism (uneven corneal curve) When performing the cover and uncover test, __________ (time) should be allowed for fixation on the target. 5-10 seconds 2-3 seconds 1-2 seconds 30 seconds to 1 minute The cover and uncover test is used to detect possible: astigmatism (uneven corneal curve) strabismus (constant muscle imbalance) severe myopia (nearsightedness) hyperopia (farsightedness) When conducting the cover and uncover test, care should be taken that: the penlight works other children are not watching the child holds fixation on the target none of the above Visual acuity is always the last line that was read correctly (passed). True False Final Exam for Vision Screeners Test A Page 4 A child with an acuity of 20/200 or worse in the better eye with the best possible correction is said to be: colorblind legally blind blind average When a child fails any type of vision screening or is referred to the school nurse with a vision problem, the child should be asked whether any medication is being taken medications in current use should be noted on the referral form that goes to the eye specialist note should be made in the childs permanent record of any medication taken on a continuous basis, and annual screening is recommended if the medication puts the child at risk for a visual problem all of the above A persons visual acuity is how sharply he or she sees an object at a specified distance. True False When using a vision screening instrument other than an approved Snellen eye chart (e.g., telebinocular screening machines like Titmus and Keystone), the screener must: be very practiced in the proper use of the instrument be very attentive to the childs movements or activities during screening (look for signs and symptoms of a vision problem) After the first screening acuity failure of the child, rescreen using an approved eye chart all of the above The M-62 (Texas Department of Health annual vision screening report) is: sent to the Health Department by June 30th of each year to be completed by licensed day care centers and public and private schools in Texas a numerical record of all screening and follow-up results from a facility all of the above TEXAS DEPARTMENT OF HEALTH HEARING SCREENING INSTRUCTIONS: Read the questions carefully. Select the best answer and mark an X over the appropriate letter on the answer sheet. The type of sound used for hearing screening purposes and for pure-tone audiometry is called: pure-tone. hearing tone. alternating tone. level off tone. The first frequency to be tested in the pure-tone sweep check screen is: 500 Hz. 1000 Hz. 400 Hz. 6000 Hz. Intensity refers to the degree of: speech pain time loudness The words otitis media mean: eustachian tube eardrum unflammation of the middle ear cochlea The two types of calibration activities required by Texas regulations are: exhaustive and electronic calibration biological calibration check and periodic electronic calibration (annual) routine and exhaustive calibration electronic and routine calibration If one audiometer earphone from a pair of earphones becomes defective, you do not replace it with an earphone from another audiometer which has recently been calibrated. True False Each child who fails the first pure-tone sweep check screen should be: referred for medical attention set aside for observation referred for an audiological evaluation rescreened with another pure-tone sweep-check screen within three to four weeks Before the screener is ready to do the pure-tone sweep-check screen, she/he should check: for proper operation of all controls and switches to be sure that all plugs are secured in electrical outlets, jacks, etc. that the screening environment is suitable all of the above The unit of measurement for intensity is: Hz (hertz) AP (alternating pressure) dB (decibel) HL (hearing level) The pure-tone sweep-check screen should be done only on the right ear only on the left ear on whichever ear the pure-tone sweep-check screen results indicate there is a problem always on both ears For the pure-tone sweep check screen do not increase the intensity of the test tones above the allowable limit of: 15 dB HL 25 dB HL 40 dB HL 50 dB HL Pure-tone screening audiometers should include the following frequencies: 250, 500, 1000, 2000, 4000, 6000 Hz 750, 1000, 2000, 4000 Hz 500, 1000, 2000 Hz 1000, 2000 Hz A child fails the sweep-check screen if she/he fails _______ frequency. zero one three four The most frequent type of calibration check required by Texas regulations is the: exhaustive electronic calibration monthly biological calibration periodic electronic calibration (annual) routine calibration The unit that is used to identify frequency is: hertz (Hz) decibel (dB) sine wave sound waves When noise in the screening environment does not permit screening at 25 dB intensity for the pure-tone sweep-check screen, you should: instruct the child to listen for softer tones increase the screening level to one that can be easily heard use longer presentations of the tone so that the child can hear them better discontinue testing and relocate to a quieter area Each candidate for the monthly biological calibration check must be able to hear the tone at all six frequencies, (1000, 2000, 4000, 6000, 500, and 250 Hz) in both ears at an intensity of 25 dB HL. True False The following frequencies should be used for the pure-tone sweep-check screen: 250, 500, 1000, 2000, 4000, 6000 Hz 500, 1000, 2000, 4000, 6000 Hz 1000, 2000, 4000 Hz 1000, 2000, 4000, 6000 Hz One correct color code for audiometer earphones is: red for right blue for right red for left black for right The two physical attributes used to define a pure-tone are: loud and soft pitch and quality intensity and hearing level frequency (Hz) and intensity (dB) A ruptured eardrum could be the cause of what type of hearing loss? conductive sensorineural mixed functional The ear is divided into three parts; these parts are: outer ear, middle ear, inner ear external auditory canal, middle ear cavity, neural mechanism auricle, tympanum, neural mechanism outer ear, middle ear, vestibular mechanism The three types of organic hearing loss are: conductive, sensorineural, mixed sensorineural, mixed, maximum mixed, conductive, substantial minimum, conductive, sensorineural A possible source of error in a hearing screening program is: the equipment the environment the examiner all of the above The most common cause of conductive hearing loss in young children is: german measles (rubella) otitis media (inflammation of the middle ear) noise exposure ototoxic drugs h:/syllabus/Soph/Spring/FinalExamForVisionScreeners Reviewed 7/13      PAGE \* MERGEFORMAT 151 '([^l Wv(./1Ļ|wr|r|jc| hHth'hJuh'>* h'>* h%>*h'hS5 hHthN>*hxm hHthHt hHt>*hNh(TJh(h(TJ5>*h(h(TJ5 h(TJ5h(TJ>*CJaJh(h(TJ5>*CJaJha5>*CJaJh(TJh(TJ5>*CJaJhHt5>*CJaJhHthHt5>*&([\]^ 1 ] # g  gdW & F ^gdW & F h^hgdW p^p`gd(TJ$a$gd(TJ$a$gdHt 1 Q c v w   $ * + BSTUVW & F h^hgdWgdW & F ^gdW 0K\]  AMb}  & F 8^gdW & F ^gdW & F h^hgdWgdW,Vl/01 & F h^hgdWgdW & F ^gdW1z28]cdf"#~FHIKwxy 买Ӗ h(5hRhhRh5>* hLia5 hRh5hRhhRh5CJaJhRh5CJaJhQf5CJaJhLia5CJaJhRhhRhH* hRh>*hRhhww)hJuh'>* h'>*h'h)h%h [hijhWhS5 3 ,Svw Wz & F h^hgdWgdW & F ^gdW$7W~defg & F ^gdW & F h^hgdWgdW8=CD"  V->?@ABCD & F ^gdLia & F h^hgdWgdW & F ^gdWDEFGHIJKxy ^ i w !! & F ^gdLia & F h^hgdWgdLia$a$gdLiagdW :!B!a!p!q!X#Y###d%j%%N&Y&) ) )))))))++E-W-X-}/~/0000000 1#1,10111213151촭{hI#jhI#U h(TJhS5 hS5 hk$CJhWh^eCJ hLiaCJ hWCJ h(hHthHth9/h9/>*h9/hQfh'hDO|hDO|>*hDO|h%h<]h<]>*h-h<]hLiahhh(h(>*h(0!)!0!5!:!C!D!a!q!y!!!!!"\""""M#R#X#Y####gdW & F ^gdLia & F h^hgdW#$Q$R$$$'%R%c%d%%%%%%%&&/&&&& '''(' & F h^hgdWgdW & F ^gdLia('1'2'|''''''#(((,(2(7(8((((() ) ) ) ) & F 8^gdW & F h^hgdWgdW & F ^gdLia ) )=)H)U)_)k)l))!*^****+++++#,B,V,p,q,,, & F ^gdLia & F h^hgdWgdW,,,,,-*-<-X-z-{------- .A.~...../;/ & F h^hgdWgdW & F ^gdLia;/Z/}/~///////@0Y0000000000000gdww)gdHtgdW & F h^hgdWh^hgdLia & F ^gdLia00000000000000000000000000214151gdww)51618191;1<1>1A1B1Y1Z1]1^1`1a1b1c1 h(TJhS5 hhk$mHnHuhQfjhQfUhWhI#jhI#U517181:1;1=1>1@1A1_1`1a1b1c1gdww)$a$  !gdN ?0P1:pQf/ =!"#$% Dp^ 02 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA`D Default Paragraph FontRiR  Table Normal4 l4a (k (No List 4@4 NHeader  !4 @4 N0Footer  !.). 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L^`Lo(hH. ^`o(hH. ^`o(hH. PLP^P`Lo(hH. ^`o(hH. 8^8`o(hH. pLp^p`Lo(hH. @ @ ^@ `o(hH. ^`o(hH. L^`Lo(hH. ^`o(hH. ^`o(hH. PLP^P`Lo(hH.> lG>rB       .-%<]FWk$S5 (ww)|`7EG(TJ{PfU Z [Lia^eRhCidjijnkgoHtJu{DO|Qf'),)7vS-S=xmNNah K49/+I#2)4)@0)0)0)0)c)@UnknownG*Ax Times New Roman5Symbol3. *Cx ArialA$BCambria Math"qhȢ&KGKG& #J& #J!d24))3QHX ?(TJ2!xx FINAL EXAM FOR VISION SCREENERSacobbColgrove, Kathy  Oh+'0  $0 P \ h t FINAL EXAM FOR VISION SCREENERSacobbNormalColgrove, Kathy3Microsoft Office Word@G@ .l|@9d/@ .l|& #՜.+,0  hp  TVCCJ)  FINAL EXAM FOR VISION SCREENERS Title  !"#$%&'()*+,-/0123456789:;<=>?ABCDEFGIJKLMNORRoot Entry Fu|T1Table.#WordDocumentAZSummaryInformation(@DocumentSummaryInformation8HCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q