AIIMS Jodhpur SNO-2023
Medical & Surgical Nursing
Easy
Identify the instrument shown in the picture above.
Appeared in: AIIMS Jodhpur SNO-2023
Explanation
- The instrument in the image is an ophthalmoscope, a handheld tool used for examining the interior of the eye.
- Key features visible are the handle (power source), the head with a viewing aperture, and a lens selection dial for focusing.
- This procedure, known as direct ophthalmoscopy or fundoscopy, allows visualization of the retina, optic disc, and blood vessels.
- The absence of a cone-shaped speculum distinguishes it from an otoscope, which is used for ear examinations.
Why Other Options Were Wrong
- Option A: An otoscope is used to examine the ear canal and eardrum. Its defining feature is a cone-shaped speculum attached to the head, which is absent in the instrument shown.
- Option B: An arthroscope is a surgical instrument used for visualizing, diagnosing, and treating problems inside a joint. It is a thin, tube-like instrument connected to a video monitor, not a small handheld device like the one pictured.
- Option C: A sigmoidoscope is a long, flexible or rigid tube with a light and camera used to examine the lower part of the large intestine (sigmoid colon). It is significantly larger and different in form from the handheld instrument shown.
Related Visual
- Visual 1: Diagram - A side-by-side comparison of an ophthalmoscope and an otoscope, with labels pointing to the key differences (lens dial vs. speculum attachment).
- Visual 2: Infographic - The steps of performing a fundoscopic exam using an ophthalmoscope, showing proper patient and examiner positioning.
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of common medical diagnostic instruments based on visual characteristics as background academic context rather than a clinical decision trigger.
- A fundoscopic exam is a critical nursing assessment skill for detecting early signs of systemic diseases like hypertension and diabetes, which manifest as changes in the retinal blood vessels.
- Nurses must be able to differentiate between an ophthalmoscope and an otoscope, as they are common tools on a diagnostic cart. Using the wrong instrument could cause patient injury.
- What if? If the patient's pupils are very small (miotic), the nurse should darken the room to encourage natural dilation. If this is insufficient, mydriatic (pupil-dilating) eye drops may be ordered by a physician, but the nurse must first check for contraindications like narrow-angle glaucoma.
How to Approach the Question
- First, carefully observe the instrument in the image. Note its key parts: a handle, a head, a viewing port, and any dials or attachments.
- Mentally compare the observed features to your knowledge of common medical instruments.
- Notice the absence of a cone-shaped tip (speculum). This immediately makes 'Otoscope' a less likely answer.
- Consider the function of the other options. An 'Arthroscope' and 'Sigmoidoscope' are long, tube-like endoscopes used for internal procedures, which doesn't match the handheld device shown.
- The instrument's features—specifically the lens dial and viewing aperture—are characteristic of an ophthalmoscope, used for looking into the eye.
- Select the option that matches your visual analysis and knowledge of medical instruments.
Concept Tested & Keywords
- Concept Tested: Identification of common medical diagnostic instruments based on visual characteristics.
- Stem keywords: instrument, picture, identify
- Lead-in keywords: Identify
Question ID
Que3MaWrvJv1rI3K2etBQd
Practise the full AIIMS Jodhpur SNO-2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Sensorineural Function Questions
- Which ophthalmic diagnostic test measures the Intraocular pressure?
- Look at the image and tell which of the following is incorrect combination:
- Identify the following instrument in image:
- 100 mL fluid is given to patient and patient's CVP is 3 mm Hg, then what is the next intervention?
- How to tie ET tube to adult patient to prevent bedsore?
- What sound is heard when percussing a distended bladder?
- Which test would be done to check balance in a patient with ataxia?
- Identify the condition:
- In the emergency you have 4 patients. By prioritizing your management plan, which patient's problem will you address first?:
- Neurological assessment GCS scale component includes?
More AIIMS Jodhpur SNO-2023 Questions
- Following a road accident, a patient was admitted to the neurosurgery ICU due to a head injury. During the assessment, the patient opens his eyes to…
- A short-term goal for a patient with Alzheimer's disease is:
- The primary fever in malaria corresponding to the development of the parasites in the red blood cells comprise all of the following EXCEPT:
- What is the function of mRNA?
- Second component (other than NST) in Modified Biophysical Profile is:
- What is the best position for a patient in anaphylactic shock?
- The year 2023 has been declared as The International Year of:
- Regarding the placement of leads when recording ECG all of the following are correct, EXCEPT:
- Low molecular weight heparin should be administered:
- Beta-thalassemia is an autosomal recessive disorder. It is characterised by reduced haemoglobin levels in the body and is also known as: