2 - Otoscopy

Question 1

What is the first step of an assessment?

Answer 1

Physical examination of the ear (auricle and ear canal)

Question 2

Name 3 things you should look for when checking the pinna, canal, and post-auricular area

Answer 2

Malformation (tags, pits, fistula, unusual shape or missing part), skin changes, inflammation, discharge, tenderness

Question 3

Name 3 things to check for when observing the external auditory meatus

Answer 3

Collapsing ear canal, debris or pus at entrance, skin condition, malformation
*Make note of the last 3, refer as necessary, and be cautious with the exam

Question 4

When conducting otoscopy, what are you confirming/looking for?

Answer 4

Confirming that the ear canal is open (patency), and observing its condition (note foreign bodies, exostoses, blood, etc.)
Observing condition of tympanic membrane (note scarring, perforation, redness)
Identify contraindications for insert earphones (e.g. excess cerumen or hair)

Question 5

What are the 3 parts of an otoscope?

Answer 5

Handle, Neck, Head

Question 6

Why is it important to choose the correct size of speculum?

Answer 6

Too small can go too deep and cause damage

Question 7

During otoscopy, one hand is positioning the pinna. What is the other hand doing?

Answer 7

Holding otoscope and bracing against the client’s head in case of sudden movement

Question 8

What are some normal landmarks in a healthy tympanic membrane?

Answer 8

Healthy grey/pink colour, cone of light, fibrous annulus, malleus, lateral process of malleus, long process of incus, pars flaccida, chorda tympani nerve, and normal vascular pedicle