Chapter 1 - Geriatric Otolaryngology Flashcards
The census bureau describes the elderly population in the United States beginning at the age of:
A. 55
B. 65
C. 75
D. 85
B. 65
The elderly in the United States have five times more medical problems then the younger population.
A. True
B. False
B. False
_____% of those over the age of _____ have at least a 25 decibel (dB) hearing loss (HL).
A. 50/50
B. 60/60
C. 70/60
D. 60/70
E. None of the above
D. 60/70
The number one cause of hearing loss in the United States is:
A. Noise Exposure
B. Chronic Ear Disease
C. Tinnitus
D. Medication Interactions
A. Noise Exposure
Twenty percent of the United States population is over the age of:
A. 55
B. 65
C. 75
D. 85
B. 65
Prescription medications can enhance hearing ability among the elderly.
A. True
B. False
B. False
Reduced sensory information is common among the elderly. Which of the following have the greatest influence regarding psychosocial factors of the elderly? Choose two of the following:
A. Reduced financial resources
B. Reduced vision ability
C. Reduced sexual activity
D. Reduced hearing ability
B. Reduced vision ability
D. Reduced hearing ability
Presbystasis is due to:
A. Vestibular changes as we age.
B. Hearing loss in the vestibule.
C. Aging and hearing loss.
D. None of the above.
A. Vestibular changes as we age.
During the 20th Century, the number of persons in the US over the age of 65 has increased by a factor of _____ compared to those under 65?
A. 2 times
B. 5 times
C. 8 times
D. 11 times
E. hasn’t significantly changed
D. 11 times
Conductive presbycusis is characterized by:
A. Agenesis of basilar membrane
B. Missing ossicular chain
C. Thickening of basilar membrane
D. Thickening of Reissner’s membrane
E. Progressive
F. C and E
F. C and E
- Reduced psychosocial ability within the elderly population can often lead to:
A. Hearing loss
B. Paranoia
C. Anger
D. Increased medication intake
B. Paranoia
Metabolic presbycusis is characterized by:
A. Slow, progressive onset
B. Rapid onset
C. Good speech discrimination
D. Poor discrimination
E. A flat audiogram
F. A, C, and E
F. A, C, and E
People over the age of 65 have _____ times more medical problems than those under the age of 65?
A. 2
B. 3
C. 3.5
D. 5
E. 10
C. 3.5
Sensory presbycusis manifests itself primarily due to deficiencies within the:
A. Spiral ganglion
B. Basilar membrane
C. Organ of corti
D. Stria vascularis
C. Organ of corti
Discussions with the elderly should always include reduced hearing and understanding abilities.
A. True
B. False
A. True
The last two types of Presbycusis discussed were:
A. Metabolic and Conductive
B. Conductive and Mixed
C. Metastasized and Monaural
D. Neuronal and Conductive
E. A, B, and C
A. Metabolic and Conductive
How many hearing aid users are there in the US?
A. We know it’s over 10 million but don’t know the exact number.
B. 15 million
C. 32 million
D. 95% of those with HL
E. 5% of those with hearing loss
A. We know it’s over 10 million but don’t know the exact number.
Presbycusis in the elderly is identified by the following
A. Aging of the auditory system
B. Diet, nutrition, blood pressure, and smoking
C. Noise and emotional distress
D. Toxin exposure
E. Symmetrical bilateral sensorineural hearing loss with more loss in higher frequencies
F. All of the above
F. All of the above
Hearing and vestibular issues are addressed by Otolaryngologists. Which issue does not involve the cochlear/vestibular system?
A. Dysphasia
B. Tinnitus
C. Dizziness
D. Hearing loss
A. Dysphasia
Sensory presbycusis is identified by:
A. High frequency, down-sloping SNHL (sensory neural hearing loss)
B. Decent speech discrimination
C. Degeneration of basal portion of Organ of Corti
D. Malfunction of inner hair cells (IHCs)
E. A, B, and C
F. A, C, and D
E. A, B, and C
At what reduced hearing threshold level can communication among adults be adversely impacted?
A. 10
B. 15
C. 20
D. 25
D. 25
Rapid hearing loss is defined as hearing loss within the past ninety days.
A. True
B. False
B. False
The most rapidly growing senior group in America is persons over:
A. 70
B. 75
C. 80
D. 85
D. 85
Neural presbycusis is identified by:
A. A flat hearing loss on the audiogram (loss of about the same decibels at each frequency)
B. Very poor speech discrimination
C. Rapid onset of HL
D. Loss of spiral ganglion cells
E. All of the above
E. All of the above
Neural presbycusis manifest itself primarily due to deficiencies within the:
A. Spiral ganglion
B. Basilar membrane
C. Organ of corti
D. Stria vascularis
A. Spiral ganglion
The Speech Banana contains the __________ of the English language.
A. Alphabet
B. Power
C. Frequency
D. Phonemes
D. Phonemes
Sudden hearing loss is defined as hearing loss within the past:
A. Three months
B. Six months
C. Nine months
D. Twelve months
A. Three months
The first two types of Presbycusis discussed were:
A. Sensory and Neural
B. Bilateral and Monaural
C. Rapid and Slow
D. Symmetrical and Bilateral
E. None of the above
A. Sensory and Neural
Conductive presbycusis manifests itself primarily due to the deficiencies within the:
A. Spiral ganglion
B. Basilar membrane
C. Organ of Corti
D. Stria vascularis
B. Basilar membrane
Metabolic presbycusis manifests itself primarily due to the deficiencies within the:
A. Spiral ganglion
B. Basilar membrane
C. Organ of Corti
D. Stria vascularis
D. Stria vascularis
