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Hearing Aid Academy Quiz Study > Chapter 8 - Basic Hearing Disorders > Flashcards

Chapter 8 - Basic Hearing Disorders Flashcards

1
Q

A visible deformity of the ear, RF #1, must be occlude the ear canal to prevent testing. Some deformities will not require that you refer your patient to a PCP [primary care physician] or to and ENT.

A. True.
B. False.
C. Need more information.

A

A. True.

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2
Q

If you recognize a non-occlusive deformity which causes pain or discomfort, if the pain isn’t described as ‘too bad,’ you may continue with testing and fitting.

A. True.
B. False.
C. Need more information to answer the question.

A

B. False.

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3
Q

If you can see the tympanic membrane, you can test for hearing loss, no matter what the other conditions dictate.

A. True.
B. False.

A

B. False.

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4
Q

Cerumen is always brown and soft.

A. True.
B. False.
C. False. It can be many colors, orange among them.

A

C. False. It can be many colors, orange among them.

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5
Q

If one ear canal is occluded but the other is half full of cerumen, you can test the un-occluded ear.

A. True.
B. False.
C. Not enough information to answer the question.

A

B. False.

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6
Q

If you notice a slight opening in an otherwise impacted ear canal, you can still test for hearing loss.

A. True.
B. You can, but you shouldn’t.
C. False.

A

B. You can, but you shouldn’t.

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7
Q

Visible evidence of cerumen impaction or significant accumulation or lodged foreign body within the ear canal includes q-tips, cotton, and small creatures.

A. True.
B. False.

A

A. True.

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8
Q

A patient walks into your clinic complaining of a bug that flew into one ear. You see it and can safely remove it. Your advice to the person will be:

A. Stay away from small bugs.
B. Use a q-tip to dig it out next time.
C. If you know it’s alive, go into a dark room and hold a flashlight up to your ear.
D. Rinse it out with an ear canal cleaning product.
E. D, then visit your physician.

A

E. D, then visit your physician.

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9
Q

Otorrhea is _____.

A. Cleaning out the ear canal with pressurized water.
B. The repair of the ear canal after q-tip damage.
C. Drainage fluids within the ear canal.
D. A middle ear disease.

A

C. Drainage fluids within the ear canal.

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10
Q

‘History of active drainage (otorrhea) within 90 days’ is RF #3 which leads to a medical referral.

A. True.
B. False.
C. Not always.

A

A. True.

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11
Q

The sudden onset of hearing loss is a true medical emergency which requires immediate attention by an ENT.

A. True.
B. False.
C. Not always.

A

A. True.

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12
Q

A ‘History of sudden onset of hearing loss within 90 days’ is determined by:

A. The case history interview.
B. Waiting for the patient and family to tell you about it.
C. Testing to find a better ear.
D. The test and the interview.

A

A. The case history interview.

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13
Q

Acute or chronic dizziness can result from:

A. Meniere’s Disease.
B. High blood pressure.
C. Too much caffeine.
D. It doesn’t matter. Refer the patient to the family physician and postpone the appointment to test.
E. Encourage the patient that it will get better.

A

A. Meniere’s Disease.

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14
Q

It is only persistent and lasting dizziness which requires a referral.

A. True.
B. False.

A

B. False.

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15
Q

The Wong-Baker pain scale is used to determine whether pain or discomfort is bad enough to require a medical referral.

A. True.
B. False. Wong answer.
C. False. The red flag on pain and discomfort is a qualitative answer. The level is not the issue. Refer!

A

C. False. The red flag on pain and discomfort is a qualitative answer. The level is not the issue. Refer!

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16
Q

Your patient may say, “It’s okay. I’m used to the pain. I just want to get help with my hearing.” Your conflict of whether to test or not, if there is any, is best described by the following:

A. Best patient practices allow it.
B. “It doesn’t hurt to try.”
C. Since it’s ‘okay,’…
D. This is an ethical dilemma.

A

D. This is an ethical dilemma.

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17
Q

If you see ear wax [cerumen] that obstructs the ear canal, you can only remove it if the following are true.

A. You have been trained in that procedure.
B. Your state permits you to conduct cerumen removal.
C. The licensing board permits you to conduct cerumen removal.
D. It appears safe but you cannot see the tympanic membrane.
E. You never should attempt that procedure.
F. A, b, and c.

A

F. A, b, and c.

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18
Q

The RF #8 states: A gap of more than 15 dB between air and bone conduction at 500 Hz, 1000 Hz, and 2000 Hz requires a medical referral. This is the only red flag which necessitates a _____ to determine whether a medical referral is required. (check all that apply)

A. Correct answer.
B. Air conduction test.
C. Bone conduction test.
D. B and c.
E. That’s why it’s the last red flag

A

D. B and c.

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19
Q

The ‘Onset of monaural (one ear) hearing loss of a duration of 90 days or less’ could lead to: (check all that apply)

A. Permanent deafness unless treated immediately.
B. Permanent HL in that ear.
C. Nothing unusual. It’s just a hearing loss.

A

B. Permanent HL in that ear.

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20
Q

Otitis is defined as:

A. Loss of rigidity in the ear canal.
B. Infection.
C. Inflammation.
D. Redness.

A

B. Infection.

21
Q

Otitis externa is an:

A. Inflammation of the outer ear.
B. Inflammation of the ear canal.
C. Inflammation also called ‘Swimmer’s ear.’
D. Infection of the outer ear.
E. Infection of the ear canal.
F. All of the above.

A

F. All of the above.

22
Q

Occlusion of the ear canal is an outer ear disorder.

A. True.
B. False.
C. False. It’s an inner ear disorder.
E. False. It’s a middle ear disorder.

A

A. True.

23
Q

Cholesteatoma is an abnormal skin growth in the outer/middle ear which develops sacs or cysts that can eventually destroy the ossicular chain.

A. True.
B. False.

A

A. True.

24
Q

One example of outer ear deformation is the cauliflower ear.

A. True.
B. False.

A

A. True.

25
Q

A collapsed ear canal:

A. Is an external ear disorder.
B. Is a medical red flag.
C. Prevents hearing testing until physician deals with it.
D. All of the above.

A

D. All of the above.

26
Q

Sclerosis is defined as the _____ of tissue.

A. Aging.
B. Breakdown.
C. Stultifying.
D. Hardening.

A

D. Hardening.

27
Q

Otosclerosis is defined as the _____ of the ear.

A. Hardening of the outer ear.
B. Hardening of the eustachian tube.
C. Hardening of the ossicular chain.
D. All of the above.
E. None of the above.

A

C. Hardening of the ossicular chain.

28
Q

Otosclerosis is indicated as a _____ hearing loss through air and bone conduction testing. (check all that apply)

A. Sensorineural.
B. Conductive.
C. Mixed HL.
D. All of the above.
E. None of the above.

A

B. Conductive.
C. Mixed HL.

29
Q

An example of an inner ear disorder is:

A. A vestibulocochlear nerve tumor.
B. A tumor of cranial nerve VIII.
C. A tumor of cranial nerve X, the vagus nerve.
D. A and b, which identify the same nerve.
E. A and c, which identify the same nerve.

A

D. A and b, which identify the same nerve.

30
Q

The cranial nerve VIII tumor is:

A. Acoustic neuroma.
B. Pear shaped.
C. Benign.
D. Predominant in the 30 – 60 y.o. age group.
E. Usually located in the internal auditory canal.
F. All of the above.

A

F. All of the above.

31
Q

The location of the hearing disorder known as presbycusis is in the:

A. Outer ear.
B. Auditory media.
C. Cochlea.
D. All of the above.

A

C. Cochlea.

32
Q

It is widely believed that noise, medications, and age create the disorder known as presbycusis.

A. True.
B. False.

A

A. True.

33
Q

Ototoxins are drugs which:

A. Damage the hearing organ.
B. Reduce the low frequency sensitivity of hearing.
C. Destroy the outer ear.
D. Are all legal.

A

A. Damage the hearing organ.

34
Q

An example of acoustic assault is:

A. Chronic noise over long periods of time.
B. Gunshot close to the ear.
C. The sound near the front at rock concert.
D. All of the above.

A

D. All of the above.

35
Q

Inner and outer hair cells can be damaged or destroyed by being near an acoustic assault (chronic noise, gun shot, rock concert).

A. Yes.
B. No.
C. Maybe.

A

A. Yes.

36
Q

Noise induced HL is also called:

A. Artillery ear.
B. War ear.
C. Precipitous HFHL.
D. None of the above.
E. A and c.

A

C. Precipitous HFHL.

37
Q

Both ears are usually involved in Meniere’s Disease.

A. True.
B. False.

A

B. False.

38
Q

Vertigo is:

A. A fear of heights.
B. A predictable loss of balance.
C. An unpredictable loss of balance.
D. Can last for 20 minutes or more.
E. C and D.

A

E. C and D.

39
Q

Tinnitus is:

A. A tinny sound in the ear.
B. Ringing of the ears at night.
C. An otoacoustic emission.

A

C. An otoacoustic emission.

40
Q

SNHL is another general term for:

A. Sensorineural hearing level.
B. Sensorineural hearing loss.
C. Presbycusis.
D. NIHL.
E. SSNHL.
F. B and c.

A

F. B and c.

41
Q

Tinnitus can be:

A. Objective or subjective.
B. Intermittent.
C. Consistent.
D. Frustrating.
E. Debilitating.
F. All of the above.

A

F. All of the above.

42
Q

Conductive HL originates:

A. In the outer ear.
B. In the cochlea.
C. In the ossicular chain.
D. In the middle ear.

A

D. In the middle ear.

43
Q

Treatment options for CHL include:

A. Medical intervention.
B. Surgical intervention.
C. Hearing loss correction
D. All of the above.
E. A and B.

A

D. All of the above.

44
Q

Sensorineural HL originates in the:

A. Outer ear.
B. Middle ear.
C. Inner ear.
D. B and C.

A

C. Inner ear.

45
Q

_____ % of the population of the US have Sensorineural HL.

A. 95% of about 32 million.
B. 20 million.
C. 15 million.
D. 10 million.

A

A. 95% of about 32 million.

46
Q

The level of loss in persons with SNHL is usually less than:

A. 40 dB
B. 50 dB
C. 60 dB
D. 80 dB

A

C. 60 dB

47
Q

Mixed HL has two components. They are:

A. Sensorineural and symmetrical.
B. Bilateral and monaural.
C. Otophasic and Bineural.
D. Conductive and sensorineural.

A

D. Conductive and sensorineural.

48
Q

Rx for mixed hearing loss includes:

A. Potential medical intervention.
B. Potential surgical intervention.
C. Correction with hearing instruments.
D. B and C.
E. A and C.
F. A, B, and C.

A

F. A, B, and C.

49
Q

A. Symmetrical in one ear.
B. Symmetrical as seen in the Audiometric battery of tests.
C. Treatable with the correct fitting of hearing instruments.
D. B and C.
E. None of the above.

A

D. B and C.

Hearing Aid Academy Quiz Study (13 decks)

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