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Final - Patho - Neuro/Psych > Ear > Flashcards

Ear Flashcards

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1
Q

the external part of your ear/auditory canal is called the

A

pinna or auricle

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2
Q

3 bones of the middle ear

A

stapes, incus, malleus

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3
Q

2 things the inner ear does

A

balance and hearing

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4
Q

the functional organ of hearing is called the

A

cochlea

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5
Q

what part of the ear is responsible for balance

A

semi-circular canals

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6
Q

ways to test hearing

A

whisper test

audiometry (headphones, raise your hand when you hear)

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7
Q

external otitis is also known as

A

swimmers ear

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8
Q

manifestations of external otitis (swimmers ear)

A

pain when touching the auricle (ear)
muffled hearing
serosanguineous/purulent fluid coming from the ear
low grade fever

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9
Q

trt for external otitis (swimmers ear)

A

moist heat to ear
mild analgesia
topical anesthetic
topical antibiotic ear drops with steroids

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10
Q

why do we want to give steroids for external otitis

A

helps with inflammation of the ear canal

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11
Q

how soon should symptoms resolve after trt for external otitis

A

within 48 hrs

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12
Q

why do we want to use a wick when administering medication to the ear

A

less painful - wick sucks medicine down into inflamed, painful ear

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13
Q

what temp do you want to keep ear drops

A

room temp

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14
Q

what would happen if you applied cold drops to ear

A

effect inner ear (balance)

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15
Q

tip of dropper should never touch ear/eye, t or f

A

true

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16
Q

what do we use to treat earwax (cerumen)

A

debrox

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17
Q

effect of cerumen (ear wax) on the ear

A

effects hearing - can be painful

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18
Q

foreign bodies should be irrigated out of the ear (corn) t or f

A

false, pushes further back in, refer them to ENT, expands

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19
Q

s/s of ear infection

A

pain, red/bulging ear drum

20
Q

is an ear infection caused by viral or bacterial

A

can be both

21
Q

why are kids more prone to ear infections

A

Eustachian tube is shorter/straighter- tonsils/adenoids are enlarged

22
Q

which way do you access an Adults ear for viewing

A

up and back

23
Q

which way do you access a child’s ear for viewing

A

down and back

24
Q

when viewing the ear what do we want to see

A

cone of light (reflection)

pearly gray tympanic membrane

25
Q

the cone of light will be visible at these locations (L/R)

A

5 o’clock on right

7 o’clock on left

26
Q

trt for ear infection

A

amoxicillin

27
Q

what happens in a myringotomy

A

a scalpel is used to put a hole in the tympanic membrane - addition of a tube aids drainage of the ear

28
Q

how long does the tube stay in w/myringotomy w/tube

A

6-12 months

29
Q

what do you teach a parent of child with myringotomy with tube

A

keep the ear dry

30
Q

what makes kids more prone to getting ear infections that we can modify

A

bottle feeding, second hand smoke, propping of bottle

31
Q

can we have fluid in the ear that does not get infected

A

yes - otitis media with infusion (fluid in the ear)

32
Q

do we treat otitis media with infusion with antibiotics

A

no - just watch it - fluid can remain for up to 3 months

33
Q

chronic ear infections can lead to

A

cholesteatoma

34
Q

what is cholesteatoma

A

a bunch of squamous cells

35
Q

what can happen if a cholesteatoma is not removed

A

it can destroy mastoid bone

36
Q

when caring for pt after cholesteatoma place them with operative side up or down

A

up

37
Q

what is tested during/after ear surgery

A

cranial nerve monitoring
take drink to assess for drooling
ask pt. to whistle

38
Q

what type of dressing is applied and how is it cared for after ear surgery

A

ear shield w/cling wrapped around being sure to make sure it’s not too tight

39
Q

what will we suspect with hearing loss, vertigo, tinnitus

A

inner ear problems

40
Q

more common inner ear infection

A

meniere’s disease

41
Q

cause for meniere’s disease

A

unknown

42
Q

patho for meniere’s disease

A

“labyrinth for balance” pressure builds up in inner ear - burst - fluids mix

43
Q

inner ear diseases are identified by

A

ruling out all other causes

44
Q

what is benign paroxysmal positional vertigo

A

“ear rocks” - crystals of calcium in the semicircular ear

45
Q

what treatment is used to help with vertigo

A

epley maneuver - try to get ear wax to move to better spot in the ear

46
Q

what is presbycusis

A

normal hearing loss of aging - sounds are muffled

47
Q

what type of hearing loss does a cochlear implant work for

A

sensory-neural hearing loss

Final - Patho - Neuro/Psych (14 decks)

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