Ear

Question 1

Classic sign of postural hypotension

Answer 1

Light-headed when standing up

Question 2

Sign of vertigo pointing to an inner ear pathology

Answer 2

The room is spinning

Question 3

Ménière’s

disease triad of symptoms

Answer 3

Vertigo attacks, unilateral hearing loss, and tinnitus

Question 4

Benign
paroxysmal positional vertigo (BPPV) typically
is started by

Answer 4

Sudden rotation of the head (ex: rolling over in bed).

Question 5

If pulsations are in time with

the patient’s heart beat, consider a

Answer 5

Vascular

Question 6

(1) True/False- Air conduction is louder than bone conduction
(2) Rinne test: If a patient hears the sound better on the bone, then they have ____ hearing loss
(3) True/False: The Weber test tells you if it’s the right or left ear.
(4) Weber test, patient hears the sound in their right ear, then the left ear has _____hearing loss
(5) If bone > air, it means that there is a problem in the normal pathway of air conductance, indicating a problem in the

Answer 6

(1) True.
(2) Conductive
(3) True
(4) Sensorineural
(5) Middle ear

Question 7

Causes of conductive hearing loss

Answer 7

mpacted wax
Infection affecting the outer ear (otitis externa)
A foreign body within the external ear canal
Squamous cell carcinoma
Congenital microtia

Question 8

Causes of middle ear hearing loss

Answer 8

Tympanic membrane trauma
Infection affecting the middle ear (acute otitis media)
Glue ear (otitis media with effusion)
Otosclerosis
Cholesteatoma
Congenital malformation
Temporal bone trauma

Question 9

Causes of inner ear hearing loss

Answer 9

Hereditary hearing loss
Presbycusis
Labyrinthitis
Meniere disease
Viral cochleitis
Vascular insult
Autoimmune conditions
Noise exposure
Vestibular schwannoma
Ototoxic drugs
Trauma

Question 10

Weber test, normal results is documented as

Answer 10

Negative

Question 11

Rinne test, normal results is documented as

Answer 11

Positive (AC > BC)

Question 12

Weber test: Conduction deafness, sound is heard better

Answer 12

In the bad ear

Question 13

Weber test: Sensioneural, you can hear the sound better in the

Answer 13

Good ear http://www.oxfordmedicaleducation.com/clinical-examinations/tuning-fork-rinnes-webers-test/

Question 14

Connects the middle ear to the nasal cavity/ naso pharynx

Answer 14

Eustachian tube

Question 15

How we hear

Answer 15

Sound hits the tympanic membrane
TM moves 3 auditory ossicles
Movement from stapes causes fluid in the cochlea to vibrate
Cochlea cells translate vibration into nerve impulses and sends it to the brain

Question 16

(1) Parts of the external ear
(2) Parts of the middle ear
(3) Parts of the inner ear

Answer 16

(1) Helix (top), pinna, lobe, tragus, external auditory canal and tympanic membrane
(2) Ausicles and Eustachian tube
(3) Cochlea, Vestibule, Semicircular canals

Question 17

Suppurative otitis media

Answer 17

When AOM is so bad that the TM perforates