Ear exams and tests

Question 1

What frequency tuning fork to use for Rinne’s/Weber’s

Answer 1

512Hz

Question 2

What type of hearling loss does Weber’s test?

Answer 2

SNHL

Question 3

If Weber’s localises to the R ear, what does this mean

Answer 3

L SNHL

or R CHL

Question 4

What is Rinnes

Answer 4

Air conduction vs Bone conduction

Question 5

Rinnes in a healthy pt

Answer 5

AC > BC

Rinnes +ve

Question 6

What does Rinne’s negative mean

Answer 6

BC > AC

= CHL

Question 7

When can RInnes give a false negative

Answer 7

If SNHL is so profound, opposite ear may picked up the sound

Question 8

What 2 ix should any pt w/ hearing loss be Rx for

Answer 8

PTA

Tynpanometry

Question 9

speech - vowel sounds

Answer 9

speech power

Question 10

speech - consonant sounds

Answer 10

speech meaning

Question 11

impact of 30db hearing loss

Answer 11

Can just hear a whisper

Question 12

impact of 90db hearing loss

Answer 12

Can just hear a shout

Question 13

What is the speech frequency range?

Answer 13

250-8000Hz

Question 14

What does -10db mean

Answer 14

Pt hears at intensity 10db quieter than the average person

better

Question 15

Audiogram symbols - 0

Answer 15

R air conduction

Question 16

Audiogram symbols - X

Answer 16

L air conduction

Question 17

Audiogram symbols - [

Answer 17

R masked bone conduction

Question 18

Audiogram symbols - ]

Answer 18

L masked bone conduction

Question 19

If you pick up unilateral hearing loss on audiometry - what should be done

Answer 19

Ix for vestibular schwannoma

Question 20

What does tympanometry measure

Answer 20

Compliance/stiffness eardrum

Question 21

Fl on tympanommetry

Answer 21

Flat lime

Question 22

Excessively tall peak on tympanometry

Answer 22

Hyperelastic drum = ossicular discontinuity

Question 23

Type A tympanometry

Answer 23

Normal

Question 24

Type B tympanometry

Answer 24

Flat line
™ perf/effusion
Check ear canal vol

Question 25

Type C tympanometry

Answer 25

-ve P

Poor eustachian tube dysfunction

Question 26

Type As tympanometry

Answer 26

Small peak

Otosclerosis

Question 27

Type Ad tympanometry

Answer 27

Large peak

Ossicular discontinuity

Question 28

What is Ossicular discontinuity

Answer 28

Separation of middle ear ossicles –> conductive HL

Question 29

Causes of ossicular discontinuity (3)

Answer 29

Traumatic
Congenital
Cholesteatoma

Question 30

4 things you MUST ask about in ENT Hx

Answer 30

Foreign travel
Swimming/showering
Ear bud use
MEds e.g gentamicin