Ear, Nose, Throat

Question 1

what is the normal first part of the hearing pathway from the external ear through the middle ear?

Answer 1

air conduction (AC)

Question 2

how does sound waves travel in AC

Answer 2

through the air and transmitted from external and middle ear to the cochlea

Question 3

what is the phase of hearing that is an alternative pathway that bypasses the external and middle ear?

used for testing purpose

Answer 3

Bone conduction

Question 4

how does sound travel for bone conduction?

Answer 4

vibrating fork sis placed on the head, and the bone of sull is vibrated

stimulates the cohclea directing

Question 5

what is the senosrineural phase of hearing?

Answer 5

second part of hearing pathway that involves the cochlea and cochlear branch of CN VIII

Question 6

what type of conduction is more sensitve in hearing loss?

Answer 6

AC>BC

Question 7

what type of condution is more sensitive in conductive hearing loss?

Answer 7

BC>AC

Question 8

what questions should be asked for history of the ears?

Answer 8

• hearing loss
• earache/ear discharge
• tinnitus
• vertigo

Question 9

what are you inspecting the auricle for?

Answer 9

deformities, lumps, pits, skin lesions

Question 11

what test evaluates for ear pain or dischage?

Answer 11

Tug Test

• moves the auricle up and down and presses on tragus
• press firmly over the mastoid process behind the ear

Question 12

when would you see a positive tug test?

Answer 12

acute otitis externa

Question 13

when would you see a negative tug test

Answer 13

Otitis media

Question 14

what diseases do you see tenderness over the mastoid process druring the tug test?

Answer 14

Otitis media and mastoiditis

Question 15

where is the inflammation in otitis externa

Answer 15

the ear canal is inflamemd

see wax, pus coming from the ear

Question 16

where in the ear is inflammed with Otitis Media

Answer 16

inflammation of the fluid accumulation in the middle ear

Question 17

Don’t forget to do what during the otoscope ear exam

Answer 17

straighten the ear canal by grasping the auricle

Question 18

what angle do you insert the speculum at into the ear?

Answer 18

downward angle

Question 19

what three things do you inspect for during an otoscope?

Answer 19

1. ear canal for d/c, foreign body, redness or swelling
2. inspect Tm for color, cone of light, perforations
3. Mobility of TM can be evaluated with pneumatic otoscope

Question 20

what conditions do you see decreaswed mobility of the TM

Answer 20

1. serous effusion
2. thickened tympanic membrane
3. purulent otitis media

Question 21

what does perforation of the TM cause upon pneumatic otoscopy

Answer 21

no mobility of pneumatic otoscopy

Question 22

what color is a normal TM

Answer 22

pinkish/gray color

Question 23

what does the malleus lie behind?

Answer 23

the upper part of the ear drum

Question 24

What lies above the malleus

Answer 24

pars flaccida

Question 25

what are the 3 components of the TM

Answer 25

1. lateral process of the malleus
2. par flaccida
3. pars tensa

Question 26

where does the cone of light fan down to?

Answer 26

fans downward and anteriorly

Question 27

what is normal in the handle of the malleus

Answer 27

small blood vessels

Question 28

whispered voice test result

if the pt repeats the intial sequence correctly

Answer 28

normal hearing in ear

Question 29

whisphered test results

pt responds incorrecttly or not at all, what do you do

Answer 29

repeat that ear with a new combo of letters/ numbers

Question 30

whispered test results

pt gets 3/6 of the letters/numbers correct

Answer 30

passed hearing screening test

Question 31

whispered voice test results

less than 3/6 correct

c

Answer 31

conduct further testing using audiometry

Question 32

what should you do to the other earing during a whispered voice test

Answer 32

occlude it

Question 33

what test evaluates lateralizatoin

Answer 33

Weber test

Question 34

what does a normal weber test indicate

Answer 34

sound heard equally in both ears

Question 35

for the weber test, the sound is heard best/lateralizes to impaired ear by bone indicates

Answer 35

unilateral conductive hearing loss

BC>AC

Question 36

for the weber test, sound is heard best/lateralizes to the good ear indicates

Answer 36

unilateral sensorineural hearing loss