Ears

Question 1

What is ear embedded in?

Answer 1

the temporal bone

Question 2

The external ear and external auditory canal end where?

Answer 2

the ear drum

Question 3

what are ears designed for?

Answer 3

to pick up sounds

Question 4

which part of the ear is genetically determined?

Answer 4

the Helex

Question 5

How can you equalize pressure on both sides of the eardrum?

Answer 5

by swallowing

Question 6

Eustachian tubes

Answer 6

In middle, creates equal pressure on both sides of tympanic membrane

Question 7

Organ of Corti responsibility?

Answer 7

responsible for transmitting the cilia vibrations into a nerve impulse that travels down cranial nerve VIII.

Question 8

Major treatment for vertigo?

Answer 8

Physical therapy

Question 9

cone of light locations

Answer 9

4pm on Left, 7pm on Right

Question 10

what happens to an eardrum that has had multiple tubes

Answer 10

it gets thicker, milkier, white

Question 11

middle ear function

Answer 11

transmits sound to oval window and moves fluid through the cochlea

Question 12

Inner ear function

Answer 12

transmits sound waves and position changes to nerve impulses

Question 13

which organ is permanently damaged with hearing loss?

Answer 13

Cochlear

Question 14

Insufflation

Answer 14

looking with a light, using air pressure to move eardrum

Question 15

when examining an adult and child, what do you do differently?

Answer 15

Adult: pull up and back
child: pull down and back

Question 16

what happens with hearing loss as you age? what situations do they then avoid because of this?

Answer 16

you have a hard time hearing the person next to you bc of all the white noise – embarrassing so they avoid large groups or situations where there are loud noises

Question 17

How can you test for tinnitus

Answer 17

ask them a question and they will answer a different question

Question 18

sensoryneuro hearing loss is do to damage of which organ?

Answer 18

cochlea, internal organs, organ of cordi, cranial nerve VIII

Question 19

Conduction hearing loss causes

Answer 19

stiff eardrum, sclerosis of little bones

Question 20

Presbycusis

Answer 20

gradual loss of hearing due to aging and interruption of vascular supply

Question 21

voice test

Answer 21

client holds one ear shut and examiner whispers something in that ear

Question 22

watch test

Answer 22

hold a watch to patients ear and ask if they can hear the ticking

Question 23

If patient has an ear infection (conductive hearing loss), when doing the Weber test, what will you find?

Answer 23

bad ear will hear it because of the inability to hear the “white noise” from the infection

Question 24

If patient has sensory neuro hearing loss, when doing the Weber test, what will you find?

Answer 24

good ear will hear it, bad ear wont

Question 25

weber test

Answer 25

tapping a tuning fork and placing it on head

Question 26

If patient has sensory neuro hearing loss, when doing a Rinne test, what will you find?

Answer 26

AC>BC in affected ear but less than 2:1 so its not a normal result

Question 27

If patient has conductive hearing loss on one side, when doing a Rinne test, what will you find?

Answer 27

BC>AC in affected ear

Question 28

Normal Rinne test

Answer 28

AC>BC 2:1

Question 29

Schwabach test

Answer 29

one ear is covered, fork placed on bone, heard longer by the patient then its conductive hearing loss and if heard longer by the examiner its sensorineural hearing loss.

Question 30

Positive Romberg sign

Answer 30

when patient stands up and closes their eyes and falls over or sways significantly

Question 31

Past pointing

Answer 31

having client close eyes and point to examiners finger then have them raise finger and bring it back to examiners finger

Question 32

If patient false past point test, has a positive Romberg sign, Gaze nystagmus test, hallpike maneuver what kind of problem do they have?

Answer 32

vestibular

Question 33

Gaze Nystagmus test

Answer 33

patient will look straight, 30 degrees to each side and up and down, looking for any nystagmus

Question 34

what does nystagmus indicate?

Answer 34

a problem with the vestibular system (sense of balance and coordination)

Question 35

Tympanogram

Answer 35

measures how easily eardrum vibrates back and forth and what pressure vibration is easiest Gives info on Eardrum compliance!

Question 36

If middle ear is filled with fluid what will Tympanogram look like?

Answer 36

flat

Question 37

If middle ear is filled with air what will Tympanogram look like?

Answer 37

it will be shifted

Question 38

Pure tone audiometry

Answer 38

Identifies problems with hearing, speech, music and other sounds in environment

Question 39

Speech audiometry

Answer 39

measurement of patients ability to hear spoken words

Question 40

Auditory brain stem response (ABR) and who is it used on?

Answer 40

test to track nerve signals from inner ear to brain, used with babies

Question 41

Electronystagmography (ENG) test

Answer 41

used to differentiate reasons for nystagmus by recording electrical fields with eye movement. NPO, long process!

Question 42

external otitis

Answer 42

swimmers ear, infection of external auditory canal

Question 43

external otitis treatment

Answer 43

antibiotics or steriods, heat, ASA or tylenol, ear plugs for swimming, no cotton swabs!

Question 44

wicking

Answer 44

device which allows medication to go behind where it is swollen

Question 45

serous otitis

Answer 45

fluid in middle ear behind ear drum

Question 46

serous otitis s/s

Answer 46

air bubbles behind ear drum, Tympanogram curve wont be as high and shift to right, TM dull, immobile

Question 47

acute otitis media

Answer 47

infection of middle ear

Question 48

myringotomy

Answer 48

tube placement

Question 49

Cholesteamtoma

Answer 49

epithelial cells and cholesterol in middle ear which erode the boney ossicles and eventually goes to ear drum

Question 50

s/s Cholesteamtoma and what kind of referral is it?

Answer 50

pearly white lesion on or behind TM, its an immediate referral!

Question 51

Mastoiditis

Answer 51

occurs from an untreated ear infection

Question 52

Otosclerosis and what will TM look like

Answer 52

scarring on boney ossicles, pinkish discoloration of TM

Question 53

Rinne and weber test with otosclerosis

Answer 53

negative Rinne and weber will show lateralization to affected ear

Question 54

Cochlear Implants are used for which hearing loss?

Answer 54

sensorineural

Question 55

Fenestration

Answer 55

removal of stapes, can cause vertigo, infection or facial nerve damage, complete hearing loss

Question 56

Temperomadibular joint dysfunction

Answer 56

secondary cause of ear pain, associated with teeth grinding

Question 57

Barotrauma

Answer 57

tissue damage caused by rapid change of pressure like in diving

Question 58

tests for Barotrauma

Answer 58

Tympanogram

Question 59

How long does a TM usually take to heal?

Answer 59

1-3 months

Question 60

Tympanoplasty or myringoplasty

Answer 60

surgical reconstruction of ossicles and TM

Question 61

Cerumen

Answer 61

earwax either thick dark or pasty yellow

Question 62

most common cause of impacted canals?

Answer 62

cerumen

Question 63

Cerumen removal

Answer 63

3 gtts of glycerin at bedtime and 3 gtts of hydrogen peroxide 2x/week

Question 64

If nausea develops while irrigating an ear what do you do?

Answer 64

stop

Question 65

hearing aids work best with which kind of hearing loss?

Answer 65

conductive

Question 66

hearing aid education

Answer 66

use slowly, clean ear with mild soap and water, keep aid dry, no hair sprays