Ears and Hearing (Chapter 16)

Question 1

what are the 3 structures we should locate

Answer 1

pinna
tragus
mastoid process

Question 2

when assessing the external structures of the ear what should we ask

Answer 2

if any tenderness

Question 3

if there is an infection where might tenderness be present

Answer 3

mastoid process

Question 4

tympanic membrane

Answer 4

separates the external and middle ear, should be translucent, pearly gray, and reflect light, vibrates sound waves

Question 5

2 types of hearing loss

Answer 5

conductive
sensorineural
mixed

Question 6

conductive hearing loss

Answer 6

dysfunction of external or middle ear
- foreign bodies, perforated TM, otosclerosis

Question 7

sensorineural (perceptive) hearing loss

Answer 7

pathology of inner ear, CN VIII, or auditory areas of cerebral cortex
- presbycusis, ototoxic drugs, brain injury

Question 8

vertigo

Answer 8

sensation of spinning, affects equilibrium, inner ear issue

Question 9

infants

Answer 9

eustachian tube is shorter and wider, and more horizontal hence more infections

Question 10

otosclerosis

Answer 10

common conducive loss in adults 20-40

Question 11

65+ have

Answer 11

cilia lining ear canal coarse and stiff, cerumen more apt to build up

Question 12

cerumen and cilia keep

Answer 12

bacterial out

Question 13

tinnitus

Answer 13

rining and buzzing

Question 14

tinnitus and vertigo can be cause by

Answer 14

meds

Question 15

when using an otoscope choose _______ speculum that will fit

Answer 15

largest

Question 16

how should we pull the pinna of adult and older child

Answer 16

back and up

Question 17

how should we pull the pinna of an infant

Answer 17

down

Question 18

cone of light

Answer 18

reflection of light, shiney, translucent, gray, pearly, concave

Question 19

cone of light direction R ear

Answer 19

5:00

Question 20

cone of light direction L ear

Answer 20

7:00

Question 21

whisper test

Answer 21

stand 1-2 feet behind person, occlude one ear by pushing on tragus, whisper 2 syllable word/set of 3 random numbers

Question 22

why do we stand behind person when doing whisper test

Answer 22

so can’t read lips

Question 23

rombergs test

Answer 23

client stands feet together, you stand close to prevent falls and pt closes eyes

Question 24

normal rombergs test

Answer 24

able to stand straight with minimal swaying

Question 25

rombergs test meastures

Answer 25

equilibrium