Ears Quiz Flashcards
Binaural interaction at the level of the brain stem permits:
identification and location of the direction of the sound.
Which of the following behaviors demonstrated by an individual may be indicative of hearing loss?
A. Not looking at the examiner when being questioned
B. Frequently asking for the question to be repeated
C. Talking in a high-pitched voice
D. Speaking slowly with well-articulated consonants
B. Frequently asking for the question to be repeated
Which of the following children is at risk of recurrent otitis media?
A. An 18-month-old infant who lives with a smoker.
B. A 2-year-old child who has had two ear infections in the past 6 months.
C. A 6-month-old infant who has a sibling who had tubes inserted at 3 years of age.
D. An 18-month-old infant who has had three episodes of ear infections in a 5-month period.
D. An 18-month-old infant who has had three episodes of ear infections in a 5-month period.
Rationale:
A first episode of otitis media (OM) that occurs within 3 months of life increases risk of recurrent OM. Recurrent OM is 3 episodes in past 3 months or 4 episodes within the past year.
The external structure of the ear is identified as the:
Auricle or Pinna.
The labyrinth of the inner ear is responsible for maintaining the body’s:
equilibrium.
When an otoscope examination is performed on an older adult client, the tympanic membrane may be:
During otoscopy the tympanic membrane of an older adult may be whiter in color than that of a younger adult. The tympanic membrane may also appear more opaque and dull.
Which of the following tests provides a precise quantitative measure of hearing?
A. Tuning fork tests
B. Romberg test
C. Audiometer test
D. Whispered voice test
C. Audiometer test
An audiometer gives a precise quantitative measure of hearing by assessing the person’s ability to hear sounds of varying frequency.
The position of the tympanic membrane in the neonate is more ________________, making it more difficult to visualize with the otoscope.
horizontal
The tympanic membrane of a child with acute otitis media would be:
bulging with a distinct red color.
If the tympanic membrane has white dense areas, the examiner suspects:
scarring from recurrent ear infections.
Using the otoscope, the tympanic membrane is visualized. The color of a normal membrane is:
pearly gray.
Sensorineural hearing loss may be related to:
a gradual nerve degeneration.
Before examining the ear with the otoscope, the ________ should be palpated for tenderness.
pinna, tragus, and mastoid process
During the otoscopic examination of a child younger than 3 years, the examiner:
pulls the pinna down.
While viewing with the otoscope, the examiner instructs the person to hold the nose and swallow. During this maneuver, the eardrum should:
Flutter
In examining the ear of an adult, the canal is straightened by pulling the auricle:
up and back
Darwin’s tubercle is:
a congenital, painless nodule at the helix.
The hearing receptors are located in the:
cochlea
The sensation of vertigo is the result of:
impacted cerumen
Upon examination of the tympanic membrane, visualization of which of the following findings indicates the infection of acute purulent otitis media?
A. absent light reflex, bluish, drum, oval dark areas
B. absent light reflex, reddened drum, bulging drum
C. oval dark areas on drum
D. absent light reflex, air-fluid level, or bubbles behind drum
E. retracted drum, very prominent landmarks
B. absent light reflex, reddened drum, bulging drum
In examining a young adult woman, you observe her tympanic membrane to be yellow in color. You suspect she has:
serum in the middle ear.
Risk reduction for acute otitis media includes:
A. use of pacifiers.
B. increasing group daycare.
C. avoiding breastfeeding.
D. eliminating smoking in the house and car.
D. eliminating smoking in the house and car.
When assessing hearing acuity in a 6 month old child, the examiner should:
watch for head turning when saying the child’s name.
A patient with a head injury has clear, watery drainage from the ear; the examiner should:
Assess for the presence of glucose in the drainage.
