Final

Question 1

When looking into the ear, the cone of light can be seen where? (@ what time on a clock)

Answer 1

5

Question 2

If the cone of light is seen at 3 and the manubrium is horizontal is the tympanic membrane contracted or retracted?

Answer 2

Retracted

Question 3

What is the bacteria associated with swimmer’s ear?

Answer 3

Pseudomonas

Question 4

What is the sequence of events in the development of otitis media?

Answer 4

Blockage of the Eustachian tube
Tympanic membrane contraction
Tympanic membrane rupture

Question 5

What condition happens as a result of chronic middle ear infections?

Answer 5

Cholesteotoma

Question 6

What do you call the abnormal sensation of movement?

Answer 6

Vertigo

Question 7

What condition is associated with a sudden onset of whirling vertigo, ringing in the ears, and hearing loss?

Answer 7

Meniere’s Syndrome aka Endolymphatic hydrops

Question 8

What does endolymphatic hydrous cause?

Answer 8

Sensorineural hearing loss

Question 9

What is the complication of recurrent purulent otitis media?

Answer 9

Otosclerosis

Question 10

What is Otosclerosis?

Answer 10

Scarring of the tympanic membrane and rupture

Question 11

What is a condition that can be caused by chronic ear infections?

Answer 11

Tympanosclerosis

Question 12

What is the most common cause of conductive hearing loss?

Answer 12

Ear wax aka Cerum

Question 13

What is a cyst like mass filled with cellular debris that has a cottage cheese like appearance. It is most common in the middle ear and can spread to the braining causing CNS dysfunction?

Answer 13

Cholesteotoma

Question 14

What is least likely to cause tympanic membrane perforation?

Answer 14

Acute otitis media

Question 15

If you see clear substance coming out of someone’s ear after head trauma it is possibly?

Answer 15

CSF

Question 16

When looking in the ear, you should not put pressure where with the scope?

Answer 16

The anterior portion of the canal

Question 17

What is a condition that wrestler’s and boxers get from repeated trauma?

Answer 17

Cauliflower ear

Question 18

What do you call nodules of uric acid crystals in the pinna?

Answer 18

Gouty tophus

Question 19

A small elevation on the helix of the ear that is normal congenital variant is called?

Answer 19

Darwin’s Tubercle

Question 20

A scrotal tongue is seen with what condition?

Answer 20

Down’s Syndrome

Question 21

A strawberry tongue is associated with?

Answer 21

Kawasaki’s disease, scarlet fever

Question 22

What is caused by extended abuse of the vocal cords?

Answer 22

Vocal polyps

Question 23

What should you recommend to someone with laryngitis

Answer 23

Not to talk

Question 24

Tinnitus = ?

Answer 24

ringing in the ear

Question 25

In acute rhinitis what colour is the discharge?

Answer 25

Clear

Question 26

What is the most common cause of nosebleeds? The worst cause?

Answer 26

Common = chronic picking
Worst = hypertension

Question 27

Necrotizing otitis externa is caused by what organism?

Answer 27

Pseudomonas

Question 28

What is Bullous Myringitis?

Answer 28

A variant of acute otitis media where blisters start to form on the outer surface of the tympanic membrane.

Question 29

What is otitis media with effusion (OME)

Answer 29

Occurs in children with chronic eustachian tube dysfunction. Fluid pools in the eustachian tube but WITHOUT infection. These patients may have up to 30 decibel conductive hearing loss.

Question 30

What is the tx for a Cholesteatoma?

Answer 30

Surgical removal

Question 31

What are the 3 layers of the TM?

Answer 31

Cuboidal epithelium = middle ear
Fibrous layer
Squamous epithelium = outer layer

Question 32

If air conduction and bone conduction thresholds are equal but higher than 25 dB this is known as what kind of hearing loss?

Answer 32

Sensorineural

Question 33

What is a the most common cause of Benign Paroxysmal Positional Vertigo?

Answer 33

Otoconia - calcium carbonate crystals or other sediments that have become free floating and enter one of the balance canals.