Health assessment-test 2-ears

Question 1

external ear

Answer 1

rare to get an infection here; swimmer’s ear is most common external ear infection

Question 2

middle ear

Answer 2

most infections of the ear occur here

Question 3

tympanic membrane

Answer 3

aka eardrum; the external auditory canal terminates at the tympanic membrane

Question 4

cerumen

Answer 4

ear wax; prevents infection; yellow to orange

Question 5

cone of light

Answer 5

points toward chin; if it is on the bottom right, right ear; if it is on the bottom left, left ear

Question 6

otitis externa

Answer 6

severe swelling of canal, inflammation, tenderness (external canal)

Question 7

otitis media

Answer 7

middle ear infection; absent light reflex from increasing middle ear pressure is an early sign; redness and bulging, earache and fever; occurs because of obstruction of the eustachian tube or passage of nasopharyngeal secretions into the middle ear

Question 8

presbycusis

Answer 8

hearing loss due to old age; usually lose high frequency; worse in noisy environments; gradual onset

Question 9

tinnitus

Answer 9

phantom sound that originates within the person; occurs with cerumen impaction, middle ear infection and other ear disorders

Question 10

vertigo

Answer 10

Objective–feels like room spins

Subjective–person feels as if he or she spins

Question 11

tragus

Answer 11

skin fold over exterior canal opening

Question 12

antitragus

Answer 12

hump of skin on the lower opening of external canal

Question 13

antihelix

Answer 13

flat piece of skin below helix

Question 14

helix

Answer 14

upper fold of skin at top of ear

Question 15

Whisper test

Answer 15

stand an arms length away (2 feet) behind pt; have pt. cover tragus of one ear while you whisper
Whisper is a high frequency sound so it can detect high frequency hearing loss

Question 16

Rinne test

Answer 16

tuning fork placed on mastoid process; normal is ac>bc (air conduction is greater than bone conduction)
Think: earring

Question 17

Weber Test

Answer 17

tuning fork; strike and place midline on forehead; normal=no laterilzation (feels same on both sides)
Think: walk into a spider web

Question 18

otoscopic exam

Answer 18

adult: pull pinna up and back

infant/child: pull pinna straight down

Question 19

tympanic membrane

Answer 19

normal: shiny, translucent and pearly gray in color
Red without cone of light indicate otitis media
infants with otitis media pull on their ears

Question 20

What is a major risk factor of otitis media?

Answer 20

second hand smoke (also absence of breastfeeding in the first three months of age, daycare attendance, male sex, pacifier use, seasonality-fall and winter, and bottle feeding)