Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Geriatrics Rotation PPTs > Hearing Impairment > Flashcards

Hearing Impairment Flashcards

1
Q

Hearing loss is the ___ most common chronic dz among older adults

A

4th

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Some age-related changes with hearing

A 
External ear canal walls become thin
Cerumen becomes drier
Eardrum thickens
Hair cells lost
Stria Vascularis - capillaries thicken, decreased endolymph production, Na K ATPase activity decreases
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

hearing loss pathology can be caused by damage to the ____

A 
external ear canal 
auditory nerve
middle ear
inner ear
central auditory pathways
a combo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

cerumen impaction, foreign body

A

external ear pathology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

otosclerosis, cholesteatoma, typmpanic membrane perforation, middle ear effusion

A

middle ear pathology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Most common cause of sensorineural loss

A

cochlear dz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

sensorineural hearing loss that is symmetrical, amplification often helps

A

presbycusis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Loss of sensory hair cells, slow progressive loss, beginning w/ higher frequencies

A

Sensory presbycusis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Results from atrophy of the stria vascularis

A

Strial presbycusis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Cochlear neuronal loss of 50% or more

A

Neural presbycusis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Changes in cochlear mechanics produced by mass or stiffness changes or spiral ligament atrophy

A

cochlear conductive presbycusis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hearing loss can be interpreted as ____

A

cognitive impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

___ can be an early sign of hearing loss

A

Tinnitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Examine ear canals to exculde

A

cerumen impation or effusion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When to consult otolaryngologist

A

Asymmetrical hearing loss (can indicate tumor)
Cerumen impaction that is not responsive
Hx of tympanic membrane surgery or perforation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when to refer to audiologist

A

to determine type of hearing loss.

17
Q

Paget dz, otosclerosis tx

A

bisphosphonate

18
Q

Sudden hearing loss tx

A

corticosteroids or immunosuppressants

19
Q

when is surgery indicated for hearing loss

A

otosclerosis, tympano sclerosis

20
Q

Who won’t benefit from hearing aids

A

Those w/ poor speech discrimination, those unable to tolerate hearing aid in ear

21
Q

Completely in the canal hearing aids needed for this degree of hearing loss

A

mild to moderate

22
Q

In the ear hearing aids advantage

A

Ease of handling, comfortable fit. More power than completely in canal or canal aids

23
Q

canal hearing aids advantages

A

cosmetically appealing, telecoil available, can work w/ headphones

24
Q

disadvantages of canal hearing aids

A

user’s dexterity may be a problem

small size may limit features

25
Q

in the ear hearing aids disadvantages

A

more conspicuous than completely in canal aids

26
Q

behind the ear hearing aids used for this degree of hearing loss

A

mild to profound

27
Q

behind the ear hearing aid advantages

A

greatest power, ear mold can be managed separately

28
Q

behind the ear aid disadvantages

A

conspicuous, difficult to insert, difficult w/ headphones

29
Q

body hearing aids degree of loss

A

severe to profound

30
Q

body hearing aid advantage

A

limited feedback

31
Q

body hearing aid disadvantage

A

most conspicuous, picks up clothing noise, microphone at chest but speech directed at ear level

32
Q

bone conduction aids degree of loss

A

mild to severe

33
Q

bone conduction aid advantage

A

bypasses middle ear

34
Q

bone conduction aid disadvantage

A

pressure on scalp, no sensorineural loss correction

35
Q

Electronic device bypassing functioning of damaged or absent hair cells by providing electrical stimulation

A

cochlear implant

36
Q

Patient who is withdrawing from activities, misunderstanding questions probably needs ____

A

in office hearing screen

37
Q

Sensorineural hearing loss, speech understanding great in quiet environment, but fair in noisy environment will require ___

A

Hearing aid and counselling on communication strategies.

Geriatrics Rotation PPTs (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions