Brainscape's Knowledge GenomeTM

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


See full index

ENT notes > hearing loss > Flashcards

hearing loss Flashcards

1
Q

rinnes and Webbers are carried out using what kind of tuning fork

A

512

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

ask the pat if they hear the vibration better infront of the ear or when tuning fork is on the mastoid process

A

rinnes

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

positive rinnes

A

air conduction is better than bone - hear better infront than behind

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

negative rinnes indicates

A

conductive hearing loss

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

place tuning fork in middle of patients forehead and ask if they hear the vibration equal in both ears

A

Webbers

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

normal Webbers

A

sound is equal in both ears

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

in conductive hearing loss where does Webbers localise to

A

the side effected

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

in SNHL where does Webbers localise

A

to the opposite side to the effected side

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

test used to identify the nature and degree of hearing loss

A

audiometry

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

0 in audiogram

A

air conduction on RHS

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

X on audiogram

A

air conduction on LHS

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

triangle on audiogram

A

bone conduction on RHS/LHS

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

[ on audiogram

A

masked bone conduction on RHS

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

] on audiogram

A

masked bone conduction on LHS

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

air bone gap on audiogram

A

CHL

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

no air bone gap on audiogram

A

SNHL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

normal plot of audiogram

A

10-20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

mild loss on audiogram

A

30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

moderate loss on audiogram

A

40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

severe loss on audiogram

A

70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

profound loss on audiogram

A

90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

assesses how well the tympanic membrane is moving

A

tympanography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

type A tympanography

A

normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

type B tympanogrpahy

A

membrane not moving

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

cause of Type B tympanography

A

OME, ossification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

type C tympanography

A

membrane is moving but it is being retracted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

cause of type C in tympanography

A

middle ear congestion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

type As in tympanography

A

very little movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

type As in cause in tympanography

A

otosclerosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

type Ad in tympanography

A

too much movement

31
Q

cause of type Ad in tympanography

A

perforation

32
Q

deafness due to failure to adequately transmit sound from out to inner ear

A

conductive hearing loss

33
Q

causes of conductive hearing loss

A

cholesteatoma, otosclerosis, was impaction, perforated ear drum, otitis media with effusion, infection with otitis externa and media

34
Q

most common cause of conductive hearing loss

A

wax impaction

35
Q

rinnes- negative, webers - localising to effected side, air-bone gap on audiometry - diagnose

A

conductive hearing loss

36
Q

when skin grows into the middle ear causing local destruction and inflammation

A

cholesteatoma

37
Q

a patient presents with conductive hearing loss, oltagia, headache, foul smelling, cheesy white discharge, a pearly white tympanic membrane and is between the age 5-15 - what is the diagnosis

A

cholesteatoma

38
Q

management of cholesteatoma

A

surgical removal

39
Q

hereditary autosomal dominant metabolic condition of the otic capsule that results in fixation of the footlate of the stapes to the oval window

A

otosclerosis

40
Q

conductive hearing loss better with background noise, resents in early adult life, made worse by pregnancy, +/- tinnitus and vertigo

A

otosclerosis

41
Q

carhaarts notch on audiometry

A

otosclerosis

42
Q

management of otosclerosis

A

hearing aid, surgery- replace tapes, CO2 laser, cochlear implant

43
Q

otitis media with effusion

A

inflammation of middle ear in absence of infection

44
Q

majority of otitis media with effusion cases come from

A

follow an acute otitis media

45
Q

development of acute otitis media is though to be due to what

A

dysfunction of the Eustachian tube

46
Q

risk factors of otitis media with effusion

A

URTI, prematurity, craniofacial abnormalities and smoking households

47
Q

child presents with deafness, speech delay, behavioural issues, poor school performance and a retracted tympanic membrane with a visible fluid level +/- fluid bubbles behind the membrane

A

otitis media with effusion

48
Q

unilateral OME in an adult - suspect what

A

nasopharyngeal cancer

49
Q

investigation of OME

A

CHL and flat type B tympanogram

50
Q

management of OME

A

usually resolve in 3 months - refer if longer, bilateral or having significant implication

51
Q

management of OME in <3 years old

A

grommets

52
Q

management of OME in > 3 year old

A

1st time grommets then grommets with adenoidectomy

53
Q

why are grommets used in OME

A

to improve hearing p not to treat effusion

54
Q

deafness due to failure of the hair cells to detect sound in the inner ear

A

SNHL

55
Q

SNHL is typically worse or better with background noise

A

WORSE

56
Q

SNHL is usually associated with what symptoms

A

tinnitus / change in quality of sound

57
Q

causes of SNHL

A

prebysusis, noise induces, menieres, vestibular schwannoma, drug side effects

58
Q

red flag drugs for SNHL

A

gentamicin, loop diuretics, chemotherapy, hydrochloroquine

59
Q

rinnes positive, weber localised to opposite ear, no ear bone gap but a bilateral symmetrical high frequency loss on audiometry indicates

A

SNHL

60
Q

mainstay management of SNHL

A

hearing aids q

61
Q

age related hearing loss

A

presbycusis

62
Q

presbycusis presentation

A

gradual reduction in hearing loss as individual ages - particular difficulty hearing when there is background noise

63
Q

benign sheath tumour of CN 8 that grows at the cerebellar - pontine age

A

vestibular schwannoma

64
Q

most commonly vestibular schwannomas are

A

unilateral

65
Q

bilateral vestibular schwannomas are indicative of

A

NF2

66
Q

a patient presents with SNHL w/ distortion of sound and tinnitus, they Compton of unsteadiness, vertigo and deep earache, facial pain, palsy and paraethesiae, unilateral headache

A

vestibular schwannoma

67
Q

investigation of vestibular schwannoma

A

MRI - ix of choice bt CT

68
Q

management of vestibular schwaonnoma

A

watch and wait or surgical excision

69
Q

acoustic neuromas are more correctly called

A

vestibular schwannomas

70
Q

acoustic neuroma affecting cranial nerve VIII presentation

A

hearing loss, vertigo, tinnitus

71
Q

acoustic neuroma affecting cranial nerve V presentation

A

absent corneal reflex

72
Q

vestibular neuroma impacting CNVII presentation

A

facial palsy

73
Q

head injury can cause what type of hearing loss

A

mixed

ENT notes (3 decks)

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