Hearing loss

Question 1

gradual loss of high frequency hearing w/ age

Answer 1

presbycusis

Question 2

what drugs associated with b/l hearing loss

Answer 2

loops, aminoglycosides, salicylates, cisplatin

Question 3

sensorineural hearing loss, lens dislocation, hematuria

Answer 3

Alport’s syndrom- X linked Dominant

Question 4

renal findings in Alports syndrome

Answer 4

X linked Dominant inheritance- thinning of Glom BM and Glomerulonephritis results in hematuria.

Question 5

sensorineural hearing loss

Answer 5

damage to organ or corti in cochlea or retrocochlear damage from acoustic neuroma or CN 8 damage

Question 6

damage or obstruction of Middle or external ear

Answer 6

conductive hearing loss

Question 7

Webers test- lateralization of hearing to one side.

Answer 7

ipsilateral conductive loss
or
contralateral sensorineurl loss

Question 8

Rinnes Test

Answer 8

Air conduction normally longer than Bone

Question 9

Negative Rinne test

Answer 9

BC>AC = conductive hearing loss

Question 10

Audiogram should be done? Normal?

Answer 10

should be done in all pts with changes in hearing or new onset tinnitus or vertigo
NORMAL <20 Decibels