hearing loss

Question 1

ddx category of hearing loss ?

Answer 1

conductive conductive
sensorineural hearing loss

Question 2

what is the causes of conductive hearing lose ?

Answer 2

cerumen impacion
foreign body
otitis exterrna
otitis media
otitis media with effusion
eustachian tube dysfunction
perforated tympanic membrane
osteosclerosis
cholestatoma

Question 3

most common aquierd cause of hearing lose ?

Answer 3

cerumen impaction

serous otitis media
otitis externa

Question 4

ddx of sensorinural hearing loss ?

Answer 4

presbyacusis
noise induce defence
medication
meniers
4 ( infection , neoplasm , autoimmune , trauma )
= acuostic neuroma , labreinthitis , meningitis

Question 5

physical examination parts of hear testing in PHC?

Answer 5

screening : by wisper / hair rubbing
otoscopy
tunning fork : rinne/ weber test

Question 6

suspected result for weber test :

Answer 6

normal : equal in both ear
abnormal : lateralization if
1 conductive : sound louder in affected ear
2 sensorinural :sound louder in good ear

Question 7

expected result for rinne test ?

Answer 7

air > bone = norma or sensorinural

bone > air = conductive

Question 8

medication affect hearing :

Answer 8

diuretics (furosemide )
aminoglycoside (gentamicin)
NSAIDs
chemotherapy

Question 9

when to screen for hearing ?

Answer 9

around 8 month
at school age

Question 10

audiometry pattern for presbyacusis ?

Answer 10

bilateral high frequency sensorineural deafness

Question 11

what is the definition of sudden hearing lose ?

Answer 11

sudden SNHL >35 db
during 3 days

Question 12

ddx of sudden hearing lose ?

Answer 12

idiopathic 90%
neoplasm
truma (diving , flying)
infection
strok

Question 13

mangment of sudden SNHL ?

Answer 13

urgent referral

Question 14

most common cuse of conductive hearing lose in adult with normal tympanic membrane ? :)

Answer 14

otosclorisi