hearing loss

Question 1

characteristics of presbycusis

Answer 1

age related sensorineural hearing loss
patients describe difficulty following conversations
audiometry shows bilateral high-frequency hearing loss

Question 2

characteristics of otosclerosis

Answer 2

autosomal dominant, replacement of normal bone by vascular spongy bone
onset: 20-40

Question 3

presentation of otosclerosis

Answer 3

conductive deafness
tinnitus
TM- flamingo tinge?
positive family history

Question 4

drugs that can cause hearing loss

Answer 4

aminoglycosides (gent)
furosemide
aspirin
cytotoxic agents

Question 5

what is glue ear

Answer 5

otitis media with an effusion

Question 6

risk factors for glue ear

Answer 6

male sex
siblings with glue ear
bottle feeding
day care
parental smoking

Question 7

treatment of glue ear

Answer 7

active observation: child’s first presentation observe for 3 months
grommet insertion
adenoidectomy

Question 8

management of otosclerosis

Answer 8

hearing aid
stapedectomy

Question 9

causes of sudden onset sensorineural hearing loss

Answer 9

idiopathic
do MRI to rule out vestibular schwannoma
urgent ENT referral (24 hours)

Question 10

management of sudden onset sensorineural hearing loss

Answer 10

ENT referral- urgent
high dose oral corticosteroids