investigations of ear disease

Question 1

what tuning fork is preferred?

Answer 1

512Hz

Question 2

what is the Weber’s test?

Answer 2

place tuning fork on midline of patient’s forehead
- detects ear with better sensorineural hearing

Question 3

in webers test which ear will a patient with conductive hearing loss in their left ear hear the tuning form better in?

Answer 3

left ear

Question 4

in webers test which ear will a patient with sensorineural hearing loss in their left ear hear the tuning form better in?

Answer 4

right hear

Question 5

in webers test what will the patient describe the sound as being if they have symmetrical hearing/hearing loss?

Answer 5

central

Question 6

in webers test, a patient with unilateral conductive loss in their left ear will say that the sound is louder in that same ear (same if it was right), why?

Answer 6

as sensorineural upregulated

Question 7

in webers test, a patient with unilateral sensorineural loss in their left ear will say that the sound is louder in the other ear (same if it was right), why?

Answer 7

sensorineural downregulated

Question 8

how is rinne test carried out?

Answer 8

tuning fork in front of ear canal
AND
tuning fork behind ear or mastoid process (temporal bone)

Question 9

what would the result be is the tuning form infront of ear canal is louder than the one behind the ear on mastoid process?

Answer 9

positive result
normal or sensorineural hearing loss

Question 10

what would the result be if the tuning form behind the ear on the mastoid process is louder than the tuning fork in front of the ear canal?

Answer 10

negative result
conductive hearing loss

Question 11

what would give a false rinne negative result?

Answer 11

severe sensorineural loss where noise heard in opposite ear as sound transmitted through skull

Question 12

in an audiogram what will there be if the patient has conductive hearing loss?

Answer 12

gap between air and bone conduction thresholds

Question 13

in an audiogram what will there be if the patient has sensorineural hearing loss?

Answer 13

no gap between air and bond conduction thresholds

Question 14

in an audiogram what will there be if a patient has mixed hearing loss?

Answer 14

bit of both at different parts

Question 15

what does a tympanogram test?

Answer 15

middle ear function

Question 16

what does type A tympanogram indicate?

Answer 16

normal ear function

Question 17

what does type As tympanogram inidcate?

Answer 17

ossicle ossification (shallow tymp)

Question 18

what does type Ad tympanogram inidcate?

Answer 18

perforated eardrum (deep tymp)

Question 19

what does type B tympanogram indicate?

Answer 19

eardrum movement restricted (fluid behind eardrum) OME