Passmedicine questions Flashcards
What is presbycusis?
Age-related sensorineural hearing loss
What is otosclerosis?
Autosomal dominant disorder- replacement of normal bone with spongy vascular bone.
How does otosclerosis present?
Family history of conductive deafness and tinnitus
What is otitis media with effusion more commonly known as?
Glue ear
What is the prominent symptom of Meniere’s disease?
Episodes of vertigo
Give three examples of drugs which are potentially ototoxic.
Aminoglycosides (e.g. gentamicin), furosemide, aspirin
Which symptoms can be predicted for vestibular Scwannomas in the following nerves?
a) Facial nerve
b) Trigeminal nerve
c) Vestibulocochlear
a) Facial palsy
b) Loss of the corneal reflex
c) Hearing loss, tinnitus, vertigo
Which disease may feature nystagmus, a sensation of aural “fullness”, tinnitus and hearing loss?
Meniere’s disease
What is Ramsay-Hunt syndrome caused by?
Reactivation of herpes zoster in the geniculate ganglion of the facial nerve
Describe the features of Ramsay-Hunt syndrome.
Otalgia; vesicular rash around ear; facial palsy; may also be vertigo and tinnitus
What is the Epley manoeuvre useful for?
Symptomatic relief of BPPV
After how many weeks of hoarseness must an urgen X-ray be performed with fast-track referral?
Three weeks
In an audiogram, what finding indicates sensorineural hearing loss?
Air and bone conduction are equally impaired
What is the peak incidence of cholesteatoma?
10-20 years
Which condition should be immediately thought of if a corneal reflex is absent?
Acoustic neuroma
