Quiz5 Flashcards

1
Q

What are external ear structures?

A

Auricle, external auditory canal.

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2
Q

What are the middle ear structures?

A

Ossicles (malleus, incus, stapes) Tympanic membrane

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3
Q

What seperate the middle ear from the external ear?

A

Tympanic membrane

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4
Q

What transmit sound from tympanic membrane to the inner ear?

A

Ossicles

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5
Q

What are the inner ear structures?

A

Vestibule, semicircular canals, cochlea

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6
Q

What transmits sound to the eight C.N. ?

A

Cochlea

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7
Q

What part of the inner ear is involved in vestibular function?

A

Semicircular canals

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8
Q

What are some gross assessments to evaluate auditory functions (limited diagnostic accuracy)

A

Response to questions, Whispered voice test, finger rustle test.

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9
Q

For the Weber test what size tuning fork do you use?

A

512 Hz

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10
Q

If a person hesitates during the Weber test it usually has means what?

A

They heard it equally well in both ears

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11
Q

If they hear it well in both ears = normal = ?

A

Weber midline

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12
Q

During the Webber test the patent hears it better in the left eat what does that mean?

A

Weber left

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13
Q

If the sound lateralizes to one ear it’s either what to kinds of hearing loss?

A

Ipsilateral conductive or contralateral sensorineuronal

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14
Q

What is the most common hearing loss?

A

Conductive

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15
Q

What are some causes of conductive hearing loss?

A

Otosclerosis, foreign body, otitis media, cerumen impaction

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16
Q

Where do you place the tuning ford for a rinse test?

A

On the mastoid

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17
Q

If the air condition (part 2) is 2x longer as the bone conduction (part 1) the test is?

A

Normal

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18
Q

If the bone conduction is better during their rinse test what does this mean?

A

Negative rinne test = suggests a conductive hearing loss

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19
Q

When is conductive hearing loss most common?

A

Under 40

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20
Q

When is sensorineuronal hearing loss most common?

A

Usually Over 40

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21
Q

What are some causes of sensorineuronal hearing loss?

A

Presbycusis, anemias, hyperlipidemia, hypothyroidism, mumps

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22
Q

When does the TM become conical ?

A

After first months of life

23
Q

How do you evaluate infatuated hearing ?>

A

Using sound stimuli

24
Q

When should you perform the otoscopic exam?

A

At the end of patient eval

25
At what age should you use the rinne and Weber tests?
3
26
When looking at at kids ear how should you pull the auricle?
Down
27
What are you looking at when evaluating the external nose?
Bone, cartilage, nares
28
What are the 4 sinus you check/?
Maxillary, frontal, ethmoid, sphenoid
29
What are you looking for in the internal nose?
Septum, Choanae, turbinates, kiesselbach plexus, adenoids
30
How do you evaluate their potency off nares?
Ask the patient to occlude one nostril while breathing in though the other (mouth closed)
31
What do you look for ion the floor of the mouth?
Swelling, frenulum, sublingual ridge, Wharton duct
32
How far back do you put the tongue blade?
No more than 1/2 way back
33
What are the 5 t's when examining the oropharynx. ?
Tissues, teeth, tongue, tonsils, throat
34
What are common ear abnormalities ?
Labyrinthitis, vertigo, acute otitis media, otosclerosis
35
What are two common abnormalities in older adults?
Presbycusis, xerostomia
36
What test evaluate equilibrium?
Romberg test
37
If there is an implacable of equilibrium what test old you then do?
Nylon-Barney test
38
What are ectopic sebaceous glands that appear in the buccaneers mucosa and lips as numerous small, yellow-white raised regions
Fordyce spots
39
What condition is associated by water retained in the ear canal that causes tissue mace ration, desqumamation
Otitis externa
40
What condition is associated with a red canal, edematous, watery discharge then purulent and thick ?
Otitis externa
41
What eat condition is associated with intense pain with movement of the pinna or chewing?
Otitis externa
42
What ear condition is assaulted with discomfort and a feeling of fullness?
Otitis media with effusion
43
What ear condition is associated with deep seated earache that interferes with activity or sleep?
Acute otitis media
44
Which ear condition has no discharge ?
Otitis media with effusion
45
What ear condition is associated with sticking or cracking sound on yawning or swelling, no signs of dizziness?
Otitis media with effusion
46
What ear condition is associated with an abrupt onset, fever, feeling of blockage, anorexia, irritability ?
Acute otitis media
47
What ear condition is associated with a tympanic membrane retracted or bulging, impaired nobility, yellowish, air fluid level and or bubbles ?
Otitis media with effusion
48
What ear condition is trapped epithelial tissue behind the tympanic membrane that is often the result of untreated or chronic otitis media ?
Cholesteatoma
49
Loss of high frequency sounds is associated with what type of hearing loss?
Sensorineural hearing loss
50
What is a disorder of progressive hearing loss that in some causes is hereditary?
Meniere disease
51
What is the illusion of rotational movement by a patent often due to a disorder of the inner eat?
Vertigo
52
What are some organisms that cause acute pharyngitis?
N. Gomorrhea, mycoplasma pneumoiae
53
What gland becomes inflamed In a peritonsillar access?
WEBER
54
What is a life threaten infection in the lateral pharyngeal space that has the potential occlude the airway? MC in children?
Retro pharyngeal abcess