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
Q

At what age should you use the rinne and Weber tests?

A

3

26
Q

When looking at at kids ear how should you pull the auricle?

A

Down

27
Q

What are you looking at when evaluating the external nose?

A

Bone, cartilage, nares

28
Q

What are the 4 sinus you check/?

A

Maxillary, frontal, ethmoid, sphenoid

29
Q

What are you looking for in the internal nose?

A

Septum, Choanae, turbinates, kiesselbach plexus, adenoids

30
Q

How do you evaluate their potency off nares?

A

Ask the patient to occlude one nostril while breathing in though the other (mouth closed)

31
Q

What do you look for ion the floor of the mouth?

A

Swelling, frenulum, sublingual ridge, Wharton duct

32
Q

How far back do you put the tongue blade?

A

No more than 1/2 way back

33
Q

What are the 5 t’s when examining the oropharynx. ?

A

Tissues, teeth, tongue, tonsils, throat

34
Q

What are common ear abnormalities ?

A

Labyrinthitis, vertigo, acute otitis media, otosclerosis

35
Q

What are two common abnormalities in older adults?

A

Presbycusis, xerostomia

36
Q

What test evaluate equilibrium?

A

Romberg test

37
Q

If there is an implacable of equilibrium what test old you then do?

A

Nylon-Barney test

38
Q

What are ectopic sebaceous glands that appear in the buccaneers mucosa and lips as numerous small, yellow-white raised regions

A

Fordyce spots

39
Q

What condition is associated by water retained in the ear canal that causes tissue mace ration, desqumamation

A

Otitis externa

40
Q

What condition is associated with a red canal, edematous, watery discharge then purulent and thick ?

A

Otitis externa

41
Q

What eat condition is associated with intense pain with movement of the pinna or chewing?

A

Otitis externa

42
Q

What ear condition is assaulted with discomfort and a feeling of fullness?

A

Otitis media with effusion

43
Q

What ear condition is associated with deep seated earache that interferes with activity or sleep?

A

Acute otitis media

44
Q

Which ear condition has no discharge ?

A

Otitis media with effusion

45
Q

What ear condition is associated with sticking or cracking sound on yawning or swelling, no signs of dizziness?

A

Otitis media with effusion

46
Q

What ear condition is associated with an abrupt onset, fever, feeling of blockage, anorexia, irritability ?

A

Acute otitis media

47
Q

What ear condition is associated with a tympanic membrane retracted or bulging, impaired nobility, yellowish, air fluid level and or bubbles ?

A

Otitis media with effusion

48
Q

What ear condition is trapped epithelial tissue behind the tympanic membrane that is often the result of untreated or chronic otitis media ?

A

Cholesteatoma

49
Q

Loss of high frequency sounds is associated with what type of hearing loss?

A

Sensorineural hearing loss

50
Q

What is a disorder of progressive hearing loss that in some causes is hereditary?

A

Meniere disease

51
Q

What is the illusion of rotational movement by a patent often due to a disorder of the inner eat?

A

Vertigo

52
Q

What are some organisms that cause acute pharyngitis?

A

N. Gomorrhea, mycoplasma pneumoiae

53
Q

What gland becomes inflamed In a peritonsillar access?

A

WEBER

54
Q

What is a life threaten infection in the lateral pharyngeal space that has the potential occlude the airway? MC in children?

A

Retro pharyngeal abcess