study guide 3 Flashcards

1
Q

______is a record of a person’s background info, hearing history obtained at the initial appointment; first contact you have with patients where you find out where they feel that they have problems

A

case history

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2
Q

case history should contain 5 major components

A
demographics
hearing and balance concerns
otologichistory
medical background
medications
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3
Q

questions one can ask during a case history

A

when was the symptom first noticed?
how severe is the symptom?
is the symptom present in one or both ears?
has the symptom improved or worsened over time?
is the symptom constant or intermittent?

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4
Q

ringing in the ears ; internally generated sound which is perceived as originating from one or both ears

A

tinnitus

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5
Q

one ear may or may not be worse than the other

A

hearing loss

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6
Q

ear pain

A

otalgia

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7
Q

discharge

A

otorrhea

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8
Q

spinning sensation (dizziness imbalance )

A

vertigo

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9
Q

what usually causes tinnitus ?

A

hearing loss or noise exposure

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10
Q

rushing associated with vascular event on or around the ear

A

pulsatile

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11
Q

nonpulsatile refers to

A

ringing

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12
Q

the visual inspection of the pinna mastoid process, the EAM, and the tympanic membrane

A

otoscopyis

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13
Q

during an otoscopy one uses an

A

otoscope

-always go with the larger tip

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14
Q

3 parts of the otoscope

A

the handle- power for the light source
the head- lightbulb and magnifying lenses
the cone- specula

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15
Q

for adult otoscopy one pulls the pinna ___ and _____

A

up and back to straighten the EAC

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16
Q

for children one pulls the pinna _____ and _____

A

down and back to the straighten the EAC

17
Q

labels for the cerumen

A

occluding, excessive, minimal,none

18
Q

in evaluating the tympanic membrane….. one should make sure it is

A

light grey, pink, and very shiny
the cone of light should be easily visible
notice if any air fluid lines, bubbles, and retractions are visible

19
Q

what is the purpose of pure tone testing?

A

to determine the type, extent ( severity), and configuration of a patient’s hearing loss

20
Q

what is the goal of air conduction audiometry?

A

to determine the amount, degree, or severity of the hearing loss.

  • how severe is the hearing loss?
  • is a hearing loss present?
21
Q

what is the special number?

A

5

22
Q

what is the goal of bone conduction audiometry?

A

to determine the type of hearing loss present

23
Q

what are the types of hearing loss

A

conductive
sensorineural
mixed

24
Q

what is the transducer used to perform bone conduction

A

the bone oscillator

25
Q

the bone conduction pathway bypasses the outer and middle ear and directly stimulates the ________

A

cochlea

26
Q

AC one uses the

A

headphones, inserts, speakers

27
Q

BC one uses the

A

bone oscillator

28
Q

we plot responses using an

A

audiogram

29
Q

the x axis of an audiogram measures

A

frequency 250- 8000 Hz

30
Q

the y axis of an audiogram measures

A

intensity from -10db HL to 110dB HL

31
Q

softest level the patient is able to hear a tone

A

threshold

32
Q

bone conduction label is

A
33
Q

the degree or severity of the Hearing loss can be described in what categories?

A
Slight 
Mild
moderate
Moderately severe
Severe
Profound
34
Q

what denotes conductive hearing loss ?

A

normal BC scores
Abnormal AC scores
ABG of 15 dB or Greater
issues exist with either the outer ear, middle ear, or both

35
Q

what is the ABG?

A

the Air bone gap or the gap between the AC threshold and BC threshold

36
Q

what denotes sensorineural hearing loss ??

A

abnormal BC scores
Abnormal Ac scores
No ABG
Issues exist in the inner ear and or beyond (auditory nerve, brainstem)

37
Q

what denotes mixed hearing loss ??

A

abnormal BC scores
Abnormal AC scores
ABG present
Issues exist with OE/ME and inner ear/ beyond

38
Q

what is the configuration of hearing loss??

A

the overall shape of the audiogram

39
Q

ways to describe configuration?

A

Flat
Sloping
steeply Sloping
noise notch (typically at 4000 Hz)