Tinnitus & Hearing Loss

Question 1

Tinnitus means?

Answer 1

perception of sound in absence of an environmental acoustic stimulus

Question 2

Objective tinnitus

Answer 2

you can hear the ringing too… like a cricket in the ear

Question 3

Pulsatile vs. non-pulsatile

Answer 3

ringing in time with pulse

or in waves

Question 4

non-pulsatile vs. pulsatile more common?

Answer 4

non-pulsatile

Question 5

tinnitus after loud music called?

Answer 5

Temporary threshold shift

Acoustic trauma

Question 6

physiological hypervascularity?

Answer 6

pregnancy
position
exercise

Question 7

pathological hypervascularity examples?

Answer 7

cardio regurg, hyperdynamic flow

thyrotoxicosis

Question 8

jugular bulb sits inside?

Answer 8

temporal bone

Question 9

clicking tinnitus not in time with pulse could be?

Answer 9

myoclonus: middle ear muscles can twitch and

Question 10

imaging for tinnitus?

Answer 10

MRA
MRV
CT-contrast
carotid Doppler bilateral

Question 11

sensorineural hearing loss where?

Answer 11

inner ear

Question 12

conductive hearing loss affects what?

Answer 12

outer and middle ear

Question 13

central hearing loss where?

Answer 13

auditory cortex or neural pathways

Question 14

outer ear causes of conductive hearing loss?

Answer 14

cerumen
foreign body
oedema, infection

Question 15

middle hear conductive hearing loss?

Answer 15

cholestoma
Acute
chronic otitis media
bones ‘rust together’

Question 16

inner ear sensorineural hearing loss?

Answer 16

high dose long term aspirin
cisplatin
gentamycin
congenital
Age related hearing loss (most common)

Question 17

cochlear nerve pathology?

Answer 17

tumour
labyrinthitis
MS
Stroke

Question 18

‘O’ decibels means?

Answer 18

softest thing a normal person can hear

Question 19

most common conductive bilateral hearing loss?

Answer 19

Cleft Palate causing chronic otitis media

Question 20

mixed conductive hearing loss common reason?

Answer 20

otosclerosis of hearing bone

Question 21

sensorineural infections aetiology?

Answer 21

viral usaully

Question 22

strep pneumonia meningitis consequence? how treat?

Answer 22

cochlear ossification

treat with cochlear implant within 6/12

Question 23

sudden sensorineural hearing loss cause? How treat?

Answer 23

steroids within 3 days
viral infection
neoplasm

Question 24

fluctuating hearing loss conductive probs?

Answer 24

eustachian tube dysfunction
infections
effusions
barotrauma

Question 25

fluctuating hearing loss causes of sensorineural

Answer 25

endolymphatic hydrops (syphilis, Menieres) (swelling, unbearable vertigo, lasts 20 minutes)(could be one ear only)
sublethal injury (concert)
autoimmune (both ears)

Question 26

5 things ear can do

Answer 26

discharge
otlagia
hearing
tinnitus (ringing, or any sound really)
Vertigo