Untitled Deck

Question 1

What is Rinne’s test?

Answer 1

A hearing test where a tuning fork is placed over the mastoid process until the sound is no longer heard, followed by repositioning just over the external acoustic meatus.

Question 2

Tuning fork pitch used for rinne’s and weber’s

Answer 2

512 Hz

Question 3

What indicates a positive Rinne’s test? (aka normal)

Answer 3

Air conduction (AC) is normally better than bone conduction (BC).

Question 4

What indicates a negative Rinne’s test?

Answer 4

If bone conduction (BC) is greater than air conduction (AC), then conductive deafness is indicated.

Question 5

What is Weber’s test?

Answer 5

A hearing test where a tuning fork is placed in the middle of the forehead equidistant from the patient’s ears.

Question 6

What does it mean if sound is localized to the unaffected side in Weber’s test?

Answer 6

This indicates unilateral sensorineural deafness.

Question 7

What does it mean if sound is localized to the affected side in Weber’s test?

Answer 7

This indicates unilateral conductive deafness.

Question 8

Conductive hearing loss

Answer 8

B>A; weber’s lateralises to BAD ear

External or middle ear pathology affects the conduction of sound into the inner ear

Question 9

Conductive hearing loss - Conditions

Answer 9

• Otitis externa
• Otitis media (+/- effusion)
• Wax (cerumen) impaction
• Foreign body
• Cholesteatoma
• Tympanic membrane perforation

Question 10

Sensorineural hearing loss

Answer 10

A>B; weber’s lateralises to GOOD ear

Inner ear, cochlear or auditory nerve pathology impaired neuronal transmission to the brain

Question 11

Sensorineural hearing loss - Conditions

Answer 11

• Congenital or hereditary sensorineural hearing loss
• Presbycusis (age-related)
• Noise-induced hearing loss
• Acoustic neuroma
• Ototoxic drugs
• Infection
• Autoimmune