Upper Respiratory Exam Flashcards
What is the grading scale for the whisper test?
Normal = pt. repeats 3 or more of the 6 correctly Abnormal = pt. repeats
What is presbycusis?
Loss of high frequency hearing
Common in older adults
What is conduction caused by?
Vibrations of the TM transmitted through ossicles to cochlea
What is sensorineuralization caused by?
Cochlea and cochlear nerve transmitting impulses to brain
What is the weber test testing for and how is it performed?
Lateralization
Tuning for on top of pt.s head, ask if hears sound on both sides
What is the rinne test testing for and how is it performed?
Air conduction vs. Bone conduction
Tuning fork on mastoid process then in front of ear
Normal = AC > BC
When using the rinne test, what results suggest there is conductive hearing loss?
AC = BC or AC
Which sinus doesn’t open until ~ 7 years of age?
Frontal
What is torus palantinus?
Boney growth of the hard palate
Where do tonsilar pillars extend from?
Soft palate
What is Otitis media?
Unilateral ear pain associated with cold, fever, and obstruction of eustacian tube causing fluid build up in middle ear
What is Otitis externa (swimmer’s ear)
Unilateral ear pain associated with drainage and pain with palpation of tragus, pinna, or auricle
What is Bacterial sinusitis?
Unilateral facial pressure and pain associated with cold and fever.
*cold may go away before sinus pressure
What is bacterial tonsilitis?
Sore throat, fever, pain with swallowing
What is infectious mononucleosis tonsilitis?
Sore throat, +/- fever, fatigue, malaise
What is Acute bacterial rhinosinusitis?
Frontal/maxillary sinus pain, thick nasal discharge, last several days
If your pt. is allergic to amoxycillin, what treatment should be used to treat acute bacterial rhinosinusitis?
Doxycycline
What is the difference between BPPV, Meniers’s, and Labyrinthitis vertigo?
BPPV - episodic, dix-hallpike for dx, epley maneuver for tx
Meniere’s - vertigo + ringing (tinnitus)
Labyrinthitis - vertigo + hearing loss
What are tonsiloliths?
Tonsil stones
What are the 3 main causes of earaches?
1) Acute Otitis media
2) Otitis media with effusion
3) Otitis externa
