Upper Respiratory Exam

Question 1

To examine the ear must straighten the canal by doing what in adults vs kids?

Answer 1

• adults= pull up and out and away

- kids= pull DOWN and out and away

Question 2

What is conductive hearing loss?

Answer 2

• external or middle ear problem (conductive phase)
• sound travel through air vibrations of TM throuhg ossicles to cochlea

Ex) cerumen, tympanic perferation, middle ear effusion

Question 3

What is sensorineural loss?

Answer 3

• inner ear, cochlear nerve or central brain connection problem
• sensorineural phase
• cochlea and cochlear n transmit impluse to brain

Question 4

How do you perform the whisper test?

Answer 4

• stand behind pt and have them occlude 1 ear
• whisper combo of letters/numbers and have pt repeat sequence
• normal= pt correctly repeats the sequence or after 2 sequences can identify 3 of 6
• abnormal= pt incorrectly identifies 4 of 6

Question 5

What is the weber part of weber and rinne test?

Answer 5

• weber= tests for lateralization
• vibrate tuning fork place on top of pts head
• normal= sound lateralizes to both ears equally
• abnormal= sound lateralize to 1 ear
• *either have conduction loss in that ear or sensorineural loss in opposite ear

Question 6

What is the rinne part of weber and rinne test?

Answer 6

• compares air and bone conduction
• vibrating tuning fork on mastoid bone behind ear level with canal
• when pt no longer hears sound place fork close to ear canal and see if they hear the sound adn for how long
• normal AC > BC
• if AC = BC or BC > AC there is conductive loss to that ear

Question 7

What do you use to inspect inside the nose?

Answer 7

-otoscope