Upper Respiratory Lab

Question 1

To examine the ear of an adult

Answer 1

Straighten canal by pulling up, out, and posterior

Question 2

To examine the ear of a child

Answer 2

Straighten canal by pulling down, out, and posterior

Question 3

Conductive hearing loss

Answer 3

external or middle ear problem

Question 4

Sensorineural loss

Answer 4

inner ear, cochlear nerve, or central brain connections problem

Question 5

Whisper test

Answer 5

Doctors stands behind pt & has pt occlude 1 ear.
Dr whispers a combo of numbers & letters & asks pt to repeat sequences
Normal: pt correctly repeats, or after 2 sequences can identify 3 of the 6.
Abnormal: pt incorrectly identifies 4 of 6

Question 6

Weber test for lateralization

Answer 6

vibration tuning fork placed on top of pt’s head or on middle of forehead
Normal–sounds lateralizes to both ears equally
IF sound lateralizes to 1 ear, it is either conduction loss in that ear or sensorineural loss in the opp ear.

Question 7

Rinne test

Answer 7

Compares air & bone conduction
Vibrating tuning fork placed on mastoid bone behind ear.
When pt no longer hears sounds, quickly place fork close to ear canal & inquire how long they hear that sound
–Normal: AC>BC
–if weber was abnormal & Rinne was normal, suspect sensorineural loss in the opp ear
–If AC=BC OR BC>AC, there is conductive loss to that ear

Question 8

Function of turbinates in nasal cavity

Answer 8

Cleansing, humidification, and temp control of inspired air

Question 9

Mucosa of nasal cavity

Answer 9

red, edema–viral rhinitis

pale, bluish, or red–allergic

Question 10

Perforation of septum

Answer 10

Can be due to cocaine, meth, trauma, surgery