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ENT Week 2 2017/18 > 3: Ear disease > Flashcards

Flashcards in 3: Ear disease Deck (30)
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1

How is hearing tested in clinic?

Tuning fork tests

Rinne and Weber's tests

2

What graph is used to diagnose hearing loss?

Audiogram

3

What is a sign of conductive hearing loss on an audiogram?

Gap between air conductance and bone conductance

4

What is a sign of sensorineural hearing loss on an audiogram?

No gap between air/bone conductance but the whole thing has dropped

5

How do you manipulate an adult's ear to look at the external acoustic meatus?

Lift superiorly and posteriorly

i.e up and back

6

What device is used to examine the ear?

Otoscope

7

What are the three main types of deafness?

Conductive

Sensorineural

Mixed

8

What is central hearing loss?

Damage to hearing centre in the brain

Nerves are intact

9

Pathology of which nerves can cause a referred otalgia?

V

VII

IX

X

C2 and C3

10

What structures should be examined in someone with otalgia?

Ear

Nose

Throat

11

Which ear diseases are notable for causing discharge?

Acute and chronic otitis media

Cholesteatoma

CSF leaks secondary to trauma, infection etc.

12

What are the two types of dizziness?

Central

Peripheral

13

What is the clinical name for dizziness?

Vertigo

14

What symptom must you ask about in a patient with vertigo?

Any hearing loss?

15

What is the most common cause of vertigo?

Benign positional paroxysmal vertigo (BPPV)

16

What is tinnitus?

Ringing in the ears

hearing your internal sounds rather than the external ones

17

What is otitis externa?

Infectious inflammation of the external acoustic meatus

Bacteria, viruses, fungus

18

What should be avoided in otitis externa?

Water

Keep good ear hygiene

19

What is a possible consequence of severe otitis media?

Perforated tympanic membrane

20

What is otitis media with effusion also known as?

Glue ear

21

Where does fluid accumulate in otitis media with effusion?

Behind tympanic membrane

22

What is the definition of otitis media with effusion?

Fluid behind the tympanic membrane WITHOUT INFECTION

23

What causes otitis media with effusion?

Blockage of Eustachian tube

24

What is a Grommet tube?

Ventilation tube which allows drainage of fluid from middle to external ear

25

If otitis media persists for ages, what is it called?

What is a common complication?

Chronic otitis media

Perforated tympanic membrane, hearing loss

26

What is cholesteatoma?

Skin in the wrong place

i.e hyperproduction of keratinised squamous epithelium in the middle ear

27

What is a complication of cholesteatoma?

Destruction of auditory ossicles

Abscess

28

What is a common symptom of cholesteatoma?

Foul-smelling discharge

29

Seeing as it's found in the middle ear, how is cholesteatoma investigated?

CT / MRI scan

30

What are the symptoms of ear disease?

Loss of hearing

Discharge

Vertigo

Tinnitus

Pain

Facial paralysis