Question 1

Hearing assessment is done with

Accepted Answer

Whisper test and tuning fork tests (Weber and Rinne)

Question 2

Tuning forks, the higher the number, the ___ it is to hear.

Accepted Answer

easier The larger the number, the easier to hear; so, 512 is easier to hear than 256. 128 Hz is used for neuro testing. 256 Hz - 10 - 15 dB loss 512 Hz - at least 20 - 30 dB loss

Question 3

Conductive hearing loss

Accepted Answer

Involves the external canal or the middle ear.

Question 4

Sensorineural hearing loss

Accepted Answer

involves the inner ear or the 8th cranial nerve.

Question 5

Tuning fork hearing assessments test for

Accepted Answer

Air and bone conduction by comparing the two.

Question 6

Weber test, Taber's

Accepted Answer

A test for unilateral deafness. A vibrating tuning fork held against the mid-line of the top of the head is perceived as being so located by those with equal hearing ability in the ears; Conductive-type deafness: to persons with unilateral conductive-type deafness, the sound will be perceived as being more pronounced on the diseased side; Unilateral nerve-type deafness: in persons with unilateral nerve-type deafness, the sound will be perceived as being louder in the good ear.

Question 7

Rinne test, Taber's

Accepted Answer

(rhymes with ballet) The use of a tuning fork to compare bone conduction hearing with air conduction. The vibrating fork is held by its stem on the mastoid process of the ear until the patient no longer hears it. Then it is held close the the external auditory meatus. If the subject still hears the vibrations, air conduction exceeds bone conduction (this is the normal finding).

Question 8

Questions: Removal of impacted cerumen from an ear represents a reversible: 1. Sensorineural hearing loss. 2. Conductive hearing loss. 3. Conductive and sensorineural hearing loss. 4. Neither a conductive nor a sensorineural hearing loss.

Accepted Answer

2. If sound can't get into the inner ear, that is a conductive hearing loss.

Question 9

Conductive Hearing Loss, involves ___ and causes

Accepted Answer

Conductive hearing loss involves the external canal or the middle ear. Examples: - Cerumen impaction - Ear plugs - Fluid in the middle ear - Wearing of headphones

Question 10

Sensorineural Hear Loss, involves ___ and causes

Accepted Answer

Sensorineural hearing loss involves the inner ear or the 8th cranial nerve. Examples: - Hereditary hearing loss - Presbycusis - Noise exposure - Meniere's disease - Acoustic tumors - Trauma

Question 11

Presbycusis, Presbykousis

Accepted Answer

Progressive loss of hearing with aging, typically resulting from sensorinueral hearing loss. It is the third most common disease of the elderly, after hypertension and arthritis, and can cause significant isolation. Presbycusis usually impacts high frequency sounds; high frequency hearing loss.

Question 12

Ocular Foreign Body

Accepted Answer

Presence of substance, material, or object adhering to the eye or embedded in the eye. Treat all patients in the same methodical manner.

Question 13

Eye complaints, 3 step assessment

Accepted Answer

1. ALWAYS START BY ASSESSING VISUAL ACUITY. Check the vision in each eye individually and then together. Document assessment. 2. Look at the eye to determine if you can see anything in it. Use a light. Look from the side, not just head on. From the side the cornea or globe of the eye should be smooth. If not, REFER to ophthalmology. 3. Fluorescein staining - ALWAYS LAST - if positive, then there is a break in the integrity of the cornea. Will be positive for abrasions and embedded objects. Glows at area of injury.

Question 14

Found a foreign object in the eye, what next?

Accepted Answer

- Patch the eye - to keep the patient from rubbing the eye. - Tetanus prophylaxis if not vaccinated within last 5 years. - NPO if referred to ophthalmologist in case surgery is needed to remove the embedded object.

Question 15

Foreign body, what can an NP remove?

Accepted Answer

ONLY if superficial and NOT embedded! If object is removed, patching is not required.

Brainscape's Knowledge GenomeTM

Disc 7 - Ear, Eye, Nose, and Throat, 7 - 8 Flashcards

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