Diseases of the Ear

Question 1

pinna is swollen

weeping serous fluid

Answer 1

frostbite

Question 2

what is the treatment for frostbite

Answer 2

slowly warm; topical antibiotics

Question 3

weepy, wet, vesicular eruption, form of contact dermatitis

Answer 3

neomycin allergy

Question 4

treatment of neomycin allergy

Answer 4

topical and if severe, systemic steroids

Question 5

diffusely inflamed, swollen without vesicles or weeping

Answer 5

cellulitis of auricle

Question 6

what is treatment for cellulitis of auricle

Answer 6

topical antibiotics and if severe, systemic

Question 7

typical wrestling injury

Answer 7

auricular hematoma

Question 8

what is the treatment of auricular hematoma

Answer 8

treatment I and D and pressure dressing

Question 9

pedunculated, single or multiple deep in the ear canal associated with cold water swimming

Answer 9

osteoma ear canal

Question 10

lateral, broad based congenital

Answer 10

exostosis ear canal

Question 11

what is the treatment for otitis externa

Answer 11

debridement, antibiotic wick, and oral antibiotic

Question 12

what are the signs of otitis externa

Answer 12

erythema, edema, purulent dischage and debris

Question 13

what is the etiology of malignant otitis externa

Answer 13

diabetes, immune compromise, and pseudomonas

Question 14

what are the signs of malignant ototis externa

Question 15

what is the treatment for malignant otitis externa

Answer 15

medicla control
IV antibiotics
debridement

Question 16

looks like bread mold in the ear canal

Answer 16

fungal otitis externa (otomycosis)

Question 17

benign lesions of the pinna that are unresponsive to topical antibiotics or steroids

Answer 17

chondrodermatitis nodularis helicis

Question 18

whitish plaques of submucosal hylainization and calcification that generally does NOT effect hearing

Answer 18

tympanosclerosis

Question 19

what are some common causes of acute otitis media

Answer 19

s pneumoniae

H influenze and M catarrhalis

Question 20

treatment of acute otitis media

Answer 20

antibiotics, wait, myrinotomy

Question 21

symptoms of acute otitis media

Answer 21

fever otaligia, hearing loss and drainage

Question 22

neonatal AOM is caused by

Answer 22

gram negative bacilli and staph

Question 23

complications of AOM

Answer 23

persistent middle ear effusoin
TM performation
ossicular damage
facial paralysis
labrinthitis
epidural and brain abscess

Question 24

myringitis

Answer 24

early acute otitis media

Question 25

myringitis

Answer 25

inflammation of the TM without effusion

Question 26

bullous myringitis

Answer 26

variant of AOM, same etiology, blistering of TM is present

Question 27

wwhat is the etiology of otitis media with effusion

Answer 27

normal after AOM for several weeks eustachian tube dysfunction adenoid hypertrophy middle ear mucosa metaplasia

Question 28

symptoms of otitis media with effusion

Answer 28

hearing loss, behavioral distrubance, and dizziness

Question 29

signs of otitis media with effusion

Answer 29

``` amber tynpanic membrane air fluid level bubbles poor mobility conductive hearing loss with flat typanogram ```

Question 30

eustachian tube is opened by

Answer 30

tensor veli palatini muscle

Question 31

treatment of eustachian tube dysfunction

Answer 31

repair clefts treat allergies adenoidectomy myringotomy

Question 32

caused by rapid decsed diving or flying with ETD

Answer 32

barotrauma

Question 33

symtoms of barotrauma

Answer 33

severe pain, hearing loss, aural fullness, dizziness

Question 34

what is treatment of barotrauma

Answer 34

avoidance, slow descent, frequent clearing, decongestants, ear planes, steroids, myringotomy with tube

Question 35

no motion on pneumatic otoscopy

Answer 35

tympanic membrane perforations

Question 36

symptoms of typanic membrane performations

Answer 36

hearing loss and recurrent infections

Question 37

symptoms of inactive COM

Answer 37

no drainage, performation, atrophy of TM, fibrosis in middle ear and ossicular damage

Question 38

tympanoplasty

Answer 38

patching or total replacement of TM

Question 39

caused by colection of dibris in reaction pocket or ingrowth of sqamous debris through a performation

Answer 39

cholestetoma

Question 40

symptoms of a cholesteoma

Answer 40

drainage, hearing loss, dizziness, and minimal pain

Question 41

signs of cholesteoma

Answer 41

keratin debri, drainage granulations, polyp, cranial nerve 7 palsy

Question 42

treatment for cholesteoma

Answer 42

surgery, debridmenet

Question 43

infected granulation tissue associated with cholesteomas and chomic osteomatoidits

Answer 43

aural poly and cholesteoma

Question 44

a hereditary disease effecting the stapes, footplate, and cochlea

Answer 44

otosclerosis

Question 45

what is the age that otosclerosis manifests

Answer 45

young and middle aged adults

Question 46

how does otosclerosis present

Answer 46

conductive hearing loss with normal tympanometry

Question 47

what is the treatment of otosclerosis

Answer 47

surgical removal of stapes with laser and replacement with a teglon metal prosthesis (usually resolves hearing

Question 48

what are symptoms of meniere's disease

Answer 48

episodic vertigo with fluctuating hearing loss, tinnitus and aural fullness

Question 49

signs of menier's disease

Answer 49

normal exam with low frequency sensineural loss, nystagmus

Question 50

what is the medical treatment of meniere's disease

Answer 50

low salt diet, diuretic, vestibular suppressents (meclizine, valium, scopolmine patch)

Question 51

what is the surgical treatment for menier'es disease

Answer 51

endolymphatic mastoid shunt vestibular neurectomy labyrinthectomy

Question 52

reisner's membrane is balloned out

Answer 52

indicative of meniere's disease

Question 53

schwanomma of the 8th cranial nerve

Answer 53

acoustic neruoma

Question 54

acoustic neuroma (benign or malignant)

Answer 54

benign

Question 55

what are the symptoms of acoustic neuroma

Answer 55

unilateral sensineural hearin loss, unilateral tinnitus, dysequilibrium but RARE vertigo

Question 56

treatment of acoustic neuroma

Answer 56

surgical excision, gamma knife

Question 57

examples of ototoxic medications

Answer 57

``` aminoglycosides (topical drops) diuretics cisplatin salicylates ethyl alcohol cocaine ```

Question 58

examples of curable SNHL

Answer 58

symphillitic autoimmune perilympahtic fistula

Question 59

how do you treat autoimmune SNHL

Answer 59

prednisone and cytotoxan

Question 60

how do you treat syphilitic SNHL

Answer 60

penicillin and predinisone

Question 61

treatment of BPPV

Answer 61

``` epley maneuvers brandt exxeercises sleep on affected side posterior semicircular canal occlusion vestibular rehabilitation ```

Question 62

what are the treatments for sudden sensory hearing loss

Answer 62

high dose oral steroids | transtympanic steroids

Question 63

perilymphatic fistula

Answer 63

positional vertigo dysequiibrium sudden hearing loss