Ear

Question 1

complete exam of ear includes

Answer 1

auricles
auditory canals
tympanic membranes
estimate of patient’s hearing

Question 2

most pathologies found on auricle are found upon:

Answer 2

simple inspection

Question 3

total aplasia of auricle may or may not be associated with ____ external auditory canal; ____ is important

Answer 3

atretic (closed) external auditory canal

Shape of auricle is important

Question 4

Cutis Laxa causes:

Answer 4

lop ears

Question 5

visible lumps in _____ are usually _____ from SODIUM URATE CRYSTALS

Answer 5

pinna

gouty tophy

Question 6

common location for benign cystic mass in ear is ____ and called ____

Answer 6

external auditory meatus

basal cell carcinoma

Question 7

boxers and wrestlers with chronic trauma to auricles suffer bleeding btwn ____ and _____ ==> scar tissue causing deformity of auricle called ____

Answer 7

cartilage and perichondrium

cauliflower ear

Question 8

with complaints of tinnitus and partial deafness in one ear, very often, the cause is only ______

Answer 8

impacted cerumen (earwax)

Question 9

how to remove cerumen

Answer 9

irrigate with warm water or with a speculum/ear hook

Question 10

(2) common causes for fever

Answer 10

cerumen

foreign body

Question 11

hearing may be improved in older adults by:

Answer 11

pulling ear out to open the canal

Question 12

pull ear ____ & ____ for adults and ____ & ____ for kids

Answer 12

out and back for adults

down and back for kids

Question 13

visible landmarks of tympanic membrane

Answer 13

short process of malleus
light reflex
manubrium
annulus
jumbo
chords tympani nerve (rarely seen)

Question 14

______ can cause superior part of bony canal to erode and mass of desquamated squamous epithelium, aka _____ enters the canal externally through a marginal perforation of the drum

Answer 14

chronic mastoiditis

cholesteatoma

Question 15

cranial trauma that presents with a blood external auditory canal suggests a _______

Answer 15

basilar skull fracture

Question 16

laceration of ear canal after head trauma is pathognomonic of _____

Answer 16

basilar skull fracture

Question 17

condition that’s peak incidence in in summer and associated with SWIMMING

Answer 17

external otitis

Question 18

movement of triages/auricle are painful with _____

Answer 18

external otitis

Question 19

condition that occur MC In winter

Answer 19

otitis media

Question 20

no pain from movement associated with

Answer 20

otitis media

Question 21

3 characteristics of otitis media

Answer 21

discharge may be present
the drum is bulging or perforated
need perforation for discharge to occur

Question 22

condition in which the ear canal is swollen

Answer 22

acute external otitis

does NOT happen in otitis media- canal is normal or only slightly reddened

Question 23

3 characteristics of external otitis

Answer 23

tympanic membrane normal or reddened
purulent discharge
MC in summer- pain with movement

Question 24

serious effusion of middle ear can be due to: (3)

Answer 24

repeated infections
obstruction of adenoids
allergies

Question 25

serous bubbles in _____ part of middle ear obstructed by _______ may be multiple and ASYMPTOMATIC

Answer 25

superior part | benign exostosis

Question 26

MC origin for carcinoma growing out of tympanic membrane is:

Answer 26

mastoid or middle ear

Question 27

aural polyps are usually covered with _____; they can arise from ___ or ____

Answer 27

discharge | external canal or behind tympanic membrane

Question 28

Positives for Weber's Test

Answer 28

Conductive: sound lateralizes to bad ear | Sensory Neural Loss: sound lateralizes to good ear

Question 29

atrophy of ganglion cells in cochlea which causes bilateral high frequency hear loss in older people, called _____

Answer 29

presbycusis

Question 30

disease in which deafness is UNILATERAL and associated with fluctuating loss of low tones (200 Hz), spreads to other tones

Answer 30

endolymphatic hydrops aka Meniere's Disease

Question 31

when patient complains of intermittent deafness; sound originally not perceived are repeated and then perceived as abnormally loud

Answer 31

recruitment phenomenon