Ears

Question 1

the inner ear is

Answer 1

hearing and balance

Question 2

outer and middle ear disorders. prevent sounds from getting to the inner ear. Ossicles may not conduct sound properly. Ear drum may not vibrate in response to sound

Answer 2

conductive hearing loss. men 2x more likely to get it

Question 3

surfers ear or swimmers ear is common cause

Answer 3

exostosis

Question 4

benign knoblike projection of tympana bone. leads to infections of the external meatus. lesions occur during years of active bone growth. growths may close ear canal causing hearing loss and found in males 20-39

Answer 4

exostosis

Question 5

damage to cocklea or nerve pathways from inner ear to brain. possible causes are illnesses, genetic or hereditary issues, and ototoxic drugs

Answer 5

sensorineural hearing loss

Question 6

ototoxic drugs can cause

Answer 6

sensorineural hearing loss which can be permanent

Question 7

ototoxic medications and chemicals

Answer 7

chemo, antibiotics (mycin, cin), diuretics, environment, aspirin and NSAIDS, ingested chemicals (alcohol, caffeine, nicotine)

Question 8

doing what with antibiotics can cause sensorineural hearing loss

Answer 8

rapid infusion. check peak and trough.

Question 9

irregular ossification in stapes (gets stuck in place and can’t vibrate). More common in caucasian women. Immune disorders, trauma, and genetics

Answer 9

otosclerosis

Question 10

ringing or buzzing in the ears that is not caused by an external stimulus. Temporary or chronic. No cure

Answer 10

tinnitus

Question 11

sensation of spinning and dizziness caused by problem in middle ear

Answer 11

vertigo

Question 12

symptoms of vertigo

Answer 12

nausea/vomiting, nystagmus (involuntary eye movement), difficult visual focus, sensitivity to movement, loss of coordination, hearing loss, difficulty walking, headache and muscle aches

Question 13

most common cause of positional vertigo

Answer 13

benign paraoxysmal positional vertigo

Question 14

commonly caused by canalithiasis (calcium deposits)

Answer 14

benign paroxysmal positional vertigo

Question 15

reposition crystals by

Answer 15

Eploy maneuver

Question 16

age related hearing loss

Answer 16

presbycusis

Question 17

occurs in adults over 65, decreased ability to hear higher pitched sounds, slow gradual

Answer 17

presbycusis

Question 18

otalgia

Answer 18

ear pain

Question 19

caused by problem directly associated with the ear, infection, swimmers ear, sinusitis, trauma, cerumen buildup

Answer 19

primary otalgia

Question 20

pain that comes from another source, mastoiditis, tension or migraine headache, GERD

Answer 20

otalgia

Question 21

what do I need to remember about hearing devices

Answer 21

maintenance

Question 22

hydrodrops

Answer 22

accumulation of fluid

Question 23

can be caused by combination of factors including immune, infection, and trauma

Answer 23

Menieres disease

Question 24

metabolic alteration in labyrinthine fluid of inner ear. Causes spontaneous episodes of vertigo and fluctuating hearing loss. Chronic and permanent condition and occurs in ages 20-50

Answer 24

menieres disease

Question 25

disease occurs in clusters

Answer 25

menieres disease

Question 26

examiner stands behind and to the side of patient while the patient occludes each ear sequently and the examiner whispers four unrelated words

Answer 26

voice and watch tick

Question 27

place an activated tuning fork midline on tope of patients head

Answer 27

weber test. (Tell weber it is R or L)

Question 28

fork on mastoid bone to check conductive hearing loss

Answer 28

Rinne test (Rinne on Pinne)

Question 29

screening test for balance

Answer 29

Romberg

Question 30

pull ear back and up

Answer 30

adult

Question 31

pull ear back and down

Answer 31

children

Question 32

restores acidity to ear. stops growth of bacteria and fungus. For dry ears after swimming place 1-2 drops in each ear

Answer 32

Isopropyl and acetic acid (combo is vinegar)

Question 33

treats otitis externa and chronic otitis media.

Answer 33

mycin, ofloxacin, ampicillin (antiobiotics)

Question 34

Diphenhydramine

Answer 34

antihistamine that prevents vertigo and nausea with Menieres disease (Benadryl)

Question 35

reduces nausea in Menieres disease. Avoid CNS depressants. Fluid intake

Answer 35

Phenergan (antimetic), Meclizine, and Dimenhydrinate (dramamine)

Question 36

steroid ear drops. may mask infection

Answer 36

hydrocortisone, dexmethasone, and fluocinolone

Question 37

used in severe miners disease

Answer 37

diazapam (Valium)