Final Practice Flashcards
(52 cards)
The Tympanic reflex, a protective reaction to loud noise, involves which muscle and nerve combination?
Tensor Tympani controlled by trigeminal, and stapedius muscles controlled by the facial
Which of the following structures is primarily responsible for maintaining the integrity of the function of the middle ear?
Eustachian Tube
In the normal right ear, where do you expect to see the cone of light?
5
When the cone of light is seen at 3 o’clock and the manubrium appears to be horizontally oriented, the tympani membrane is most likely….
Retracted
A patient presents with an itching external auditory canal and states that when they scratch it they experience a burning pain. You suspect:
Otomycosis externa
Swimmer’s ear is most commonly associated with_____
Pseudomonas Infection
Which of the following presentation can cause a conductive hearing loss?
Tympanosclerosis
A patient presents with bilateral ear pain. They have had an upper respiratory infection for the past 6 days. They just returned from a vacation in the Bahamas. You examine the ears and note bluish-grey tympanic membranes. Given their complaint and the appearance of the membranes you suspect:
Acute otitis media
This condition is caused by a reaction of the periosteum resulting from stimulation of the auditory canal by repeated exposure to cold water:
Exostosis
What is the correct sequence of events in the development of otitis media?
Eustachian tube blockage -> Tympanic Membrane Retraction -> Serous Otitis Media-> Purulent Otiitis Media-> Tympanic Membrane Rupture
Which of the following conditions can be a result of chronic and repeated middle ear infection?
Cholesteatoma
An abnormal sensation of movement, usually rotary, associated with difficulty maintaining balance is called:
Vertigo
This condition is described to involve recurrences of sudden attacks of whirling vertigo, tinnitus and hearing loss, with nausea and vomiting at the peak. When the attack subsides there is a residual low level tinnitus and a resulting hearing loss. It is called:
Menierre’s Syndrome
This condition presents with hyperemic vessels across the tympanic membrane which is usually bulging, landmarks are obscured, with significant pain and the drum may perforate:
Acute Purulent Otitis Media
Complication of endolymphatic hydrops include which of the following:
Neural Hearing Loss
Complications of repeated purpulent otitis media include:
Facial Nerve Paralysis
The perception of sound in the absence of an acoustic stimulus describes:
Tinnitus
This condition is often the result of recurrent inner ear infections:
Bullous Myringitis
This cyst like mass is filled with cellular debris, has a cottage cheese appearance, and is most common in the middle ear that can spread to the skull and even into the cranium causing CNS dysfunction:
Cholesteatoma
The most common cause of conductive hearing loss is:
Cerumen
Which of the following conditions is least likely to be associated with tympanic membrane perforation?
Cholesteatoma
Clear otorrhea seen after head trauma is highly suspicious of:
CSF
When performing the otoscopic exam, you must take care to not exert pressure on the very sensitive _______ wall of the external canal.
Anterior
This painful ear condition is associated with vesicles on the tympanic membrane:
Bullous Myringitis
