Hearing Disorders

Question 1

A non organic/function hearing loss is called:

Answer 1

Pseudohypacusis

Sue-dough-hippa-Q-sis

Question 2

How would pseudohypacusis show up on an audiogram?

Answer 2

Unilateral HL with no shadow curve

Question 3

For the Stenger test, present the stimulus simultaneously in both ears… _dB above the threshold in the better ear and _ dB below the threshold in the poorer ear

Answer 3

10dB above threshold better ear

10dB below threshold poorer ear

Question 4

Explain how Stenger test denies or confirms pseudohypacusis:

Answer 4

If patient responds -
 negative stenger (not suggesting malingering)
If patient does not respond - positive stenger (suggesting malingering)

Question 5

What are 5 symptoms of auditory disorders?

Answer 5

HL
Tinnitus
Vertigo
Recruitment
Tone Decay

Question 6

What is somatic tinnitus?

Answer 6

“Ringing” originates outside auditory nervous system

Question 7

What is neurophysiologic tinnitus?

Answer 7

“Ringing” originates within the auditory nervous system

Question 8

Treatment for tinnitus:

Answer 8

Sound based intervention

No medication or cure

Question 9

Vertigo can be caused by:

Answer 9

Dysfunction of the vestibular system

Question 10

Treatment for Vertigo:

Answer 10

Vestibular rehab
Medications
Low salt diet
Surgery

Question 11

What is recruitment?

Who most commonly has it?

Answer 11

Abnormally rapid growth in loudness

Common in patients with SNHL

Question 12

Tone decay is an inability to:

Answer 12

Sustain the perception of a tone or an acoustic reflex

Question 13

Tone decay is an indication of:

Answer 13

Retrocochlear pathology

Question 14

An Otologic Evaluation examines/gathers information about:

Answer 14

Otalgia (ear pain)
Otorrhea (discharge)
Hearing loss
Tinnitus
Dizziness

Question 15

(Outer ear disorders) Three deformities of the pinna or auricle are:

Answer 15

Microtia
Anotia
Atresia

Question 16

What are 4 other outer ear disorders?

Answer 16

Otitis Externa
Exostoses (growths)
Cerumen
Foreign bodies

Question 17

(Middle ear disorder) What is otitis media?

Answer 17

Inflammation in ME cavity

Question 18

Persistent otitis media with effusion has failure to resolve after:

Answer 18

6 weeks of treatment

Question 19

Chronic otitis media with effusion causes:

Answer 19

Degeneration of structures (TM perforation)

Question 20

HL from Otitis media ranges from:

Answer 20

10-50 dBHL

Question 21

Give the HL, tympanogram, and acoustic reflex result for Otisis media:

Answer 21

Conductive loss
Flat tympanogram
Absent reflexes

Question 22

Treatment for Otitis media with effusion:

Answer 22

Surgery (PE tubes)

Antibiotics

Question 23

Name 5 populations with high prevalence of OME:

Answer 23

Children w/cleft palate
Children w/Down syndrome
Children from inner cities
Children in daycare
Children exposed to smoke

Question 24

(Middle ear disorder) What is cholesteatoma?

Answer 24

Accumulation of cell debris from perforations of the TM

Question 25

(Middle ear disorder) What is otosclerosis? What is cochlear otosclerosis?

Answer 25

Build up of spongy bone in the area of the oval window | When bone invades cochlea

Question 26

What type of HL does otosclerosis cause?

Answer 26

Progressive conductive HL

Question 27

How do you identify otosclerosis on an audiogram?

Answer 27

Notch in BC thresholds at 2,000Hz (called Carhart notch)

Question 28

What is tympanosclerosis? | What can it cause?

Answer 28

Build up of scar tissue on the TM | Can cause chronic OME

Question 29

What are the 8 high risk registers for SNHL?

Answer 29

``` Family history TORCH Craniofacial anomalies LBW, VLBW, ELBW Hyperbilirubinemia Ototoxic medications Bacterial meningitis Prolonged mechanical ventilation ```

Question 30

What does torch stand for?

Answer 30

``` Toxoplasmosis Other bacterial infections Rubella Cytomegalovirus Herpes Simplex ```

Question 31

LBW = VLBW = ELBW =

Answer 31

less than 5.5 pounds less than 3 pounds less than 2 pounds

Question 32

Hyperbilirubinemia is an elevated _ concentration

Answer 32

Bilirubin

Question 33

Yellowing of the skin and eyes is called:

Answer 33

Jaundice

Question 34

What is meningitis? | What can it lead to?

Answer 34

Inflammation of tissues that surround the brain and spinal cord Can lead to ossification of the cochlea

Question 35

(Inner ear disorder) What is Meniere's disease? | What is it also called?

Answer 35

Caused by fluctuating pressure of endolymph | Also called endolymphatic hydrops

Question 36

Meniere's disease is the only case where:

Answer 36

SNHL can fluctuate

Question 37

Treatment for Meniere's:

Answer 37

No smoking No caffeine Low sodium diet Surgery

Question 38

What is TTS? | What is PTS?

Answer 38

Temporary Threshold Shift | Permanent Threshold Shift

Question 39

What is the hearing loss due to aging process?

Answer 39

Presbycusis

Question 40

Hearing deteriorates progressively past age:

Answer 40

50

Question 41

Head trauma can cause what kind of hearing loss?

Answer 41

Conductive and/or sensorineural

Question 42

What are the symptoms of a retrocochlear pathology?

Answer 42

High-frequency HL | Absent reflex and reflex decay