Otological Examination

Question 1

What are all the steps?

Answer 1

ALWAYS EXAMINE BETTER EAR FIRST

1) Otoscope
2) Free Fields Hearing Test - masked hearing cover tragusone ear and stand on the other side and say numbers (23,33,34)
3) Tuning forks- Rinne’s and Webers
4) otoscope exam

ALWAYS EXAMINE BOTH EARS- BETTER EAR FIRST

Question 2

Otoscope Test

Answer 2

1) Palpate parts of ear- pinnae, mastoid process etc
2) locate the cone of light and use this to work out side of ear

2) Pull pinnae (external ear) up and back

Question 3

What does sound vibrations travelling to the effected ear mean on Rinne’s test?

Answer 3

• to effected ear = Conductive Hearing Loss

- ear working harder

Question 4

What does sound vibrations travelling to the non- effected ear mean on Rinne’s test?

Answer 4

-Sensorineual Hearing loss

Question 5

What is the Free Fields Hearing Test

Answer 5

At arm’s length, mask one ear and whisper numbers to the other. If unable to hear whisper, increase to normal voice volume.

Question 6

Weber’s Test

Answer 6

Weber test – place fork centrally on forehead and ask patient if louder in right ear, left ear, or no difference.

Question 7

Rinne’s Test

Answer 7

Rinne test – place fork on mastoid process and then in front of the external ear canal, asking patient which is louder.
-place 512Hz tuning fork at the side of the ear not directly in front!!!

Question 8

How to use tuning fork

Answer 8

-WEBERE- use circle to put on head

RINNES- Switch from fork at front to circle on mastoid process