Otoscopy and Screening Results

Question 1

What am I looking for during otoscopy?

Answer 1

“cone of light”
manubrium/malleus
normal color, no blockage from cerumen

Question 2

Criteria for Referral?

Answer 2

• Impacted Cerumen ( completely filled with yellow, brown red color dry, flaky
• Foreign body in ear canal
• Perforation of TM( tympanic membrane)
• Blood in ear canal
• Obvious abnormality

Question 3

Refer for re-screening if the patient passes hearing screening but middle ear status, TW (peak width/ gradient) is _______

Answer 3

> 250 daPa (age 3-12)

Question 4

Refer for re-screening if the patient passes hearing screening but middle ear status, Ytm (peak height) is ___

Answer 4

< 0.2ml

Question 5

When should you refer for medical evaluation?

Answer 5

ear drainage
structural defect (visual inspection)
Cerumen impaction, foreign body, or blood in ear canal (visual inspection)
perforation of tympanic membrane

Question 6

When should you refer a child for a complete Audiological evaluation?

Answer 6

> 20dB at 1000, 2000, 4000 Hz

Question 7

When should you refer an adult for a complete Audiological evaluation?

Answer 7

> 25 dB at 1000, 2000, 4000 Hz

Question 8

If hearing screening is within typical limits- no history of noise exposure/medical concern when should they get rescreened?

Answer 8

Re-screening 10 years

Question 9

If hearing screening is within typical limits- positive history of noise exposure/medical concern when should they get rescreened?

Answer 9

Re-screening 5 years

Question 10

If hearing screening is outside typical limits at any frequency what should happen?

Answer 10

Complete Audiological Examination

Question 11

What happens if Otoscopic examination is atypical

Answer 11

Consult with MD

Question 12

What does Hz measure?

Answer 12

Pitch

Question 13

What does dB HL measure?

Answer 13

Loudness