Paediatric ENT Flashcards

(31 cards)

1
Q

what causes sound?

A

oscillating molecules set in motion by vibration

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2
Q

what does the frequency of a sound dictate?

A

pitch

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3
Q

what does the amplitude of a sound dictate?

A

intensity

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4
Q

name the minimum and maximum amount of Hz that a human can hear

A

20Hz-20,000Hz

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5
Q

what part of the ear is seen as a “receiver”?

A

external part of ear

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6
Q

what part of the ear is seen as the “transducer”?

A

inner ear

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7
Q

what part of the ear is seen as the amplifier mechanism?

A

middle ear

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8
Q

what type of wave is a sound wave?

A

sin

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9
Q

what is the tympanic membrane also known as?

A

eardrum

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10
Q

what is the tympanic membrance : oval window ratio?

A

18 : 1

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11
Q

what is the ECOLI mnemonic and what does it describe?

A
Eighth cranial nerve eg wave 1
Cochlear nucleus
Olivary complex (superior)
Lateral lemniscus
Inferior colliculis eg wave 5

the ascending order of structures that corresponds to each waveform in an auditory brainstem response (ABR) tracing

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12
Q

how many weeks into gestation can foetuses hear?

A

18 weeks

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13
Q

how many weeks into gestation can foetuses respond to sound/voice?

A

26 weeks

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14
Q

what is the ratio of children will have severe hearing loss at birth?

A

1 in 1000

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15
Q

give an example of syllable deletion by a child?

A

nana instead of banana

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16
Q

when should you investigate delayed speech?

A

if the baby is 6 months behind the checkpoint

17
Q

when should a child with delayed speech be referred to SALT?

18
Q

do bilingual children take longer or shorter to speak their first words?

19
Q

what happens in auditory processing disorder?

A

ear and brain are normal but don’t understand words

20
Q

what neurodevelopmental disorders can present with delayed speech?

A

ADHD
autism spectrum disorder
verbal dyspraxia
developmental delay

21
Q

out of the children presenting with hearing loss at birth, what percentage are caused by genetics?

A

50% genetic

50% acquired

22
Q

when are children screened for hearing loss?

A

first 2 weeks of life

23
Q

what do inner hair cells do?

24
Q

what do outer hair cells do?

A

receive impulses from brain to modulate sounds

25
what is an OAE?
otoacoustic emission/sound
26
how is early hearing loss treated?
cochlear implant
27
most common cause of congenital hearing loss?
non-syndromic (linked to mutation in the genes coding for inner ear proteins)
28
what symptom other than hearing loss does usher syndrome present with
retinitis pigmentosa
29
what symptom other than hearing loss does pendred syndrome present with?
goitre
30
what symptoms other than hearing loss does alport syndrome present with?
eye abnormalities progressive renal disease haematuria
31
how are most ear syndromes inherited?
autosomal recessive inheritance