study guide 3

Question 1

______is a record of a person’s background info, hearing history obtained at the initial appointment; first contact you have with patients where you find out where they feel that they have problems

Answer 1

case history

Question 2

case history should contain 5 major components

Answer 2

demographics
hearing and balance concerns
otologichistory
medical background
medications

Question 3

questions one can ask during a case history

Answer 3

when was the symptom first noticed?
how severe is the symptom?
is the symptom present in one or both ears?
has the symptom improved or worsened over time?
is the symptom constant or intermittent?

Question 4

ringing in the ears ; internally generated sound which is perceived as originating from one or both ears

Answer 4

tinnitus

Question 5

one ear may or may not be worse than the other

Answer 5

hearing loss

Question 6

ear pain

Answer 6

otalgia

Question 7

discharge

Answer 7

otorrhea

Question 8

spinning sensation (dizziness imbalance )

Answer 8

vertigo

Question 9

what usually causes tinnitus ?

Answer 9

hearing loss or noise exposure

Question 10

rushing associated with vascular event on or around the ear

Answer 10

pulsatile

Question 11

nonpulsatile refers to

Answer 11

ringing

Question 12

the visual inspection of the pinna mastoid process, the EAM, and the tympanic membrane

Answer 12

otoscopyis

Question 13

during an otoscopy one uses an

Answer 13

otoscope

-always go with the larger tip

Question 14

3 parts of the otoscope

Answer 14

the handle- power for the light source
the head- lightbulb and magnifying lenses
the cone- specula

Question 15

for adult otoscopy one pulls the pinna ___ and _____

Answer 15

up and back to straighten the EAC

Question 16

for children one pulls the pinna _____ and _____

Answer 16

down and back to the straighten the EAC

Question 17

labels for the cerumen

Answer 17

occluding, excessive, minimal,none

Question 18

in evaluating the tympanic membrane….. one should make sure it is

Answer 18

light grey, pink, and very shiny
the cone of light should be easily visible
notice if any air fluid lines, bubbles, and retractions are visible

Question 19

what is the purpose of pure tone testing?

Answer 19

to determine the type, extent ( severity), and configuration of a patient’s hearing loss

Question 20

what is the goal of air conduction audiometry?

Answer 20

to determine the amount, degree, or severity of the hearing loss.

• how severe is the hearing loss?
• is a hearing loss present?

Question 21

what is the special number?

Answer 21

5

Question 22

what is the goal of bone conduction audiometry?

Answer 22

to determine the type of hearing loss present

Question 23

what are the types of hearing loss

Answer 23

conductive
sensorineural
mixed

Question 24

what is the transducer used to perform bone conduction

Answer 24

the bone oscillator

Question 25

the bone conduction pathway bypasses the outer and middle ear and directly stimulates the ________

Answer 25

cochlea

Question 26

AC one uses the

Answer 26

headphones, inserts, speakers

Question 27

BC one uses the

Answer 27

bone oscillator

Question 28

we plot responses using an

Answer 28

audiogram

Question 29

the x axis of an audiogram measures

Answer 29

frequency 250- 8000 Hz

Question 30

the y axis of an audiogram measures

Answer 30

intensity from -10db HL to 110dB HL

Question 31

softest level the patient is able to hear a tone

Answer 31

threshold

Question 32

bone conduction label is

Question 33

the degree or severity of the Hearing loss can be described in what categories?

Answer 33

``` Slight Mild moderate Moderately severe Severe Profound ```

Question 34

what denotes conductive hearing loss ?

Answer 34

normal BC scores Abnormal AC scores ABG of 15 dB or Greater issues exist with either the outer ear, middle ear, or both

Question 35

what is the ABG?

Answer 35

the Air bone gap or the gap between the AC threshold and BC threshold

Question 36

what denotes sensorineural hearing loss ??

Answer 36

abnormal BC scores Abnormal Ac scores No ABG Issues exist in the inner ear and or beyond (auditory nerve, brainstem)

Question 37

what denotes mixed hearing loss ??

Answer 37

abnormal BC scores Abnormal AC scores ABG present Issues exist with OE/ME and inner ear/ beyond

Question 38

what is the configuration of hearing loss??

Answer 38

the overall shape of the audiogram

Question 39

ways to describe configuration?

Answer 39

Flat Sloping steeply Sloping noise notch (typically at 4000 Hz)