Hearing Disorders: Patient Evaluation Part 2
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Questions and Answers

What condition is characterized by the absence of a cochlea?

  • Eustachian Tubal Dysfunction
  • Mondini Malformation
  • Michelle Aplasia (correct)
  • Cochlear Ossification
  • Which diagnostic tool is mentioned for identifying inner ear malformations?

  • X-Ray
  • Ultrasound
  • MRI Scan
  • CT Scan (correct)
  • What is indicated by the terms 'basal turn' and 'apical turn' in relation to the cochlea?

  • Stages of auditory processing
  • Different types of hearing loss
  • Sections of the cochlear structure (correct)
  • Parts of the eustachian tube
  • In the context provided, what does the abnormal CT scan on the right side depict?

    <p>Complete bony obstruction of the cochlea</p> Signup and view all the answers

    Which of the following describes a characteristic sign of Mondini Malformation?

    <p>A blob-like appearance with a compromised partition</p> Signup and view all the answers

    Which type of treatment might be recommended for patients with significant hearing loss?

    <p>Hearing aids or speech therapy</p> Signup and view all the answers

    What is the term for the sensation of fullness in the ear often reported by patients?

    <p>Aural fullness</p> Signup and view all the answers

    Why is it important to know about a patient's past medical history when dealing with hearing loss?

    <p>To identify possible underlying causes or contributing factors</p> Signup and view all the answers

    What does the presence of tinnitus indicate in a patient?

    <p>There might be a problem with the inner ear</p> Signup and view all the answers

    What might low oxygen levels during birth indicate for a newborn regarding hearing?

    <p>Risk factor for congenital hearing loss</p> Signup and view all the answers

    How does family history contribute to understanding a patient's hearing loss?

    <p>It may reveal patterns of hereditary hearing issues.</p> Signup and view all the answers

    Which of the following symptoms could indicate an ear infection?

    <p>Odorrhoea</p> Signup and view all the answers

    What is a key component of oral logic history in assessing patients' ear complaints?

    <p>Checking for pain or discomfort</p> Signup and view all the answers

    What is a common cause of a perforated eardrum mentioned in the content?

    <p>Q-tip trauma</p> Signup and view all the answers

    During a mouth and throat exam, what is NOT typically examined by SLPs?

    <p>Ear drum condition</p> Signup and view all the answers

    What is the primary purpose of the tuning fork exam?

    <p>To screen and identify potential issues</p> Signup and view all the answers

    What type of tuning fork is most commonly used for Weber and Rinne testing?

    <p>512 hertz</p> Signup and view all the answers

    What does stroboscopy allow SLPs to assess?

    <p>The movement of the larynx</p> Signup and view all the answers

    Which of the following is an example of a scenario where an endoscopic examination might be necessary?

    <p>Evaluating a patient with a cleft palate</p> Signup and view all the answers

    Which of these statements about the Weber test is correct?

    <p>It involves holding the tuning fork at the base to detect vibrations</p> Signup and view all the answers

    What should be inspected during a mouth and throat exam?

    <p>Palate movement</p> Signup and view all the answers

    What is the primary purpose of the Weber test?

    <p>To determine lateralization of sound perception</p> Signup and view all the answers

    How should the tuning fork be positioned in the Weber test?

    <p>On the vertex of the forehead</p> Signup and view all the answers

    What does lateralization to one side during the Weber test indicate?

    <p>Conductive hearing loss in the lateralized ear or sensory neural hearing loss in the opposite ear</p> Signup and view all the answers

    What phenomenon should be observed when occluding the ear during the Weber test?

    <p>Lateralization of sound to the occluded side</p> Signup and view all the answers

    What does a normal hearing result indicate in the Weber test?

    <p>Sound is perceived equally in both ears</p> Signup and view all the answers

    Which type of testing is performed after the Weber test for more precise diagnostics?

    <p>Formal audiogram</p> Signup and view all the answers

    What happens during the Rinne test?

    <p>A comparison of air conduction versus bone conduction is made</p> Signup and view all the answers

    What is the primary effect of a conductive hearing loss during the Weber test?

    <p>Sound is louder in the affected ear</p> Signup and view all the answers

    What is the correct technique for positioning the ear when using an otoscope?

    <p>Pull the ear back gently.</p> Signup and view all the answers

    What shape is the ear canal typically described as?

    <p>S-shaped</p> Signup and view all the answers

    When using a monocular viewer to inspect the ear, what is the recommended approach?

    <p>Close the dominant eye while looking.</p> Signup and view all the answers

    What should you do if the view of the eardrum is obstructed?

    <p>Point up to adjust the angle of view.</p> Signup and view all the answers

    What is the term for the majority area of the eardrum?

    <p>Pars tensa</p> Signup and view all the answers

    What is the purpose of pneumatical otoscopy?

    <p>To move the eardrum and visualize it better.</p> Signup and view all the answers

    In a clinical setting, what might provide a better view than a handheld otoscope?

    <p>Binocular microscope.</p> Signup and view all the answers

    What does the term 'acromatosis' refer to in an otoscopic examination?

    <p>Discoloration in the ear canal</p> Signup and view all the answers

    What should you form with the ear canal when performing pneumatical otoscopy?

    <p>A tight seal.</p> Signup and view all the answers

    Which part of the eardrum is located in the postero inferior quadrant?

    <p>Perforation</p> Signup and view all the answers

    Which of the following statements about binocular and monocular vision is true?

    <p>Binocular vision offers one image with depth information.</p> Signup and view all the answers

    Why is the pars flaccida important during an otoscopic examination?

    <p>It can be a site for potential disease.</p> Signup and view all the answers

    What anatomical structures are typically observed during an otoscopy?

    <p>Malleus, incus, and cone of light</p> Signup and view all the answers

    What does the term 'cone of light' indicate during an otoscopic examination?

    <p>The eardrum is always normal.</p> Signup and view all the answers

    Which area of the eardrum is referred to as the attic?

    <p>Pars flaccida</p> Signup and view all the answers

    What aspect of the eardrum should be described during examination?

    <p>Its texture and thickness</p> Signup and view all the answers

    Study Notes

    Hearing Disorders: Part 2

    • Students will evaluate patients, commonly involving a structured approach
    • Initial step is taking a patient history
    • Examples include asking about unintelligible speech in young children (2-3 years old) or about the duration and progression of hearing problems
    • History, including the presenting problem, is the most important part of the patient interaction
    • Next, a physical examination is generally conducted
    • Often includes otoscopy, visually examining the ear canal and eardrum
    • Additional tests may be needed based on history and exam findings, such as Goldman Fristo articulation test or audiograms
    • Treatments or follow-up plans are developed based on the findings
    • Factors like medical history, surgical history, and medication allergies are also important considerations
    • Family history, especially relevant in genetic conditions associated with hearing loss, is valuable information
    • The various tests for examining a patient's ear are presented
    • Including different kinds of otoscopes and how they are used
    • Including the importance of proper technique and adjusting speculum sizes
    • The need to stabilize patients during otoscopy to prevent discomfort
    • The significance of inspection of the ear
    • Additional components of a holistic evaluation, which may include looking at masses, skin changes, and any asymmetry in the ears
    • Considerations on the auditory canal, its complexities, and importance of the necessary procedures in evaluating hearing loss
    • The need for distinguishing between various audiologic disorders

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    Description

    This quiz covers the evaluation of patients with hearing disorders, focusing on taking patient history and conducting physical examinations. It delves into structured approaches, various tests like the Goldman Fristo articulation test, and considers important factors like medical history and family history. Perfect for students aiming to deepen their understanding of audiology practices.

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