Otologic Pathology Quiz

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Questions and Answers

Which disease can cause sudden SNHL or Ménière-like syndrome?

  • Otogenic syphilis
  • Sarcoidosis
  • Lyme disease (correct)
  • Langerhans histiocytosis

Which autoimmune disease affects the ear, nose, trachea, larynx, and ribs?

  • Polyarteritis nodosa
  • Rheumatoid arthritis
  • Cogan syndrome
  • Relapsing polychondritis (correct)

Which infectious disease can cause severe SNHL in babies and progressive SNHL in asymptomatic children?

  • Bacterial meningitis
  • Influenza
  • CMV infection (correct)
  • Viral meningitis

Which disease can mimic Meniere disease but progresses more aggressively?

<p>Otogenic syphilis (D)</p> Signup and view all the answers

Which disease can cause end-organ ischemia and is associated with a high risk of hepatitis B?

<p>Polyarteritis nodosa (B)</p> Signup and view all the answers

Which disease is characterized by nonsyphilitic interstitial keratitis and can progress to profound deafness?

<p>Cogan syndrome (B)</p> Signup and view all the answers

Which type of hearing loss can autoimmune diseases like Cogan syndrome, polyarteritis nodosa, rheumatoid arthritis, relapsing polychondritis, and AIED cause?

<p>Both conductive and SNHL (D)</p> Signup and view all the answers

Which disease is an idiopathic, rapidly progressive, bilateral SNHL that may be caused by autoimmune reactions to inner ear antigens?

<p>AIED (C)</p> Signup and view all the answers

Which disease can affect the temporal bone and cause conductive hearing loss?

<p>Langerhans histiocytosis (B)</p> Signup and view all the answers

Which disease is a rare entity characterized by bilateral SNHL that progresses over weeks to months?

<p>AIED (D)</p> Signup and view all the answers

What is the initial therapy for AIED?

<p>High dose corticosteroids (C)</p> Signup and view all the answers

What type of hearing loss can bone diseases cause?

<p>Both conductive and SNHL (C)</p> Signup and view all the answers

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Study Notes

  1. Otogenic syphilis can cause hearing loss and has a poor prognosis.
  2. Lyme disease can cause sudden SNHL or Ménière-like syndrome.
  3. Langerhans histiocytosis, sarcoidosis, and Wegener granulomatosis can cause conductive or SNHL.
  4. Autoimmune diseases like Cogan syndrome, polyarteritis nodosa, rheumatoid arthritis, relapsing polychondritis, and AIED can cause hearing loss.
  5. Cogan syndrome is characterized by nonsyphilitic interstitial keratitis and can progress to profound deafness.
  6. Polyarteritis nodosa can cause end-organ ischemia and is associated with a high risk of hepatitis B.
  7. Relapsing polychondritis affects the ear, nose, trachea, larynx, and ribs.
  8. Rheumatoid arthritis can affect the outer, middle, and inner ear and is associated with an increased risk of SNHL.
  9. AIED is an idiopathic, rapidly progressive, bilateral SNHL that may be caused by autoimmune reactions to inner ear antigens.
  10. AIED may initially affect only one ear and progress to affect both ears, and it may be accompanied by vestibular symptoms.
  11. Infectious diseases are common causes of otologic pathology.
  12. CMV infection can cause severe SNHL in babies and progressive SNHL in asymptomatic children.
  13. Bacterial meningitis can cause bilateral stable SNHL.
  14. Otogenic syphilis can mimic Meniere disease but progresses more aggressively.
  15. Langerhans histiocytosis can affect the temporal bone and cause conductive hearing loss.
  16. Granulomatous diseases commonly cause conductive hearing loss.
  17. AIED is a rare entity characterized by bilateral SNHL that progresses over weeks to months.
  18. Diagnosis of AIED relies on clinical evaluation and immunologic markers.
  19. Initial therapy for AIED is high dose corticosteroids.
  20. Bone diseases can cause both conductive and SNHL.

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