Assess Unit 2, Ch 15 Ears

Front 1

Binaural interaction at the level of the brain stem permits what to occur?

Back 1

identification and location of the direction of the sound

Front 2

When an otoscope examination is performed on an elderly client, the tympanic membrane may be observed to be what?

Back 2

whiter than expected

Front 3

The Weber test is generally performed on an individual who complains of

Back 3

hearing better in one ear than the other

Front 4

What are the functions of the middle ear?

Back 4

sound conduction

reduction of sound amplitude

pressure equalization

Front 5

At the peripheral level of hearing, what takes place?

Back 5

conversion of vibrations into electrical impulses

Front 6

Mr. Rucker is a 57-year-old patient who presents with a complaint of hearing difficulties. As the health care provider, you know that a conductive hearing loss occurs when

Back 6

a mechanical dysfunction of the external or middle ear occurs

Front 7

The labyrinth of the inner ear is responsible for maintaining the body's:

Back 7

equilibrium

Front 8

Mrs. Kitts is a 29-year-old patient who is in her first trimester of pregnancy. During her examination, she brings up concerns about exposure to rubella. As the health care provider, you explain that, if she contracts rubella, her developing fetus is at risk for damage to what?? (Note: This damage could lead to hearing impairment.

Back 8

Organ of Corti

Front 9

A condition in which conductive hearing loss occurs as a result of gradual hardening of the foot plate of the stapes is identified as:

Back 9

otosclerosis

Front 10

An individual who may act irritable or show a startle reflex when hearing a raised voice is demonstrating

Back 10

recruitment

Front 11

Mrs. Saturen is a 53-year-old patient who comes to the clinic for a routine follow-up examination. During your assessment, you notice the patient behaves in a manner that is a clue to the possibility of hearing loss. What behavior did you observe?

Back 11

the patient's voice had a flat, monotonous tone

Front 12

The eardrum is connected to which of the middle ear ossicles?

Back 12

malleus

Front 13

Mr. and Mrs. Caper bring their son to the office for a routine examination. What would best describe ears that appear larger than expected (> 10 cm vertically)?

Back 13

macrotia

Front 14

During examination of a 39-year-old female patient, you ask her to swallow while holding her nose (insufflation). This procedure is performed to assess the:

Back 14

mobility of the tympanic membrane

Front 15

When testing the hearing of a newborn infant, what responses should you observe after the examiner makes a loud noise, such as a hand-clap?

Back 15

the infant displays the startle (Moro) reflex

Front 16

Which of the following separates the middle ear from the external ear?

Back 16

tympanic membrane

Front 17

The nasopharynx is connected to the middle ear by the:

Back 17

eustachian tube

Front 18

The middle ear functions to:

Back 18

reduce amplification of sound to protect the inner ear

Front 19

The vestibule and the semicircular canals of the inner ear are primarily responsible for:

Back 19

equilibrium

Front 20

Binaural interaction at the level of the brain stem permits what to occur?

Back 20

identification and localization of the direction of the sound

Front 21

Bone conduction of sound permits direct transmission of sound from the bone to:

Back 21

CN VIII

Front 22

Mr. Scotts is a 38-year-old patient who was diagnosed with a perforated tympanic membrane in the emergency room. He comes to the clinic for follow-up. An individual with this condition is at risk for experiencing what type of hearing loss?

Back 22

conductive

Front 23

What individuals would be most at risk for developing presbycusis?

Back 23

A 75-year-old individual who lives in an assisted-living apartment

Front 24

Mrs. Oliver is a 52-year-old patient who complains of hearing loss. During your assessment, you determine that she has tinnitus. What must the examiner consider as possible causes?

Back 24

medications

Front 25

what order should you do the ear exam in?

Back 25

inspection

otoscopic exam

palpation

hearing tests

Front 26

ears smaller than 4cm vertically

is called

Back 26

microtia

Front 27

ears larger than 10cm veritcally

is called

Back 27

macrotia

Front 28

pain with auricle movement occurs with what?

Back 28

otitis externa and furuncle

Front 29

pain at the mastoid process occurs with what?

Back 29

mastoiditis or lymphadentitis

Front 30

absence or closure of the ear canal

Back 30

atresia

Front 31

purulent otorrhea suggests what?

Back 31

otitis externa or media if the drum has ruptured

Front 32

light reflex where on the tympanic membrane?

Back 32

5 o'clock in the right ear

7 o'clock in the left

Front 33

yellow-amber colored drum occurs with what?

Back 33

otitis media with effusion

Front 34

red colored drum occurs with what?

Back 34

acute otitis media

Front 35

air/fluid level or air bubbles behind drum indicate what?

Back 35

otitis media with effusion

Front 36

perforation of the TM shows as what?

Back 36

a dark oval area or as a larger opening on the drum

Front 37

Weber test

tests for

Back 37

sound lateralization (sounds louder in the ear with lateralization)

Front 38

Rinne test

normals

Back 38

AC > BC
2 : 1

Front 39

Romberg test

tests what?

Back 39

the ability of the vestibular apparatus in the inner ear to help maintain standing balance

Front 40

low set ears or deviation in alignment

may indicate what?

Back 40

retardation

a genitourinary malformation

Front 41

ears should be positioned within how many degrees of vertical

Back 41

10*

Front 42

what direction do you pull the adult pinna?

Back 42

up and back

Front 43

what direction do you pull the child pinna?

Back 43

straight down

Front 44

newborn

hearing acuity

Back 44

startle (Moro) reflex

acoustic blink reflex

Front 45

3 to 4 months

hearing acuity

Back 45

acoustic blink reflex

infant stops movement and "listens"

halts suckling

cries/stops crying

Front 46

6 to 8 months

hearing acuity

Back 46

turns head to localize sounds

responds to own name

Front 47

no intelligent speech by what age is abnormal?

Back 47

2 years

Front 48

frostbite

symptoms

Back 48

reddish blue discoloration and swelling of auricle

ear necrosis may ensue

Front 49

otitis externa

symptoms

Back 49

swimmer's ear

severe painful movement of pinna and tragus

Front 50

otitis externa

causes

Back 50

infection of the outer ear

prevent by using rubbing alcohol or 2% acetic acid eardrops

Front 51

branchial remnant and ear deformity

symptoms

Back 51

skin tag

occur mostly in preauricular area

Front 52

if skin tags are bilateral, there is an increased risk of what?

Back 52

renal anomalies

Front 53

cerebrospinal fluid otorrhea

symptoms

Back 53

oily fluid

tests positive for glucose

Front 54

sebaceous cysts

symptoms

Back 54

commonly behind lobule

nodule filled with central black punctum indicates locked sebaceous gland

filled with waxy sebaceous materal

often multiple

Front 55

sebaceous gland

causes

Back 55

blocked sebaceous gland

Front 56

tophi

symptoms

Back 56

small, whitish-yellow, hard, nontender nodules in or near helix or antihelix

contain greasy, chalky material of uric acid crystals

Front 57

tophi causes

Back 57

gout

Front 58

chondrodermatitis nodularis helicus

symptoms

Back 58

painful nodules on the rim of the helix

small, indurated, dull red, poorly defined, very painful

Front 59

chondrodermatitis nodularis helicus

causes

Back 59

repetitive mechanical pressure or environmental trauma

Front 60

keloid

symptoms

Back 60

overgrowth of scar tissue

common in dark-skinned people

at ear, most common at lobule at the site of a pierced ear

Front 61

keloid

causes

Back 61

scar tissue

Front 62

carcinoma

symptoms

Back 62

ulcerated crusted nodule with indurated base that fails to heal

bleeds intermittently

refer for biopsy

Front 63

osteoma

symptom

Back 63

single, stony hard, rounded nodule that obsures the drum

nontender

overlying skin appears normal

attached to inner third, the bony part, of canal

benign

Front 64

exostosis

symptoms

Back 64

more common than osteoma

small,body hard, rounded nodules of hypertrophic bone, covered with normal epithelium

arise near drum but usually do not obstruct the view

Front 65

furuncle

symptoms

Back 65

painful, reddened, infected hair follicles

occur on tragus or on cartilaginous part of ear canal

Front 66

polyp

symptoms

Back 66

redder than surrounding skin

bleeds easily

foul, purulent discharge

Front 67

polyp

causes

Back 67

chronic ear disease

Front 68

yellow-amber color of ear drum

indicates what?

Back 68

serum or pus

Front 69

prominent landmarks of ear drum

indicates what?

Back 69

retraction of drum

Front 70

air/fluid level or air bubbles of ear drum

indicates what?

Back 70

serous fluid

Front 71

absent or distorted light reflex of ear drum

indicates what?

Back 71

bulging of eardrum

Front 72

bright red color of ear drum

indicates what?

Back 72

infection in middle ear

Front 73

blue or dark red color of ear drum

indicates what?

Back 73

blood behind drum

Front 74

dark oval areas of ear drum

indicates what?

Back 74

perforation

Front 75

white dense areas of ear drum

indicates what?

Back 75

scarring

Front 76

diminished or absent landmarks of ear drum

indicates what?

Back 76

thickened drum

Front 77

black or white dots on drum or canal

indicates what?

Back 77

colony of growth

Front 78

yellow-amber color of ear drum

suggested condition

Back 78

serous otitis media

chronic otitis media

Front 79

prominent landmarks of ear drum

suggested condition

Back 79

negative pressure in middle ear from an obstructed EUSTACHIAN tube

Front 80

air/fluid level or air bubbles

suggested condition

Back 80

serous otitis media

Front 81

absent or distorted light reflexes of ear drum

suggested condition

Back 81

acute otitis media

Front 82

bright red color of ear drum



suggested condition

Back 82

acute purulent otitis media

Front 83

blue or dark red color of ear drum

suggested condition

Back 83

trauma

skull fracture

Front 84

dark oval areas of ear drum

suggested condition

Back 84

drum rupture

Front 85

white dense areas of ear drum

suggested condition

Back 85

sequelae of infections

Front 86

diminished or absent landmarks of ear drum

suggested condition

Back 86

chronic otitis media

Front 87

black or white dots on drum or canal

suggested condition

Back 87

fungal infection

Front 88

Weber test

sound lateralizes to which ear?

Back 88

the better ear

Front 89

3 parts of the ear

Back 89

external

middle

inner

Front 90

function of the external auditory canal

Back 90

funnels soundwaves into the ear

Front 91

function of middle ear

Back 91

transmit soundwaves to inner ear

Front 92

parts of the middle ear

Back 92

malleus

incus

stapes

Front 93

infection of the bony labyrinth causes what?

Back 93

dizziness

Front 94

function of the cochlea

Back 94

transmit sound waves from inner ear to CN VIII (8)

Front 95

the main organ of hearing

Back 95

organ of corti

Front 96

which nerve is responsible for hearing?

Back 96

CN VIII (8)

Front 97

a mechanical dysfunction of the external or middle ear is what kind of hearing loss?

Back 97

conductive

Front 98

presbycusis may cause what kind of hearing loss?

Back 98

sensorineural

Front 99

how might the TM appear in a newborn?

Back 99

thick and opaque

Front 100

describe the eustachian tube in the infant?

Back 100

shorter & wider

more horizontal

Front 101

common cause of conductive hearing loss in young adults

Back 101

otosclerosis

Front 102

decreased/fixed mobility of ossicles

is called what?

Back 102

otosclerosis

Front 103

a gradual sensorineural loss caused by nerve degeneration in the inner ear or auditory nerve

Back 103

presbycusis

Front 104

otitis media incidence is higher in what groups of people?

Back 104

Native Americans
Hispanics
Alaskan

Front 105

middle ear infection

is also known as

Back 105

otitis media

Front 106

hearing loss is highest among what group?

Back 106

Mexicans

Front 107

if maternal rubella occurs during the first trimester of pregnancy, it can damage what?

Back 107

the organ of carti

impairs hearing

Front 108

aminglycosides, if taken in the first trimester, can can affect the fetus how?

Back 108

hearing loss

Front 109

tinnitus

can be caused by what medications?

Back 109

non-steroidal anti inflammatories

aspirin

aminoglycosides

certain antibiotics

Front 110

when it feels like the ROOM spins, it is what kind of vertigo?

Back 110

objective

Front 111

when it feels like the PERSON spins, it is what kind of vertigo?

Back 111

subjective

Front 112

what is considered recurrent otitis media in infants?

Back 112

3 episodes in 3 months

4 episodes in a year