Phys Dx (Ears)

Front 1

A firm, nodular, hypertrophic mass of scar tissue extending beyond the area of injury.

Back 1

Keloid

Front 2

A chronic inflammatory lesion that starts as a painful, tender papule on the helix or antihelix.

Back 2

Chondrodermatitis Helicis

Front 3

A deposit of uric acid crystals characteristic of chronic tophaceous gout.

Back 3

Tophi

Front 4

Where on the ear is tophi found?

Back 4

Helix or antihelix

Front 5

Formerly called a Sebaceous cyst.

Back 5

Cutaneous cyst

Front 6

A dome-shaped lump in the dermis that forms a benign closed firm sac attached to the epidermis.

Back 6

Cutaneous cyst

Front 7

A raised nodule, common slow-growing malignancy that rarely metastisized.

Back 7

Basal cell carcinoma

Front 8

Small lumps on the helix or antihelix, also seen on the hands, along the surface of the ulna, and knees and heels.

Back 8

Rheumatoid nodules

Front 9

Normal color of the tympanic membrane.

Back 9

Pearly whitish-gray

Front 10

The 2 classifications of perforations of the drum.

Back 10

1. Central - does not involve the margin
2. Marginal - involves the margin

Front 11

Which classification of drum perforation is more common?

Back 11

Central

Front 12

A reddened ring of granulation tissue surrounding a perforation of the eardrum would indicate what?

Back 12

Chronic infection

Front 13

A deposition of hyaline material within the layers of the typanic membrane that sometimes follows a severe episode of otitis media.

Back 13

Typanosclerosis

Front 14

A condition resulting from the eustachian tube not being able to equalize the air pressure, resulting in the air of the middle ear being absorbed into the bloodstream (bubbles sometimes seen).

Back 14

Serous effusion
(can have popping, fullness, or pain)

Front 15

Primary cause of Acute otitis media with purulent effusion.

Back 15

Bacterial infection

Front 16

A viral infection characterized by painful hemorrhagic vesicles that appear on the typanic membrane, the ear canal, or both.

Back 16

Bullous myringitis

Front 17

In conductive hearing loss, would hearing improve or worsen in noisy environments?

Back 17

Improve
(sensorineural type would worsen)

Front 18

In conductive hearing loss, would the voice become louder or quieter?

Back 18

Softer, b/c the inner ear and cochlear nerve still intact
(opposite is true for Sensorineural type)

Front 19

During a Weber test of conductive hearing loss, will sound lateralize to the impaired ear or good ear?

Back 19

Impaired ear
(lateralizes to good ear in sensorineural loss)

Front 20

During a Rinne test of conductive hearing loss, will bone conduction be more or less than air conduction, and is this considered a positive or negative test result?

Back 20

BC more than or equal to AC, Negative
(AC more than BC in normal ear or sensorineural loss, Positive)

Front 21

Is viral labyrinthitis considered conductive or sensorineural loss?

Back 21

Sensorineural (adult)

Front 22

Is prebycusis considered conductive or sensorineural loss?

Back 22

Sensorineural (adult)

Front 23

Is otosclerosis considered conductive or sensorineural loss?

Back 23

Conductive (adult)

Front 24

Accounts for 50% of all deafness in children.

Back 24

Congenital

Front 25

Formation of new bone in the labyrinth, causing fixation of the stapes to the oval window.

Back 25

Otosclerosis

Front 26

With the exception of what condition, conduction hearing loss alters the appearance of the tympanic membrane.

Back 26

Otosclerosis

Front 27

Name 5 possible causes of vertigo.

Back 27

Otologic
Psychologic
Neurologic
Iatrogenic
Meniere's

Front 28

What is the clinical triad of Meniere's disease?

Back 28

Vertigo
Tinnitus
Hearing loss

Front 29

"Swimmer's ear"

Back 29

Otitis externa

Front 30

Will inflammation or neoplasm along CNs V, VII, IX, or X refer pain to contra or ipsilateral ear?

Back 30

Ipsilateral

Front 31

A buzzing or ringing sound.

Back 31

Tinnitus

Front 32

Is tinnutis associated with conductive or sensorineural loss?

Back 32

Either

Front 33

Is Bullous myringitis associated with the external, middle, or internal ear?

Back 33

External

Front 34

Would vascular anomalies present as pulsatile or non-pulsatile?

Back 34

Pulsatile

Front 35

Would Bullous myringitis present as pulsatile or non-pulsatile?

Back 35

Pulsatile

Front 36

What direction would you pull a child's ear to straighten the auditory canal and opposed to an adult?

Back 36

Child - Posterior-Inferior
Adult - Posterior-Superior

Front 37

T or F
You may hold the otoscope straight up or straight down while examining an adult.

Back 37

True
(only straight down for children)

Front 38

The light reflex should appear in what directiion from the pars tensa?

Back 38

Anteroinferior

Front 39

The long process of the incus is normally anterior or posterior of the malleolus?

Back 39

Posterior

Front 40

When performing a pneumatic otoscopy, what will happen to the tympanic membrane if the eustachian tube is obstructed?

Back 40

Retracts, sluggishly moving inward

Front 41

When performing a pneumatic otoscopy, what happens to the tympanic membrane if there is fluid in the middle-ear?

Back 41

Decreasing or no movement, Bulging

Front 42

T or F
Pulling on the auricle or tragus during examination on a patient with acute otitis media, it will likely be painful.

Back 42

False
(pain will present with acute otitis externa)

Front 43

How will the tympanic membrane appear with acute otitis externa?

Back 43

Normal

Front 44

How will the tympanic membrane appear with acute otitis media?

Back 44

Fiery red and bulging

Front 45

Is secretory otitis media more commonly found in adults or children?

Back 45

Adults

Front 46

Will the tympanic membrane retract or bulge with secretory otitis media?

Back 46

Retract
(air becomes trapped in middle-ear, amber in color)

Front 47

When will you get a false negative Rinne test?

Back 47

Total deafness of an ear.
(when on mastoid it transmits across skull to good ear)

Front 48

What kind of otorrhea (discharge) do you expect to see with a skull fracture?

Back 48

CSF, clear watery, does not mix with blood

Front 49

What segments of the cervical spine may refer pain to the ear area?

Back 49

C2-3

Front 50

Itching.

Back 50

Pruritis

Front 51

Can systemic diseases such as diabetes, hepatitis, lymphoma, or uremia cause pruritis of the ear?

Back 51

Yes

Front 52

Exam sequence.

Back 52

1. External exam
2. Otoscope evaluation
3. Auditory acuity

Front 53

T or F
The lateral canthus of the eye shoud approximate the superior portion of the ear.

Back 53

True

Front 54

If a patient presents lateralization to the left ear during a Weber, and Rinne shows right ear AC>BC and left ear BC>AC, what is the diagnosis?

Back 54

Left conductive deafness

Front 55

If a patient presents lateralization to the right ear during a Weber, and Rinne shows right ear AC>BC and left ear AC>BC, what is the diagnosis?

Back 55

Left sensorineural deafness

Front 56

What would the following generalized colors of the tympanic membrane indicate?
White, yellowish
Red, pinkish
Amber, straw
Transparent

Back 56

White, yellowish: Exudates
Red, pinkish: Inflammation
Amber, straw: Transudate
Transparent: Large perforation

Front 57

What would the following localized colors of the tympanic membrane indicate?
White
Red
Black

Back 57

White: Fibrosis or otosclerosis
Red: Fresh wax or new perforation
Black: Perforation on periphery

Front 58

Is lymphadenopathy frequent in acute otitis media or externa?

Back 58

Acute otitis externa

Front 59

Is fever associated with acute otitis media or externa?

Back 59

Both