1.

512 hz on mastoid - count - raise hand

when can't hear anymore, hold fork in
front of ear - count - raise hand when can't
hear anymore
count should be 2:1 (44:22), (+) = normal -
air conduction lasts twice as long as bone
conduction OR (-) = abn - ratio off.
SHOULD BE SAME FOR BOTH EARS
Rinne test
2. amber beer like fluid behind tm otitis media
w/ effusion
see air
bubble w/
fluid
3. Any discharge from the external ear Otorrhea
4. balance test rhomberg
5. benign growth of the ear polyps
6. bilateral hearing loss bad ear on
both sides
in rub test
7. bilateral nerve deficit rub =
shorter
distance
bilaterally
weber = no
clue b/c
sound is
bilateral
rinne =
mastoid ok
but count
down
8. bilateral nerve problem in weber test looks like
(-) weber
correlate
rub test to
see if really
bilateral
9. blocked eustachian tube more
common in
kids
clogging =
intermit
pain
results in
hearing
deficit
infection....
otitis media
w/ effusion
10. Bulging ear drum spreads the cone of light
and is caused by
pus from
suppurative
otitis media
11. Cauliflower ear is cause by trauma: healed hematoma
12. conduction deafness can hear bone
not air conduction
13. Conduction deafness, Causes
coughing in children and can also
cause Vertigo or Tinnitus
Cerumen
14. cone of light points to
chin/jaw,
changes w/
bulding/
retraction of tm,
retracted -
narrows col,
buldging/scattered
- otitis media
15. Cone of light normally points to the chin
16. deposits of hyaline in the TM and
indicates a past problem of tm /
severe otitis media
tympanosclerosis
17. Desquamated keratin, young pt,
severe pain, mild decreased hearing,
bronchitis/sinusitis
keratosis obturans
18. determine bad ear w/ rub test, 512 hz
turning fork , "do you hear this more
in rt, left or both ears equally?" ,
place tuning fork on middle of head:
(-) normal = sounds are equal in
both ears OR (+) sound goes to R or
L ear
weber test
19. faster growing carcinoma squamous cell
carcinoma
20. fungus in the external ear otomycosis
21. hearing tests rub
weber
rhine
22. imbalance of endolymph production meniere's disease
23. inner ear (labyrinth) cochlea
organ of corti
vestibule
vestibular
apparatus
(semi circular
canals)
nerves
EENT - EAR - LCCW
Study online at quizlet.com/_5uosc
24. Inspection of the External ear
includes:
BLEDS3
Bilaterally look for
Lesions
Deformities
Exudates
Size
Shape
Symmetry
25. lesion of cn 8 dizzyness
nystagmus
decreased hearing
26. less painful than acute and
MUST have perforated
eardrum
chronic suppurative
otitis media
27. localizes to good ear sensory nerve damage
on bad ear
28. localzies to bad ear conduction loss on bad
ear
29. middle ear tympanic membrane to
oval and round windows
30. middle ear ossicles malleous
incus
stapes
31. more common than meniere's
dx
acute toxic labyrinthitis
32. muscles of middle ear stapedius (VII)
tensor tympani (V)
33. name 3 types of otitis media otitis media w/ effusion
or Serous Otitis Media,
acute suppurative otitis
media,
chronic suppurative
otitis media
34. nausea and projectile vomiting
is caused by
brainstem lesion
35. not visible thru tm stapes
36. otitis media commonly is.... usually refers to acute
suppurative version
37. otitis media w/ effusion blockage infection of
eustachian tube
not as painful as
suppurative version
38. painful nodules cutaneous cyst,
hematoma (trauma)
39. painless nodules gouty tophi,
leprosy/hansen's
dx,
basal cell
carcinoma,
keloid,
squamous cell
carcinoma,
exostosis,
Rheumatoid
nodules
40. Palpation of the external ear includes Masses,
Tenderness,
Nodules:
painful/painless,
Push Tragus,
Pull Pinna,
Push Mastoid
41. perforations ...
42. polyps are most commonly caused by chronic otitis
externa
43. pt seated eyes closed, dr stands, test
they can hear fingers, move slowly
away to arms length from pt head,
normal = arms length away,
(+) = abnormal , less than arms
length, bad ear = short side.
rub test
44. Pulling the Pinna and causes pain
indicates
otitis Externa
45. Pushing on the mastoid and causes
pain indicates
mastoiditis
46. red reflex vasodilation of
bv
47. Retracted TM has a narrow cone of
light and is caused by
a blocked
eustachian tube
48. risk factors for acute toxic
labyrinthitis or meniere's dx?
large Amt of
alcohol
hx of allergy
fatigue
viral, resp, ear
infections
smoking
stress
medications
49. self limiting inner ear issues? acute toxic
labyrinthitis
meniere's dx
50. sesorineural deafness can hear nothing
51. severe vertigo, loss of balance,
unilateral hearing loss, tinnitus,
nystagmus, self limiting - 6-8weeks.
acute toxic
labyrinthitis
52. stapedius smallest skeletal
mm in body
acts on smallest
bone
cn VII
dampens noise
by acting on
stapes bone
53. suppurative otitis media severe throbbing
ear
fever
buldging, beefy
red tm
decreased
hearing from
pus
mastoiditis can
be caused
tm bursts =
chronic = pain
relieve w/
ruptured tm
54. surfers ear exostosis
55. swimmers ear otitis externa
56. swimmers/ chronically wet ears,
fungus, painful to move pinna, milder
than media,
crusty, red, smelly ear canal.
otisis externa
57. tinnitus, vertigo, decreased hearing,
UNILATERAL, permanent hearing
loss, can't get out of bed, lasts months
to YEARS:
meniere's
disease
58. TM pars tensa
pars flaccida
59. TM landmarks malleus
handle of
malleus
incus
umbo
pars tensa
pars flaccida
----------------
if too clear = tm
contracted
if
diffuse/scattered
light = tm
budging
60. trauma causes vertigo
tinnitus
decreased
hearing
61. tympanic membrane color - normal =
gray/pink
position -
buldging/retracted
landmarks -
perforations -
fluid level - normal =
none, abn =
obstruction
cone of light - should
angle towards jaw
62. very painful ear acute suppurative
otitis media
63. viral inflammation of labyrinth acute toxic
labyrinthitis
64. when Pushing the tragus and
plugging the EAM, you are
checking for
Otitis Media