FNP2 Quiz 1 Ears

Hearing screening should be done by ______.

Dx of hearing loss should be done by _________.

Entry into early intervention services for hearing loss should be done by ______.

Measures the initiation of sound-induced electrical signals in the cochlea.

Measures response of inner ear to brief clicks or tones.

Test used if child does not pass Otoacoustic Emissions (OAE).

Measures functioning of the peripheral auditory system and neurologic pathways r/t hearing.

At what age should a child startle to loud sounds, quiet to mother's voice, cease activity momentarily when sound is made at conversational level?

At what age should a child correctly localize to a sound & begin to imitate sounds?

At what age should a child correctly localize sound in ANY plane & respond to name?

At what age should a child point toward unexpected sound or to familiar persons when asked?

At what age should a child follow simple directions?

At what age should a child point to body parts when asked?

Most common culprits of acute otitis media?

Acute infection of the middle ear.

Dx of acute otitis media requires presence of what three things?

In which cases of acute otitis media is observation an option rather than abx?

In which cases is abx therapy recommended for AOM?

First line tx for AOM.

Concominant conjunctivitis with AOM with a blister on the ear drum (Bullous Myringitis), what is most likely the cause?

Otorrhea w/ erythematous TM should prompt what thoughts?

Tx for Otitis Media w/ Effusion

Champagne bubbles means what?

IF you notice redness and swelling over the mastoid process, what does this mean?

Dx of otitis externa is ALWAYS assoc with what?

Pain when pulling pinna or pressure over tragus indicates what?

Tx for otitis externa.

Avoid ________ when treating otitis externa. Why?

Itching as a precursor to pain is a s/s of?

Erythema, thick clumpy otorrhea; cerumen is white and soft/cheesy; palpable tender lymph nodes periauricular.

An epidermal inclusion cyst of middle ear or mastoid (cauliflower-like).

_______ can occur with acute URI, eustachian tube dysfunction or before/after AOM.

New onset otorrhea not due to otitis external, or on TM visualization.

Mild bulging of TM and recent (less than 48 hrs) onset of ear pain or intense erythema of TM.

Kids older than 6 mos should only be prescribed abx for AOM when?

When would you use amox/clavulanate to tx AOM?

_______ can cause an auricular DO with calcification of cartilage/painless nodules.

Painless uric acid crystal deposits in external ear.

Hard nodules in the external ear can be secondary to __________.

Presents as a blue doughy mass and, if not drained, can result in "cauliflower ear"

Fusion of the stapes over the oval window; common cause of hearing loss in older adults; can be surgically corrected.

caused by DO of the cochlea and tretrocochlear region including the auditory nerve and its connection to the brainstem.

__________ is the principal cause of cochlear damage.

Gradual degeneration within the cochlea; occurs with aging. How is this treated?

__________ is sensorineural hearing loss accompanied by vertigo.

Retrocochlear sensorineural hearing loss involves what three things?

___________ can be sequelae of CNS infection, CV injury, demyelinating diseases, or neoplasms.

Normal threshold of hearing.

At _____ dB, there is difficulty hearing faint or distant speech and requires favorable seating.

At _____ dB, normal speech is understood at 3-5 feet.

At _____ dB, loud voices can be heard at one foot from the ear.

Rushing, pulsating, humming sound with positional changes is called _______ and can indicate what?

Tinnitus is often accompanied by _______ hearing loss.

Severe vertigo, n/v, aggravated by head movement; possible tinnitus & hearing loss.

Most severe symptoms of labyrinthitis subside when?

What symptom may recur for months with labyrinthitis?

labyrinthitis commonly occurs after what?

What is often a severe symptom with labyrinthitis?

___________ can cause similar symptoms as labyrinthitis but does not affect hearing.

___________ is almost always present upon PE for labyrinthitis.

Tx of labyrinthitis.