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Neurology
FA complete review Part 3.5 Otology
Question | Answer |
---|---|
What are the main division of the ear? | Outer ear, Middle ear, and Inner ear |
What accounts for the Outer ear? | Visible portion of ear (pinna), includes auditory canal and tympanic membrane. |
How does the Outer ear transmit sound? | Via vibration of tympanic membrane |
What is the "pinna"? | Visible portion of ear |
What is included, besides the pinna, in the Outer ear? | Auditory canal and tympanic membrane |
What is the Middle ear? | Air-filled space with three bones called the ossicles |
What is the name given to group of three bones found in the Middle ear? | Ossicles |
In which division of ear are the "ossicles" located? | Middle ear |
The auditory canal is in the ______________ ear. | Outer ear |
Which division or part of the ear has the tympanic membrane? | Outer ear |
What are the names of the 3 ossicles? | Malleus, incus, and Stapes |
What is the Malleus? | One of three ossicles (bones) in the middle ear. |
The Malleus, ______________ and ______________, are the ossicles. | Incus and Stapes |
What is the role or function of the ossicles? | Conduct and amplify sound from tympanic membrane to inner ear |
What ear structure(s) is responsible to conduct and amplify sound from the tympanic membrane to the inner ear? | Ossicles |
Snail-shaped, fluid-filled cochlea. | Inner ear |
What part of the ear contains the basilar membrane? | Inner ear |
Vibrates secondary to sound waves | Basilar membrane |
How is vibration transduced in the inner ear? | Via specialized hair cells --> auditory nerve signaling --> brain stem. |
Where in the inner ear does low frequency sounds are heard? | Apex near helicotrema |
What type of frequency is perceived at the cochlea? | High frequency |
Sound heard best at base of cochlea. | High frequency |
What are the two types of hearing loss (diagnostically)? | 1. Conductive hearing loss 2. Sensorineural hearing loss |
What are the two common tests performed to diagnose hearing loss? | Weber test and Rinne test |
What type of hearing loss produces an abnormal Rinne test? | Conductive hearing loss |
Which hearing test when performed it test the localization of sound? | Weber test |
Which type of hearing loss is seen with Weber test that localized sound to affected ear? | Conductive hearing los |
Sensorineural hearing loss Weber test: | Localizes to affected ear |
A Weber test in the Conductive hearing loss: | Localizes to affected ear |
Weber test n Sensorineural hearing loss: | Localizes to affected ear |
Which auditory test is directed to indicate the localization of sound? | Weber test |
Which auditory test is intended to indicate bone and air conductivity? | Rinne test |
A person with Conductive hearing loss will have _______________ Rinne test. | Abnormal |
What indicates a Normal Rinne test? | Air conductive > Bone conductivity |
If the sound/vibratory conductivity of bone is larger, then Rinne test is _____________________. | Abnormal |
Which type of hearing loss experiences a normal Rinne test? | Sensorineural hearing loss |
Which type of hearing loss experiences an abnormal Rinne test? | Conductive hearing loss |
Weber test -> Localized to affected ear Rinne test --> Abnormal What is the hearing loss type? | Conductive hearing loss |
Weber test --> Localizes to unaffected ear Rinne test --> Normal What is the hearing loss type? | Sensorineural hearing loss |
Which type of hearing loss has the sound localized to the "good" ear in a Weber test? | Sensorineural hearing loss |
Which type of hearing loss will have the sound/vibration to localized at the "bad" or affected ear? | Conductive hearing loss |
Bone > air | Abnormal Rinne test seen in Conductive hearing loss |
What are the two most common types of hearing loss? | 1. Noise-induced hearing loss 2. Presbycusis |
What is "Noise-induced hearing loss"? | Damage to stereociliated cell in organ of Corti |
In Noise-induced hearing loss, which hearing frequency is lost first? | High-frequency hearing |
What is a severe consequence of a sudden, extremely loud noise? | Hearing loss due to tympanic membrane rupture |
The rupture of the tympanic membrane due to a sudden and extremely loud noise, is an example of which type of hearing loss? | Noise-induced hearing loss |
What is Presbycusis? | Aging-related progressive bilateral/symmetrical sensorineural hearing loss du tot destruction of hari cell at the cochlear base. |
Destruction of hair cell at the cochlear base, leads to what type of hearing loss? | Presbycusis |
What population is most common to develop Presbycusis? | Elderly |
Hearing loss associated with increasing age. | Presbycusis |
What hearing is preserved in Presbycusis? | Low-frequency hearing at apex |
What is destroyed in Presbycusis that leads to hearing loss? | Hair cells at the cochlear base |
Overgrowth of desquamated keratin debris within the middle ear space. | Cholesteatoma |
What is a Cholesteatoma? | Overgrowth of desquamated keratin debris within the middle ear space |
Which part of the ear develops Cholesteatomas? | Middle ear |
What type of hearing loss, conductive or sensorineural, is seen with Cholesteatoma? | Conductive hearing loss |
What causes the conductive hearing loss in a Cholesteatoma? | The erosion ossicles, mastoid air cells |
Painless otorrhea is a common symptom of _____________________. | Cholesteatoma |
Middle ear mass + Painless otorrhea. Dx? | Cholesteatoma |
Vertigo: | Sensation of spinning while actually stationary |
What is a subtype of "dizziness," but distinct form "lightheadedness"? | Vertigo |
What are the two types of vertigo? | - Central vertigo - Peripheral vertigo |
What is more common , peripheral or central vertigo? | Peripheral vertigo |
__________________ vertigo is an inner ear etiology. | Peripheral vertigo |
What parto fo the ear etiology is peripheral vertigo considered? | Inner ear |
What is the difference in etiology between Peripheral and Central vertigo? | Peripheral vertigo is an inner ear condition, while Central Vertigo is due to Brain stem or cerebellar lesion |
What are common etiologies or condition that lead to development of Peripheral vertigo? | 1. Semicircular canal debris 2. Vericular nerve infection 3. Meniere disease 4. Benign Paroxysmal Positional Vertigo (BPPV) |
What is the treatment for Peripheral vertigo? | Antihistamines, anticholinergics, antiemetics |
Besides the general medications for Peripheral vertigo, what else is used to treat Peripheral vertigo caused by Meniere disease? | Low-salt diet + diuretics (if needed) |
For which condition is the Epley maneuver performed? | Treatment of BPPV |
BPPV causes _______________ vertigo. | Peripheral vertigo |
What is the common triad associated with Meniere's disease? | 1. Sensorineural hearing loss 2. Vertigo 3. Tinnitus |
A person with normal Rinne test, Weber test localized sound to non-affected ear, describes currently the room spinning around and a constant ring in the affected ear. Dx? | Meniere disease |
What would be the Weber test for a Meniere's disease patient? | Localizes to unaffected ear |
What does the Rinne test on a person with Meniere's disease demonstrate? | Normal; Air conduction is greater than bone conduction of sound and vibration. |
What are two examples of etiologies that may cause brainstem or cerebellar lesions, leading to develop Central vertigo? | Stroke affecting vestibular nuclei or posterior fossa tumor |
What ar the findings in Central vertigo? | - Directional or purely vertical nystagmus - Skew deviation - Diplopia - Dysmetria - Focal neurologic findings |
Which type of vertigo is associated with vertical nystagmus and skew deviation? | Central vertigo |
A ________________- fossa tumor may cause Central vertigo. | Posterior |
What is Benign Paroxysmal Positional vertigo (BPPV)? | Sudden sensation that you're spinning or that the inside of your head is spinning |
What is the Epley manuveur? | Type of exercise help that helps to treat the symptoms of benign paroxysmal positional vertigo (BPPV) |