STUDY GUIDE COMPREHENSIVE
QUESTIONS ANSWERS GRADED A+
◉ Hearing Loss in the elderly.
Answer: Affects 60-80% of 70 yr +. Start with Whisper and Rinne tests.
Refer patients for Adiometric testing if there is no obvious occlusion.
Differential Diagnoses: Cerumen impaction, foreign object, tumors.
◉ Vision Screening in <1 year old.
Answer: As part of each well-child visit, eye health, vision development,
and alignment of the eyes should be checked.
Findings that merit watchful waiting: Chemical conjunctivitis in
neonates
Referral considering age of patient: Eye alignment, not making eye
contact
◉ Tympanogram results.
Answer: Tympanometry measures the capacity of the middle ear to
transfer sound energy.
What do they indicate:
Type A: Normal Tympanogram is shaped like a tent
, Type B: Abnormal; needs medical attention (flat)
Type C: Almost normal but not right (may be too peaked);refers to a
middle ear with negative pressure. A child with this type of
tympanogram should be monitored and may need medical attention.
Such a tympanogram may be caused by retraction of the eardrum or
blockage of the Eustachian tube.
◉ Group A hemolytic strep.
Answer: Illnesses it can cause: Strep throat, Rheumatic Fever, Scarlet
Fever, Post-Streptococcal Glomerularnephritis. It is spread by nasal or
oral secretions and the incubation period of 2-5 days.
Presentation: often pharyngitis is the very first symptom. Suspect Group
A strep if:
Sudden-onset of sore throat
Odynophagia
Fever
Evaluation:
Pharyngeal and tonsillar erythema
Tonsillar hypertrophy with or without exudates
Palatal petechiae
Anterior cervical lymphadenopathy
Scarlatiniform rash