3 COMPLETE DETAILED CASE STUDY
i One of the ways to remove cholesteatoma from the tympanic membrane would be:
wait till the growth is come to the ripe state and then it can be gently pulled out
excised from the TM as soon as it is noticed
using the flushing method is the most preferred
none, since cholesteatoma is slow to grow and is non-threatening - excised from the TM as soon as it is
noticed
Inflammation of the inner ear can be called
labyrinthitis
osteoporosis
cerumenthitis
veritgo - labyrinthitis
One of the ways to have a high frequency hearing loss is to have:
a perforated ear drum
totally occluded ear canal
missing or deformed ear canal
none of the above - ?
The exam that has your patient recognizing signals as speech is called:
SAC
,SRT
SAT
RSS - SAT
Tone decay exam is used in what following manner:
giving a warble tone at UCL
giving a pure tone of 500 Hz at their UCL for one minute
giving a speech signal at their PTA to see if they can still hear it for one minute
giving a pure tone for one minute to see if during that time it decays - giving a pure tone for one minute
to see if during that time it decays
Before each exam it is best to do a biological calibration in which of the following:
in the home
in the office
in any state that you may not be licensed
it is not required, because once in the morning is enough - in the home
You may want to perform a new hearing exam on your patient when:
after you deliver the new hearing instrument to see if there may be any change
after you deliver his just repaired hearing instrument and he does not hear any better
after your patient has had the new hearing instrument for 3 months to show them the improvement
only on the yearly checkup - after you deliver his just repaired hearing instrument and he does not hear
any better
Placing the head phone on the NTE is the best way to:
,hold the bone oscillator
give instructions to your patients when they have a mild hearing loss
give masking during sound field exams
none of the above - give masking during sound field exams
Diabetes will cause:
your hearing to suddenly deteriorate
your hearing instrument to corrode and change color
cerumen to build up faster
no change at all in your hearing, but can cause your overall health to be changed - your hearing to
suddenly deteriorate
When a patient has had fenestration one of the things that you have to be aware of is:
a very small canal and you may have to use just a tube fitting
extra wax build up and you have to make sure your patient has a wax basket in their hearing instrument
the fenestration took care of all the problems you have to worry about
since the ear canal has been altered you must take special care when placing the otoblock - since the ear
canal has been altered you must take special care when placing the otoblock
A person with at least some degree of sensorineural hearing loss would be at what dB:
10 dB
15 dB
20 dB
30 dB - 30 dB
Mr. Smith comes into your office and says that he just started to get tinnitus.During your taking of his
history you found out that one of the following has changed in his life that may be the cause:
, started to take swimming lessons in a pool with high chlorine levels
started a diet that is low in fat intake
started to take high dosages of aspirin
started to drink less caffeine - started to take high dosages of aspirin
Mary, a long time patient comes into your office and says that her right ear has been hurting for the past
few days and wants you to take a look. When you look into her right ear you notice that she has a very
red swollen canal and some whitish growth. What would you do:1) tell her that she has external otitis
and refer her to a doctor2) refer her to a doctor3) tell her to not use her hearing instrument until her
doctor has the problem under control4) clean her ear out for her and modify the shell of her hearing
instrument so that it will fit now
1, 2 and 3
1 and 3
2 and 3
1, 2, 3 and 4 - 2 and 3
90 dB is used with which of the following:1) harmonic distortion2) HFA3) MPO4) UCL
1, 2 and 3
1 and 3
2 and 3
1, 2, 3 and 4 - 1, 2, 3 and 4
The SSPL-90 curve is run using which of the following frequency ranges:
200-5000 Hz
500-4000 Hz
500-3000 Hz