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NURS 600 Exam 2 Exam Questions and Correct Answers Rated A+
Decreased or complete inability to hear. Involving the middle or inner ear. -ANSWER-Hearing loss
Hearing loss may have 2 components: _______ and _____ -
ANSWER-conductive and/or sensorineural
______ hearing loss increases with age. -ANSWER-Sensorineural
Obstruction of sound transfer through external or middle ear space. - ANSWER-Conductive Hearing Loss
Damage to the cochlea and/or fibers of the 8th cranial nerve. - ANSWER-Sensorineural Hearing Loss
Combination of sensorineural and conductive hearing loss. - ANSWER-Mixed Hearing Loss
Hearing loss that is a disease of the auditory pathways and is far less common than other forms of hearing loss. -ANSWER-Central Hearing Loss
Central hearing loss may be caused by: (5) -ANSWER-CVA,
Alzheimer's, Neoplasm, MS, Degenerative Disorders
Most common cause of conductive hearing loss is: -ANSWER-
Cerumen impaction
Age related hearing loss. -ANSWER-presbycusis
otosclerosis -ANSWER-Hardening of the bony tissue of the middle ear
typanosclerosis -ANSWER-Hardening of the eardrum from calcium plaques.
cholesteatoma -ANSWER-Cystlike mass composed of epithelial cells and cholesterol occurring in the middle ear. Possibly associated with recurrent otitis media.
Referring for audiological examination if the patient fails at one
frequency:
______ dB for younger adults ______ dB for older adults -ANSWER-25 dB for younger adults 40 dB for older adults
USPSTF hearing recommendations for screening in 50+ individuals who are asymptomatic. -ANSWER-Insufficient evidence
The only recommended routine screening test occurs in: -ANSWER-
Newborns at birth
tinnitus -ANSWER-"Ringing in the ears." Perception of a sound when there is no sound.
Chronic, benign, annoying, ringing/buzzing/hissing, high pitched screeching or whistling in one or both ears. Can be constant or intermittent and presents with a normal otoscope exam. -ANSWER- tinnitus
Tinnitus may also present with ____.
Tinnitus increases with ___. -ANSWER-Nystagmus Age
Potential causes of tinnitus: -ANSWER-Vestibular Schwannoma,
Otosclerosis, Presbycusis, Toxins, Noise Traumas
Diagnostic work up in an individual with tinnitus should include: (8) -
ANSWER-Audiology Exam, ESR, Glucose, TSH, Lyme Disease, RPR,
CBC, MRI/CT
Meniere's disease -ANSWER-Peripheral sensory disorder of the labyrinth (semicircular canal system) and cochlea of the inner ear.
Meniere's disease is most common in____ and between ages ____ - ANSWER-Females Ages 30-60
Increased endolymphatic volume and pressure. There is marked edema of the labyrinth membrane. -ANSWER-Meniere's Disease
Meniere's Disease may be associated with: (5) -ANSWER-Stress,
Allergies, High Salt intake, blunt trauma, viral infections
BPPV (benign paroxysmal positional vertigo) -ANSWER-Loose crystals in the inner ear (semi circular canals) cause severe vertigo when they become dislodged.
Hallpike maneuver -ANSWER-Diagnoses BPPV.
In the early phase of Meniere's Disease, there are intermittent attacks that last _____. Sudden onset of N/V generally present. Nystagmus may be present. -ANSWER-20 minutes to 3 hours.
- Symptoms of Meniere's Disease (may or may not occur
simultaneously):
1.
2.
3.
- -ANSWER-1. Dizziness (spinning)
- Low frequency sensorineural hearing loss (unilateral)
- Tinnitus
- Fullness in affected ear
Patient's with Meniere's disease often complain of this sensation in the affected ear. -ANSWER-Fullness.
Otoscope exam with Meniere's disease will be: -ANSWER-Normal
Meniere's Disease workup includes: -ANSWER-Audiology exam,
TSH, RPR, MRI, Lyme, Glucose level
acoustic neuroma -ANSWER-Benign tumor on the auditory nerve (8th cranial nerve) that causes vertigo, tinnitus, and hearing loss.
Meniere's Disease diagnostic criteria: (3) -ANSWER-2 episodes of:
- Vertigo lasting >20 minutes
- Audiology documented hearing loss
- Tinnitus/ fullness
In the later stages of Meniere's Disease, vertigo is generally
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