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Audiology/Salus - Cerumen
Management
49
Other
Post-Graduate
06/23/2009

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Cards

Term
Audiologists should perform cerumen management:
Definition
to reduce consumer costs, prevent delays and inconvenience of rescheduling, because it is in our scope of practice
Term
Audiologists must be concerned with infection control:
Definition
because we treat people with compromised resistance, many objects come in contact with multiple pts, as the scope of practice expands so does our risk of encountering bodily fluids like blood and mucous
Term
The light source on the headband of a head light should be positioned:
Definition
between the eyes at the bridge of the nose
Term
Cerumenous glands are a type of:
Definition
modified apocrine sweat glands
Term
Case history that may contraindicate performing CM include:
Definition
diabetes, blood thinners
Term
Otoscopic findings that may contraindicate CM include:
Definition
dried or cracked ear canal skin, drainage
Term
When performing CM, the audiologist should:
Definition
avoid the use of head restraints, maintain eye level on the visual plane of the pts ear, allow the pt to sit upright
Term
Enter the ear with the jaws of the forceps closed because:
Definition
It will allow you to see beyond the forceps better, position the tip around the area you wish to grasp, prevent touching the canal walls
Term
Suction is particularly beneficial in managing:
Definition
very wet cerumen
Term
Following cerumen removal, it is necessary to:
Definition
perform otoscopy, document in the file the outcome of the procedure and any recommendations, tell the pt about any blood or lesions that might bleed into the ear canal
Term
Stainless steel instruments for CM:
Definition
Should be sterilized prior to reuse, are critical instruments
Term
An effective element for cold sterilization for CM instruments is:
Definition
2% gluteraldehide, 7.5% hydrogen peroxide
Term
Medicare will reimburse audiologists for CM
T/F
Definition
False
Term
Bleeding as a result of CM can generally be stopped using:
Definition
simple water pressure, cotton ball soaked in saline, cotton ball soaked in Afrin
Term
Gloves should be worn:
Definition
when performing instrument removal, when blood and drainage is present
Term
The best equipment to view the ear canal during CM is the:
Definition
operating microscope
Term
Which instrument does not allow for two handed instrument manipulation?
Definition
Hotchkiss otoscope
Term
The video-otoscope can be used for:
Definition
CM, pre and post treatment ear canal and TM inspection, to allow the pt to see the EC and TM during examination
Term
The speculum used for otoscopy should be:
Definition
the largest size appropriate for the ear canal
Term
Cerumen is composed of:
Definition
lipids, minerals, acids
Term
Opportunistic infection is:
Definition
cause by ubiquitous organisms, aided by a reduced immune system, fairly common in the ear
Term
What medical condition does not typically lead to cerumen impaction?
Definition
diabetes
Term
You should begin suctioning at the inferior aspect of the impaction, or where the cerumen is the thickest
T/F
Definition
False
Term
When performing irrigation, the water temperature should be:
Definition
at body temperature
Term
During otoscopy, if the pt complains of pain when you pull back on the ear, you should:
Definition
refer the pt to a physician
Term
It has been reported in the literature that tinnitus has been associated with:
Definition
use of suction or irrigation
Term
Sterilization means:
Definition
killing 100% of germs and the endospores of the germs
Term
Universal precautions is:
Definition
an attitude or mindset, assuming every pt is a potential carrier
Term
What type of medication is not concerning for performing CM?
Definition
nasal vasoconstrictors
Term
Wax insufficiency in the ear canal may be caused by:
Definition
radiation, swimming, over cleaning
Term
When referring to the EAC, the lateral portion is:
Definition
cartilaginous, contains sebaceous glands and hair follicles
Term
Onion-skin-like dry skin attached to the canal wall that may block the HA receiver is best managed by:
Definition
matting it down to the EC wall with a little mineral oil
Term
Colase has been used to successfully soften ear wax T/F
Definition
True
Term
Washing hands correctly should take 20 seconds, can be done with alcohol based lotions and is the single most important thing to do to prevent infection T/F
Definition
True
Term
Buck curette
Definition
round, fixed ring
Term
shapleigh curette
Definition
tear-drop shaped, flat serrated loop
Term
Billieu loop
Definition
oval, wire loop
Term
Alligator forceps
Definition
short jaw length - open inside the ear
Term
Hartman forceps
Definition
Long jaw length - articulate outside the ear
Term
The EAC is more prone to infection than any other skin surface T/F
Definition
True
Term
Cerumen has anti-biotic and anti-fungal properties T/F
Definition
False
Term
The AAA, ASHA and AD scopes of practice allow audiologists to legally perform cerumen management across the country T/F
Definition
False
Term
Hydrogen peroxide is used to break up ear wax and prevent infection in the ear canal T/F
Definition
False
Term
It is important to remove all the ear wax that is visible from the ear canal T/F
Definition
False
Term
We are concerned with performing cerumen management on diabetics due to poor immune systems T/F
Definition
True
Term
Manipulation of the EAC may induce coughing due to:
Definition
stimulation of the auricular branch of the vagus nerve
Term
The Hotchkiss otoscope:
Definition
permits viewing the ear canal through one field and presenting instruments through another
Term
A pneumatic otoscope allows the audiologist to:
Definition
determine the mobility of the TM during the otoscopic procedure
Term
The EAC has a self cleaning ability that is enhanced by the:
Definition
migration of the keratin layer of the external ear
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