Term
| A pt. presents with diabetes, resulting in chronic kidney disease requiring dialysis. The pt. has had a severe ulcer on his foot that has resulted in a gram-negative infection. Gentamicin followed by kanamycin were successfully used to treat the infection, but the prescribing physician did not monitor serum levels of either agent. Is the pt. likely to experience a) oscillopsia b)no change in vestibular function c) significant hearing loss d) no change in hearing status e) a and c f)b and d |
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Definition
| a and c: oscillopsia and significant SNHL |
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Term
| Meniere's disease is characterized by what 3 symptoms? |
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Definition
sudden attacks of vertigo
tinnitus
hearing loss |
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Term
| A 10 y.o. child with a history of meningitis at 4 years of age with full recovery of hearing now presents with predominantly hig-freq SNHL of the left ear with episodes of vertigo. Perilymph fistula is a more likely cause than Meniere's disease. T/F |
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Definition
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Term
| A pt. presents with the symptoms of nuchal rigidity, fever and change in mental status. A likely diagnosis is meningitis. T/F |
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Definition
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Term
| A 35 y.o. woman recently had a second child and presents having noticed a recent mild HL and tinnitus in her right ear. The diagnosis from the otologist is early, stiffness dominated otosclerosis. What would be the most likely audioloigical profile you would expect? |
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Definition
Low-frequency CHL
normal tympanogram
on-off effect acoustic reflex response with the probe in the right ear. |
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Term
| An 11 mo. old baby presents with no observed responses to sound. His mother abused drugs during the first trimester of pregnancy. Physical exam of the ear canals and TM are unremarkable with normal tympanograms. What is the most likely cause of the hearing loss? |
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Definition
| A dysplasia of both inner ears and SNHL |
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Term
| A 7 y.o boy has recently developed hematuria and has a mild high-freq SNHL. You should suspect what syndrome? |
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Definition
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Term
| A 45 y.o. man persents with a 3 month history of facial paralysis that has been diagnosed as Bell's palsy. You do electroneurography, which shows a 95% weakenss of the affect side. What outcome can the patient expect? |
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Definition
| That his condition will remain the same. |
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Term
With Waardenburg's syndrome:
a) hearing loss is the only assoc. medical condition B)craniofacial & pigmentary features assist in making the diagnosis C) There can be multiple medical problems associated with the syndrome besides hearing loss. d) and and b e) b and c |
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Definition
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Term
| The pathophysiologic effect of changes in ambient pressure affecting the air-containing spaces of the temporal bone is referred to as Barotrauma. T/F |
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Definition
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Term
| A 45 y.o woman presents with a 2 month history of dizziness, with episodes lasting less than a minute that occur when she turns over in bed to her left side. What is the most likely diagnosis? |
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Definition
| Benign paroxysmal positional vertigo (BPPV) involving the left ear. |
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Term
| Otoscopic examination of a TM shows the presence of bubbles behind the TM. The most likely diagnosis is cholesterol granuloma. T/F |
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Definition
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Term
| A pt. has a sudden SNHL that first occured in the right ear, progressed, and more recently has occured in the left ear. What is the most likely diagnosis? |
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Definition
| Autoimmune inner ear disease. |
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Term
| A 57 y.o. woman presents with a slowly developing progressive HL that is predominantly hig freq with poor word recognition ability and ringing tinnitus, all in the left ear. The pt. also complains of imbalance but has not experienced vertigo. What is the most likely diagnosis? |
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Definition
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Term
| A 56 y.o. man is referred to you by an neurotologist with a diagnosis of right cochlear hydrops. What would you expect the duration of his dizziness episodes to be? |
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Definition
| No dizziness at all--it's COCHLEAR hydrops. |
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Term
| A 72 y.o. woman recently had a cerebral vascular accident with weakness on the right side of her body. Two weeks after this occurance, she expereinced weakness on both the upper and lower parts of the left side of her face that is recovering. What is the most likely cause of the facial weakness? |
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Definition
| Bell's palsy of the left facial nerve. |
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Term
| Electroneurography can be used to diagnose that a facial weakness/paralysis is Bell's Palsy and is not due to another cause. T/F |
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Definition
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Term
| A pt. has ABR results that show bilateral poor waveform morphology, bilateral delayed Wave V latency, and bilateral prolonged V-I interpeak latency differences. What is the most likely diagnosis? |
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Definition
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Term
| The combination of SNHL and retinitis pigmentosa is seen in what syndrome? |
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Definition
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Term
| A mother and her one month old newborn are seen at your office for a follow-up eval since the baby didn't pass UNHS. Case hx reveals baby had tested positive for CMV when screened at birth. After completings tymps, OAEs and ABR, all results are consistent with normal hearing. As such there is no need for further audiological follow-up. T/F |
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Definition
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