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can’t have air bone gap with normal
tympanogram, means loss is sensorineural
otoacoustic emissions disappear around
30-40 dB hearing loss
acoustic reflexes can be absent due to
sensorineural hearing loss
for conductive hearing loss, WRS is usually still
high
with otosclerosis, reflexes are absent since
signal cannot travel well due to stapes not moving
type As is a sign of
otosclerosis
conductive hearing loss is a sign of
otosclerosis, otitis media, obstruction
a plugged tube shows up as
conductive hearing loss
small PV
flat tympanogram
Right | Left | |
Ipsi | P | A |
Contra | P | A |
L side VIII nerve lesion
sensorineural hearing loss
Right | Left | |
Ipsi | A | P |
Contra | P | A |
patient has facial drooping
R side VII nerve lesion
Right | Left | |
Ipsi | A | P |
Contra | A | P |
R ear VIII nerve lesion
sensorineural hearing loss
Right | Left | |
Ipsi | P | A |
Contra | A | A |
L ear acute suppurative otitis media
otosclerosis
PIPB rollover is done when WRS is tested ___ for same ___ (R or L)
twice, ear
poor WRS is a sign of
neural or sensorineural hearing loss
no OAEs with
sensory hearing loss
OAEs are seen with
neural hearing loss
does conductive or mixed hearing loss cause OAEs to occur?
no
to see OAEs with sensorineural hearing loss, it depends if loss is
sensory = no OAEs
neural = yes OAEs
normal child PV range
0.4-1.0
normal adult PV range
0.6-1.5
obstruction results in
small physical volume
middle ear fluid results in
normal physical volume
perforation or tube results in
large physical volume
criterion I is if
two frequencies of the same ear are worse than…
criterion II is if
BC is better than AC by…
criterion III is…
if previous don’t apply, but AC PTAs differ by 10 dB or more