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ENT Diagnostic Methods

Instructions:

Answer 40 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. meniere's is...
One sided
85+ db
Normal
CT

2. Reinke's edema
The maxillary and ethmoid sinuses
Otosclerosis
Declining cochlear function
Often seen in smokers - vocal cord edema

3. U-shaped audiogram indicates...
Otosclerosis
Anteriorly 'point to the front'
Maxillary and frontal sinuses
Sensorineural hearing loss

4. 120 db

5. vocal cords are attached

6. conductive hearing loss has
An air bone gap (gap between brackets and XO)
Coronal (frontal) without contrast
>88%
Perforation or fluid

7. advantages of direct laryngoscopy
85+ db
0-25 db
Treatment and biopsy - palpate vocal cords
Coronal (frontal) without contrast

8. An air/bone gap where both dip below 25 indicates...
Negative rinne test- conductive hearing loss
Low frequency hearing loss (menieres)
Neurological hearing
Mixed hearing loss

9. type c tympanogram
Low frequency hearing loss (menieres)
Eustachian tube destruction
Declining cochlear function
Doesn't allow for biopsy

10. Auditory brainstem response (ABR)
Addresses the neurological aspect of hearing by EEG
Tumors - soft tissue abnormalities
Often seen in smokers - vocal cord edema
An air bone gap (gap between brackets and XO)

11. decreased otoacoustic emissions indicate
Declining cochlear function
Often seen in smokers - vocal cord edema
Otosclerosis
Negative rinne test- conductive hearing loss

12. profound hearing loss
The maxillary and ethmoid sinuses
Doesn't allow for biopsy
85+ db
Otosclerosis

13. A sinus CT should be...
Mixed hearing loss
Coronal (frontal) without contrast
Maxillary sinuses
>88%

14. caldwell view
Perforation or fluid
Frontal sinuses
Eustachian tube destruction
>88%

15. waters view
Doesn't require anesthesia
Mixed hearing loss
Anteriorly 'point to the front'
Maxillary sinuses

16. type b tympanogram
Perforation or fluid
Anteriorly 'point to the front'
Positive rinne - either normal or snesorineural
Declining cochlear function

17. flat audiogram indicates...
Low frequency hearing loss (menieres)
Measures the response of the hair cells to sound.
Systemic disease
Perforation

18. advantage of mirror laryngoscopy

19. Weber test goes toward bad ear
Declining cochlear function
Indicates conductive hearing loss
Normal
Anteriorly 'point to the front'

20. Weber test goes away from bad ear
Sensorineural hearing loss
Indicates sensorineural hearing loss
Often seen in smokers - vocal cord edema
Tumors - soft tissue abnormalities

21. disadvantage of fiberoptic laryngoscopy

22. xray is good for visualizing...
One sided
Maxillary and frontal sinuses
85+ db
Treatment and biopsy - palpate vocal cords

23. normal hearing loss
0-25 db
Addresses the neurological aspect of hearing by EEG
Mixed hearing loss
The maxillary and ethmoid sinuses

24. The osteomeatal complex is between...
The maxillary and ethmoid sinuses
Indicates conductive hearing loss
Eustachian tube destruction
One sided

25. vocal cords abduct to _______ and adduct to ______
Coronal (frontal) without contrast
Breathe - speak
Low frequency hearing loss (menieres)
Addresses the neurological aspect of hearing by EEG

26. type A tympanogram
Normal
Obstruction or stenosis
The maxillary and ethmoid sinuses
Measures the response of the hair cells to sound.

27. if air conduction is greater than bone conduction
Obstruction or stenosis
Positive rinne - either normal or snesorineural
One sided
Otosclerosis

28. the only conductive hearing loss you can't see - 'carhart notch'
Addresses the neurological aspect of hearing by EEG
Often symmetric due to irritation from the first
85+ db
Otosclerosis

29. MRIs are good for...
Measures the response of the hair cells to sound.
Doesn't allow for biopsy
Tumors - soft tissue abnormalities
Super loud - if you can't hear it you're deaf

30. study of choice for the sinuses
Perforation or fluid
Obstruction or stenosis
CT
Maxillary sinuses

31. a large ear canal volume (>2.5) indicates...
Obstruction or stenosis
Declining cochlear function
Perforation
>88%

32. notched audiogram indicates...
Treatment and biopsy - palpate vocal cords
Neurological hearing
Noise exposure hearing loss
Indicates conductive hearing loss

33. normal speech discrimination is...
High frequency loss (presbycusis)
Declining cochlear function
Tumors - soft tissue abnormalities
>88%

34. a downward sloping audiogram indicates...
Coronal (frontal) without contrast
Treatment and biopsy - palpate vocal cords
High frequency loss (presbycusis)
Neurological hearing

35. ascending audiogram indicates...
Low frequency hearing loss (menieres)
Anteriorly 'point to the front'
Measures the response of the hair cells to sound.
Perforation or fluid

36. small ear canal volume (<0.5) indicates...
Declining cochlear function
Treatment and biopsy - palpate vocal cords
Obstruction or stenosis
Noise exposure hearing loss

37. vocal cord nodules
Often symmetric due to irritation from the first
CT
Obstruction or stenosis
One sided

38. otoacoustic emissions (OAE)
Neurological hearing
Maxillary sinuses
Measures the response of the hair cells to sound.
Doesn't require anesthesia

39. if bone conduction is greater than air conduction
Frontal sinuses
Perforation
Declining cochlear function
Negative rinne test- conductive hearing loss

40. bone conduction is...
Anteriorly 'point to the front'
Neurological hearing
Often symmetric due to irritation from the first
The maxillary and ethmoid sinuses