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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. A sinus CT should be...
>88%
Perforation or fluid
Coronal (frontal) without contrast
Indicates conductive hearing loss

2. the only conductive hearing loss you can't see - 'carhart notch'
Otosclerosis
Anteriorly 'point to the front'
Low frequency hearing loss (menieres)
One sided

3. normal speech discrimination is...
Often seen in smokers - vocal cord edema
>88%
Indicates sensorineural hearing loss
Indicates conductive hearing loss

4. An air/bone gap where both dip below 25 indicates...
An air bone gap (gap between brackets and XO)
Mixed hearing loss
Negative rinne test- conductive hearing loss
Neurological hearing

5. decreased otoacoustic emissions indicate
Tumors - soft tissue abnormalities
Declining cochlear function
Often seen in smokers - vocal cord edema
Indicates sensorineural hearing loss

6. advantages of direct laryngoscopy
Negative rinne test- conductive hearing loss
Low frequency hearing loss (menieres)
Neurological hearing
Treatment and biopsy - palpate vocal cords

7. Reinke's edema
Maxillary and frontal sinuses
Sensorineural hearing loss
Otosclerosis
Often seen in smokers - vocal cord edema

8. if bone conduction is greater than air conduction
High frequency loss (presbycusis)
Doesn't allow for biopsy
Negative rinne test- conductive hearing loss
Measures the response of the hair cells to sound.

9. vocal cords abduct to _______ and adduct to ______
Breathe - speak
0-25 db
Noise exposure hearing loss
Indicates sensorineural hearing loss

10. disadvantage of fiberoptic laryngoscopy

11. xray is good for visualizing...
Maxillary and frontal sinuses
85+ db
Perforation or fluid
Low frequency hearing loss (menieres)

12. study of choice for the sinuses
Breathe - speak
Measures the response of the hair cells to sound.
CT
Anteriorly 'point to the front'

13. U-shaped audiogram indicates...
Treatment and biopsy - palpate vocal cords
85+ db
Sensorineural hearing loss
CT

14. bone conduction is...
Neurological hearing
Eustachian tube destruction
CT
Treatment and biopsy - palpate vocal cords

15. small ear canal volume (<0.5) indicates...
Obstruction or stenosis
0-25 db
Noise exposure hearing loss
Low frequency hearing loss (menieres)

16. 120 db

17. vocal cord nodules
Frontal sinuses
Often symmetric due to irritation from the first
Neurological hearing
Maxillary sinuses

18. otoacoustic emissions (OAE)
Measures the response of the hair cells to sound.
Otosclerosis
Perforation
Neurological hearing

19. type b tympanogram
Measures the response of the hair cells to sound.
Coronal (frontal) without contrast
Doesn't allow for biopsy
Perforation or fluid

20. Auditory brainstem response (ABR)
Frontal sinuses
Doesn't require anesthesia
Addresses the neurological aspect of hearing by EEG
Perforation or fluid

21. ascending audiogram indicates...
Noise exposure hearing loss
Indicates conductive hearing loss
Declining cochlear function
Low frequency hearing loss (menieres)

22. waters view
Low frequency hearing loss (menieres)
Maxillary sinuses
Perforation or fluid
Addresses the neurological aspect of hearing by EEG

23. a downward sloping audiogram indicates...
High frequency loss (presbycusis)
Positive rinne - either normal or snesorineural
Coronal (frontal) without contrast
Otosclerosis

24. caldwell view
Obstruction or stenosis
Frontal sinuses
Addresses the neurological aspect of hearing by EEG
Perforation

25. vocal cords are attached

26. conductive hearing loss has
The maxillary and ethmoid sinuses
Noise exposure hearing loss
85+ db
An air bone gap (gap between brackets and XO)

27. notched audiogram indicates...
Addresses the neurological aspect of hearing by EEG
Eustachian tube destruction
Positive rinne - either normal or snesorineural
Noise exposure hearing loss

28. The osteomeatal complex is between...
The maxillary and ethmoid sinuses
Super loud - if you can't hear it you're deaf
Treatment and biopsy - palpate vocal cords
Maxillary sinuses

29. flat audiogram indicates...
Mixed hearing loss
Doesn't require anesthesia
Perforation or fluid
Systemic disease

30. type A tympanogram
Normal
Indicates conductive hearing loss
Breathe - speak
>88%

31. normal hearing loss
CT
Often seen in smokers - vocal cord edema
0-25 db
Neurological hearing

32. MRIs are good for...
The maxillary and ethmoid sinuses
Addresses the neurological aspect of hearing by EEG
Perforation or fluid
Tumors - soft tissue abnormalities

33. a large ear canal volume (>2.5) indicates...
Perforation
Doesn't require anesthesia
Low frequency hearing loss (menieres)
Sensorineural hearing loss

34. meniere's is...
One sided
Perforation
Anteriorly 'point to the front'
0-25 db

35. Weber test goes toward bad ear
Positive rinne - either normal or snesorineural
Indicates conductive hearing loss
Perforation
Doesn't allow for biopsy

36. type c tympanogram
Eustachian tube destruction
High frequency loss (presbycusis)
Otosclerosis
Maxillary and frontal sinuses

37. profound hearing loss
85+ db
Super loud - if you can't hear it you're deaf
Otosclerosis
Treatment and biopsy - palpate vocal cords

38. advantage of mirror laryngoscopy

39. Weber test goes away from bad ear
Indicates sensorineural hearing loss
Normal
Frontal sinuses
Positive rinne - either normal or snesorineural

40. if air conduction is greater than bone conduction
Indicates conductive hearing loss
Noise exposure hearing loss
Positive rinne - either normal or snesorineural
Otosclerosis