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ENT Diagnostic Methods

Instructions:

Answer 40 questions in 15 minutes.
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Match each statement with the correct term.
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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. disadvantage of fiberoptic laryngoscopy

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2. Weber test goes away from bad ear
Low frequency hearing loss (menieres)
Indicates sensorineural hearing loss
>88%
Eustachian tube destruction

3. Weber test goes toward bad ear
Maxillary sinuses
Declining cochlear function
Systemic disease
Indicates conductive hearing loss

4. type c tympanogram
Measures the response of the hair cells to sound.
Eustachian tube destruction
Mixed hearing loss
Perforation

5. small ear canal volume (<0.5) indicates...
Obstruction or stenosis
Breathe - speak
Low frequency hearing loss (menieres)
Frontal sinuses

6. type b tympanogram
Treatment and biopsy - palpate vocal cords
Tumors - soft tissue abnormalities
Perforation or fluid
Positive rinne - either normal or snesorineural

7. caldwell view
Breathe - speak
Normal
Frontal sinuses
One sided

8. a large ear canal volume (>2.5) indicates...
Negative rinne test- conductive hearing loss
Perforation
Maxillary and frontal sinuses
CT

9. advantage of mirror laryngoscopy

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10. flat audiogram indicates...
>88%
Measures the response of the hair cells to sound.
Positive rinne - either normal or snesorineural
Systemic disease

11. decreased otoacoustic emissions indicate
Indicates conductive hearing loss
Addresses the neurological aspect of hearing by EEG
Mixed hearing loss
Declining cochlear function

12. waters view
Doesn't allow for biopsy
Sensorineural hearing loss
Maxillary sinuses
Perforation or fluid

13. meniere's is...
Noise exposure hearing loss
Eustachian tube destruction
One sided
An air bone gap (gap between brackets and XO)

14. U-shaped audiogram indicates...
Indicates conductive hearing loss
Often symmetric due to irritation from the first
Noise exposure hearing loss
Sensorineural hearing loss

15. The osteomeatal complex is between...
The maxillary and ethmoid sinuses
Treatment and biopsy - palpate vocal cords
Neurological hearing
Coronal (frontal) without contrast

16. conductive hearing loss has
An air bone gap (gap between brackets and XO)
>88%
Maxillary and frontal sinuses
Obstruction or stenosis

17. type A tympanogram
Often seen in smokers - vocal cord edema
Measures the response of the hair cells to sound.
Positive rinne - either normal or snesorineural
Normal

18. if air conduction is greater than bone conduction
One sided
Positive rinne - either normal or snesorineural
CT
Often symmetric due to irritation from the first

19. normal speech discrimination is...
Doesn't allow for biopsy
Low frequency hearing loss (menieres)
>88%
Maxillary and frontal sinuses

20. advantages of direct laryngoscopy
Often seen in smokers - vocal cord edema
Treatment and biopsy - palpate vocal cords
Maxillary sinuses
Doesn't require anesthesia

21. a downward sloping audiogram indicates...
Frontal sinuses
High frequency loss (presbycusis)
Super loud - if you can't hear it you're deaf
Indicates sensorineural hearing loss

22. normal hearing loss
Measures the response of the hair cells to sound.
Obstruction or stenosis
0-25 db
Otosclerosis

23. xray is good for visualizing...
Normal
Maxillary and frontal sinuses
Anteriorly 'point to the front'
Otosclerosis

24. An air/bone gap where both dip below 25 indicates...
Addresses the neurological aspect of hearing by EEG
Otosclerosis
Mixed hearing loss
Perforation or fluid

25. notched audiogram indicates...
Declining cochlear function
CT
Mixed hearing loss
Noise exposure hearing loss

26. study of choice for the sinuses
CT
Treatment and biopsy - palpate vocal cords
Addresses the neurological aspect of hearing by EEG
Doesn't require anesthesia

27. Reinke's edema
Systemic disease
Anteriorly 'point to the front'
CT
Often seen in smokers - vocal cord edema

28. the only conductive hearing loss you can't see - 'carhart notch'
Perforation
Otosclerosis
Frontal sinuses
Maxillary sinuses

29. Auditory brainstem response (ABR)
Systemic disease
Anteriorly 'point to the front'
Addresses the neurological aspect of hearing by EEG
Otosclerosis

30. ascending audiogram indicates...
Noise exposure hearing loss
Positive rinne - either normal or snesorineural
Frontal sinuses
Low frequency hearing loss (menieres)

31. otoacoustic emissions (OAE)
Indicates sensorineural hearing loss
Measures the response of the hair cells to sound.
Eustachian tube destruction
Doesn't allow for biopsy

32. A sinus CT should be...
Coronal (frontal) without contrast
Maxillary sinuses
Doesn't require anesthesia
Obstruction or stenosis

33. profound hearing loss
High frequency loss (presbycusis)
Declining cochlear function
Eustachian tube destruction
85+ db

34. MRIs are good for...
Tumors - soft tissue abnormalities
Doesn't require anesthesia
Frontal sinuses
Often symmetric due to irritation from the first

35. vocal cords are attached

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36. 120 db

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37. if bone conduction is greater than air conduction
Negative rinne test- conductive hearing loss
Systemic disease
Mixed hearing loss
Indicates conductive hearing loss

38. vocal cords abduct to _______ and adduct to ______
Indicates conductive hearing loss
Low frequency hearing loss (menieres)
Eustachian tube destruction
Breathe - speak

39. bone conduction is...
Neurological hearing
Systemic disease
Frontal sinuses
Anteriorly 'point to the front'

40. vocal cord nodules
One sided
Positive rinne - either normal or snesorineural
Often seen in smokers - vocal cord edema
Often symmetric due to irritation from the first

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ENT Diagnostic Methods

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