NR-511 Differential Diagnosis & Primary Care Practicum
Midterm Exam
Sensorineural hearing loss
Correct Answer:
This type of hearing loss is common in adults over 50.Octic hair cells in the organ of corti degenerate and the epithelium begins to atrophy during the aging progress.First loss of high frequency sounds
Check all that apply for causes of sensorineural hearing loss
Correct Answer:
noise exposure, metabolic disease
Conductive hearing loss
Correct Answer:
occurs when sound wave progression is impaired through the tympanic membrane to the inner ear.
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What are some common causes of conductive hearing loss?
Correct Answer:
-Cerumen build up -foreign body -otitis externa -chronic otitis media -middle ear effusion -otosclerosis (scarring of the TM)
Weber's test
Correct Answer:
hearing test for lateralization of sound.conductive hearing loss sound will be louder in bad ear.Sensorineural hearing loss the sound will be louder in the normal ear
Rinne test
Correct Answer:
hearing test using a tuning fork; checks for differences in bone conduction and air conduction.Air louder than bone positive to normal bone louder than air negative for conductive hearing loss.
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What are causes of tinnitus
Correct Answer:
chronic noise increased age hx of infection head trauma
What is Meniere's disease?
Correct Answer:
sensory disorder of the cochlea of the inner ear.
causes: inflammatory response of the inner ear, blunt trauma, viral
infection, allergies, migraine headaches, autoimmune conditions, throid disorders.
What is the triad symptoms of meniere's disease?
Correct Answer:
vertigo, hearing loss, and tinnitus
What is the first line treatment of acute otitis media
Correct Answer:
amoxicillin/clavulanate
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What is the treatment for acute otitis externa?
Correct Answer:
topical antibiotics with or without steroids, ear wick if needed
Treatment for pharyngitis
Correct Answer:
penicillin, amoxicillin (azithromycin if there is PCN allergy)
Common bacteria that causes pharyngitis
Correct Answer:
strep
What is the Centor criteria
Correct Answer:
it is helpful to determine appropriate treatment in adult clients with strep throat.
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