This episode provides a detailed step-by-step guide to performing an ear examination. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"excerpt":{"rendered":"
This episode provides a detailed step-by-step guide to performing an ear examination. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-769","post","type-post","status-publish","format-standard","hentry","category-ceip","entry"],"youtubeVideo":"435766441\/92e74860c8","question1":"A creamy discharge from the external auditory canal is likely due to an otitis media.","answers1":"True | False","correctAnswer1":"1","correctAnswerText1":"Creamy or purulent discharge is usually seen in otitis externa. Otitis media is usually unlikely to cause discharge unless it spontaneously ruptures, in which case the discharge may be brow or blood stained.","question2":"Otitis externa is a cause of a conductive hearing loss.","answers2":"True | False","correctAnswer2":"0","correctAnswerText2":"Any pathology likely to obstruct or prevent the transmission of sound to the cochlea, causes a conductive deficit. Other examples include wax, otitis media, tympanic membrane perforations or otosclerosis.","question3":"A weber\u2019s test lateralising to the left ear could signify a sensori-neural hearing loss on that side.","answers3":"True | False","correctAnswerText3":"A lateralised Weber\u2019s test signifies a conductive hearing loss on that side or indeed a sensori-neural hearing loss on the contra-lateral side.","correctAnswer3":"1","question4":"A Rinne\u2019s positive test signifies normal hearing.","answers4":"True | False","correctAnswer4":"1","correctAnswerText4":"A Rinne\u2019s positive test is when air conduction is better than bone conduction. This may be normal, or signify a sensori-neural hearing loss in the ear examined as both air and bone conduction will be dampened equally.","question5":"Meningitis is a complication of acute mastoiditis.","answers5":"True | False","correctAnswer5":"0","correctAnswerText5":"There are both intra and extra-cranial complications of mastoiditis. Extra-cranial complications include Citelli abscesses (along diagastric muscle), Bezold\u2019s abscesses (along sternocleidomastoid), as well as a sub-periosteal abscesses. Intra-cranial complications include cerebral abscesses, meningitis, epidural abscesses and cerebral sinus thrombosis.","question6":"Which of the following is not a cause of sensori-neural hearing loss?","answers6":"Meningitis | Longitudinal temporal bone fracture resulting only in a haemotympanum | Acoustic neuroma | Tobramycin | Wegener\u2019s granulomatosis","correctAnswer6":"1","correctAnswerText6":"Wegener\u2019s is a systemic vasculitis which can disrupt blood flow to cranial nerve 8 and cause a sensori-neural hearing loss. Aminoglycosides such as Neomycin, Gentamicin and Tobramycin can cause ototoxicity and thus a sensori-neural hearing loss. Although temporal bone fractures may cause a sensori-neural hearing loss (usually transverse), a haemotympanum prevents transmission of sound and is thus deemed a conductive hearing loss. Acoustic neuromas will cause as well as causing a sensori-neural hearing loss will also cause an ipsilateral tinnitus and vertigo.","question7":"The House-Brackmann score is used to classify the severity of a facial nerve palsy.","answers7":"True | False","correctAnswer7":"0","correctAnswerText7":"This grading is from 1-6, with the key discriminator being incomplete eye closure in patients with a grade 4-6 weakness, with varying levels of severity.","question8":"When selecting a tuning fork for the Weber\u2019s and Rinne\u2019s test, a 512Hz should be utilised.","answers8":"True | False","correctAnswer8":"0","correctAnswerText8":"A 512Hz provides reduced overtones, and also has an intermediate decay permitting sufficient time to undertake the test. Also, it provides more auditory than vibratory stimuli.","question9":"An Epley manoeuvre is used to elicit for any vestibular pathology.","answers9":"True | False","correctAnswer9":"1","correctAnswerText9":"An Epley manoeuvre is the treatment for BPPV, whereas vestibular assessment is usually by means of a Dix-Hallpike manoeuvre.","question10":"Malignant otitis externa is a severe complication of otitis externa.","answers10":"True | False","correctAnswer10":"0","correctAnswerText10":"Malignant otitis externa is an osteomyelitis of the temporal bone, associated predominantly with pseudomonal infection. It should be suspected in any patient with unresolving otitis externa, severe otalgia (mainly nocturnal) and potential systemic compromise. It is associated with patients with an immune-compromised state (diabetes, chemotherapy), and can lead to a facial nerve palsy if untreated.","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"head","parentId":"","recapId":"","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/769"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=769"}],"version-history":[{"count":2,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/769\/revisions"}],"predecessor-version":[{"id":773,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/769\/revisions\/773"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=769"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=769"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=769"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}