NAME

Question types


Start with


Question limit

of 26 available terms

Print test

26 True/False questions

  1. Schwabachtest of lateralization (where patient hears the tone: right ear, left ear, both, or midline); if they pick an ear, do Bing test to pick results.

          

  2. Schwabach Results-Interpretation is difficult with mixed HL
    -Difficulty determining which ear is being tested
    -FALSE NORMAL SCHWABACH: if ears differ, patient's response will be related to the better ear
    -Deciding which fork to use; you must state which you used

          

  3. EXAMPLE:
    Rinne: negative, in that the patient heard louder tone when fork was behind the ear on the mastoid than with tones near the ear canal
    -Equally loud in both ears, cannot tell a difference, tone originates in middle of forehead = normal hearing

    or

    -Equal amounts of the same type of hearing loss (conductive, SNHL, mixed)

          

  4. Schwabach Procedure-Interpretation is difficult with mixed HL
    -Difficulty determining which ear is being tested
    -FALSE NORMAL SCHWABACH: if ears differ, patient's response will be related to the better ear
    -Deciding which fork to use; you must state which you used

          

  5. Bing Results-NORMAL HEARING: beside ear is louder; AC more effective = POSITIVE RINNE
    -SNHL: beside ear is louder; same degree of loss by both AC & BC = POSITIVE RINNE
    -CONDUCTIVE HL: behind ear is louder; BC is WNL & AC is abnormal = NEGATIVE RINNE

          

  6. Rinne Procedure-Set into vibration
    -Place fork on mastoid
    -Push tragus in and out of ear
    -If it sounds like "wooo wooo woooo" then you created an occlusion effect , which signifies normal hearing

          

  7. Rinnelooks at performance at AC vs. BC

          

  8. Bing Problems-Difficulty determining which ear is being tested
    -Can't tell if there is an asymmetric loss
    -FALSE NEGATIVE RINNER: inner ear of NTE is responding, patient is comparing AC of one ear to BC of the other ear (improper diagnosis of conduction HL if non-test BC is better than TE)

          

  9. DIMINISHED SCHWABACH-patient stops hearing before examiner
    -SNHL

          

  10. Weber Advantages-NORMAL HEARING: equally loud in both ears, cannot tell a difference, tone originates in middle of forehead = MIDLINE SENSATION
    -Equal amounts of the same type of hearing loss (conductive, SNHL, mixed) = MIDLINE SENSATION
    -SNHL (in one ear): hear tone in better ear; possibly due to Stenger principle
    -CONDUCTIVE HL (in on ear): hearing tone in poorer ear; results poorly understood, possibly result of prolonged BC (see Schwabach test)

          

  11. Weber Problems-Difficulty determining which ear is being tested
    -Can't tell if there is an asymmetric loss
    -FALSE NEGATIVE RINNER: inner ear of NTE is responding, patient is comparing AC of one ear to BC of the other ear (improper diagnosis of conduction HL if non-test BC is better than TE)

          

  12. Stenger Principle-Set into vibration
    -Place fork on patient's forehead
    -Say "I want you to tell me where you hear this sound."

          

  13. POSITIVE BING-patient hears the occlusion effect = normal hearing

    or

    -patient hears the occlusion effect = SNHL

          

  14. NEGATIVE BING-no change in loudness is heard, no occlusion effect = Conductive HL

          

  15. Negative Rinne-behind ear is louder; BC is WNL & AC is abnormal
    -Conductive HL

          

  16. PROLONGED SCHWABACH-patient hears as long or longer than examiner, patients hearing in low pitches may appear better than normal
    -Conductive HL

          

  17. Rinne Problems-Examiner must not suggest what patient's response should be
    -Difficulty determining which ear is being tested
    -If ears are asymmetrical

          

  18. Weber Results-NORMAL HEARING: patient hears the occlusion effect = POSITIVE BING
    -SNHL: patient hears the occlusion effect = POSITIVE BING
    -CONDUCTIVE HL: no change in loudness is heard, no occlusion effect = NEGATIVE BING

          

  19. POSITIVE RINNE-patient hears the occlusion effect = normal hearing

    or

    -patient hears the occlusion effect = SNHL

          

  20. Weber Procedure-Set into vibration
    -Place fork on mastoid
    -Push tragus in and out of ear
    -If it sounds like "wooo wooo woooo" then you created an occlusion effect , which signifies normal hearing

          

  21. Rinne Results-NORMAL HEARING: patient hears the occlusion effect = POSITIVE BING
    -SNHL: patient hears the occlusion effect = POSITIVE BING
    -CONDUCTIVE HL: no change in loudness is heard, no occlusion effect = NEGATIVE BING

          

  22. Binglooks at performance at AC vs. BC

          

  23. Webertests the pt's occlusion effect

          

  24. Weber: MIDLINE SENSATION-Can be used to verify diagnosis of Schwabach or Rinne

    -FALSE NORMAL SCHWABACH or FALSE NEGATIVE RINNE: both due to better ear responding rather than test ear
    -Weber can verify unilateral SNHL

          

  25. Schwabach Problems-Interpretation is difficult with mixed HL
    -Difficulty determining which ear is being tested
    -FALSE NORMAL SCHWABACH: if ears differ, patient's response will be related to the better ear
    -Deciding which fork to use; you must state which you used

          

  26. Bing Procedure-Set into vibration
    -Place fork on mastoid
    -Push tragus in and out of ear
    -If it sounds like "wooo wooo woooo" then you created an occlusion effect , which signifies normal hearing