CC Nov 2017 Hearing loss

echoecho's version from 2017-12-26 06:09


Question Answer
Hearing loss is the most common sensory deficit in the elderly, and can lead to what?1) decreased quality of life and functional status 2) increased risk of depresson 3) cognitive decline
After age ____, a small annual decline in hearing is common?60
What gender are affected by hearing loss more often?men
Hearing loss is typically more severe and manifests at a _____ age among men?younger
Significant hearing loss is more common with advancing age (___% of aptients ages 61-70 years)(___% of patients 71-80 years)(> ____% of patients over the age of 85 years)?37%; 60%; > 80%
Hearing loss is divided into what two main categories?1) conductive 2) sensorineural
Define conductive hearing loss?caused by problems with transmission of sound and conversion to mechanical vibrations in the external and middle ear
Define sensorineural hearing loss?caused by problems with converting the mechanical vibrations to electrical potential in the coclea or auditory nerve conduction
List the 3 causes of conductive hearing loss?1) obstruction of eternal auditory canal (cerumen, foreign body) 2) impairment of TM function (perforation) 3) mild ear conditions (otitis media with effusion, otosclerosis)
List the 7 cause of sensorineural hearing loss?1) age-related hearing loss 2) medications 3) autoimmune disease 4) mechanical trauma 5) Meniere's disease 6) infection (meningitis) 7) acoustic neuroma
More than ____% of hearing loss in older adults is age-related sensorineural hearing loss?90%
List the risk factors for hearing loss?1) excessive noise exposure 2) alcohol use 3) family hx 4) industrial chemical exposure 5) head injuries 6) DM 7) medications (NSAIDs, aminoglycosides, quinine and certain antineoplastic agents)
*** The USPSTF gives screening older adults for hearing loss a grade of ____?I (insufficient evidence)
Hearing loss that is rapid on onset suggests what 2 conditions?1) TM rupture 2) trauma
What is unilateral hearing loss due to?1) obstruction 2) tumor 3) TM pathology
True or false? A thorough head and neck exam is recommended?true
Are the Weber and Rinne tests recommended for diagnosing patient with hearling loss?no
What testing should be obtained and is required for proper diagnosis?formal audiology testing
True or false? The treatment of reversible causes of hearing loss (OM with effusion) should be attempted when feasible?true
What are the mainstay of treatment for other types of hearing loss?amplification
What are the drawbacks to the use of assitive devices?1) cost 2) lack of dexterity among older patients to manipulate small devices 3) negative stereotypes about hearing aids
Compare to no therapy, pts with assistive devices have lower rates of what?depression and lower risk of social isolation
What are the options for patients who do not tolerate assistive devices or who have unsatisfactory responses?1) middle ear implants 2) choclear implants
*** SUMMARY = Hearing loss affects about 1/3 of adults between ___ and ___ and > 80% of those > ____ years of age?61; 70; >80
*** SUMMARY = What gender are more commonly affected with earlier onset and more severe hearing loss?men
*** SUMMARY = Age-related ________ hearing loss is the most common cause of the disorder?sensorineural hearing loss
*** SUMMARY = What is the preferred test for diagnosing hearing loss and is required for proper diagnosis?audiometry