CMS III Pediatrics - ENT Exam Questions And Answers
What are the TWO types of hearing loss?
Conductive hearing loss
Sensorineural hearing loss
What are SEVEN risk factors that predispose children to hearing loss?
Premature birth
In utero TORCH infection
Family history of SNHL
Craniofacial anomalies
Head trauma
Post-nasal infection (ie. meningitis)
Drugs (ie. chemotherapy)
A premature baby with what THREE risk factors has a higher likelihood of developing
hearing loss?
,Birth weight <1500g (VLBW)
APGR of <3 at 1 minute and <6 at 5 minutes
Mechanical ventilation of >10 days
T/F. Infants with profound deafness can startle, laugh and babble.
TRUE - further development will be delayed
What type of hearing loss occurs due to mechanical obstruction in the external + middle
ear that interferes with transmission?
conductive hearing loss
- can be acquired or congenital
**most common
What findings on Weber and Rinne are consistent with conductive hearing loss?
BC > AC
Weber will lateralize to AFFECTED ear
- nerve can still transmit signals
, What is the most common ACQUIRED cause of conductive hearing loss in children?
middle ear effusion (otitis with effusion)
What type of hearing loss results from damage to the inner ear that can interfere with
transmission through the auditory nerve?
sensorineural hearing loss
- can be acquired or congenital
What is the most common GENETIC (non-syndromic) cause of sensorineural hearing loss
in children?
connexin 26 gene defect
What is the most common ACQUIRED INFECTION causing sensorineural hearing loss in
children?
meningitis
What is the most common CONGENITAL INFECTION causing sensorineural hearing loss
in children?
CMV (from TORCH)
What THREE medications have been linked to development of sensorineural hearing loss
in children?
"Amina has a Furry Van"
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