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Ear Assessment Terminology

Terminology Used in Assessment of Ears

AB
Annulusouter fibrous rim encircling the eardrum
Atresiacongenital absence or closure of ear canal
Cerumenyellow waxy material that lubricates and protects the ear canal
Cochleainner ear structure containing the central hearing apparatus
Eustachian Tube connects the middle ear with the nasopharynx and allows passage of air
Umboknob of the malleus that shows through the tympanic membrane
Tympanic Membrane (TM) “eardrum” – a thin, translucent membrane that stretches across the ear canal separating the middle ear from the outer ear.
Tinnitusringing or buzzing in the ears
Pars tensa thick, taut, central/inferior section of the tympanic membrane
Pars flaccida small, slack, superior section of the tympanic membrane
Vertigoa spinning, twirling sensation
Otorrheadischarge from the ear
Otitis media inflammation of the middle ear and tympanic membrane
Otitis externa inflammation of the outer ear and ear canal (“Swimmer’s Ear”)
Otalgiapain in the ear
Mastoidbony prominence of the skull located just behind the ear
Helixcoiled superior/posterior free rim of the pinna
Pinnaauricle or outer ear
Organ or Corti sensory organ of hearing
Incusmiddle of the 3 ossicles of the middle ear
Malleusfirst of the 3 ossicles of the middle ear
Stapesinner of the 3 ossicles of the middle ear
Cone of Light reflection of light from otoscope. Normal position is at 5:00 for right TM and 7:00 for left TM.
Whisper Test a test of high–tone loss (A whisper is a high-frequency sound)
Tuning Fork Tests measures hearing by air conduction (AC) or by bone conduction (BC)
Romberg Test a test of balance (assesses intactness of vestibular apparatus in inner ear as well as some neurological system components)
Insufflationmethod of testing TM mobility by puffing air via a pneumatic bulb
Retracted TM occurs as obstructed Eustachian tube prevents passage of air from nasopharynx and air within the “closed off” middle ear is absorbed
Serous Otitis Media fluid collects in middle ear (transudates) in response to negative pressure that occurs secondary to blocked Eustachian tube
Low-set ears abnormality may signify mental retardation or a genitourinary malformation
Tympanostomy Tubes tubes inserted into TM to equalize pressure and drain secretions
Upper Respiratory Infection (URI) infection of the nose, nasopharynx, oropharynx, and other upper respiratory structures (e.g., common cold)
Presbycusisgradual high-tone frequency hearing loss that occurs with aging (will often be detected through failed whisper test)
Second hand smoke and propped bottlescommon causes of otitis media
Positioning of pinna for examination of adult or child older than 3 years pull up and back to straighten ear canal
Positioning of pinna for examination of child younger than 3 years pull pinna straight down
Methods to test hearing of infantsmaking loud noises while out of sight


Jackie Burchum

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