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Author Question: Otitis media (OM), which can occur in any age group, is the most common diagnosis made by health ... (Read 111 times)

mynx

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Otitis media (OM), which can occur in any age group, is the most common diagnosis made by health care providers who care for children. Which bacterial pathogen causes the largest proportion of cases that result in sensorineural hearing loss?
 
  A)
  Streptococcus pneumoniae
  B)
  Acoustic neuromas
  C)
  Haemophilus influenzae
  D)
  Parainfluenza

Question 2

Which of the following questions is most likely to be clinically useful in the differential diagnosis of sensorineural versus conductive hearing loss?
 
  A)
  What medications do you currently take?
  B)
  What effect is this hearing loss having on your quality of life?
  C)
  Has your hearing loss developed quickly or more slowly?
  D)
  Do you ever hear a persistent ringing in your ears?



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Kaytorgator

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Answer to Question 1

Ans:
A

Feedback:

S. pneumoniae is the most common cause of bacterial meningitis that results in sensorineural hearing loss after the neonatal period. Acoustic neuromas are cancers that cause impaired hearing. Parainfluenza and influenza viruses are common viral pathogens in OM.

Answer to Question 2

Ans:
A

Feedback:

Conductive hearing loss occurs when auditory stimuli are not adequately transmitted through the auditory canal, tympanic membrane, middle ear, or ossicle chain to the inner ear. It can be a temporary loss from impacted cerumen. Sensorineural hearing loss occurs with disorders that affect the inner ear, auditory nerve, or auditory pathways to the brain. Numerous drugs have ototoxic potential, a consequence of which is sensorineural hearing loss. The onset and course of hearing loss and the presence or absence of tinnitus do not necessarily help to differentiate between conductive and sensorineural hearing loss. The subjective effect of the client's hearing loss, while a valid concern, does not help with the differential diagnosis.





 

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