Monday, October 14, 2013

10/14/2013

10/14/2013

Answers:
By --- months, a child should be startled by loud noises and at --- months a child should respond to their name.
A) 3, 6
B)3, 9
C) 3, 12
D)6, 9
E) 6, 12
F) 9, 12

-3 months = startled by loud noise/calmed by familiar voice
-6 months = localize sounds
-9 months = respond to name, mimic environmental sounds
-18 months = react to sounds form any direction, follow commands

Name some of the key features of immune-mediated SNHL.

-Poor speech discrimination relative to hearing loss.
-Age usually btwn 20-50
-Hx of systemic autoimmune disorder
-B/L rapidly progressing SNHL

MC Questions:
What is the most common cause of noise induced hearing loss (nonoccupational)
A) Rock Concerts
B) Airplanes
C) Gunfire
D)  Lawnmowers
E) Car alarms


Free Response Question:
Name two medication categories that are ototoxic.


Quick Facts:

Tracheotomy was first depicted on Egyptian artifacts in 3600 BC. It was described in the Rigveda, a Sanskrit text, circa 2000 BC. Homerus of Byzantium is said to have written of Alexander the Great saving a soldier from suffocation by making an incision with the tip of his sword in the man's trachea. Hippocrates condemned the practice of tracheotomy as incurring an unacceptable risk of damage to the carotid artery. Warning against the possibility of death from inadvertent laceration of the carotid artery during tracheotomy, he instead advocated the practice of tracheal intubation. Because surgical instruments were not sterilized at that time, infections following surgery also produced numerous complications, including dyspnea, often leading to death.

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