Answers:
What type of hearing loss is most common in Branchio-Oto-Renal Syndrome?
A) SNHL
B) CHL
C) Mixed Hearing Loss
D) Microtia without hearing loss
Branchio-Oto-Renal Syndrome most often causes a mixed type hearing loss.
A patient is found to have bilateral acoustic neuromas. What underlying diagnosis is most likely?
Neurofibromatosis Type II
MC Questions:
This patient presents and is found to have significant hearing loss. What is the most likely diagnosis?
A) Pendred Syndrome
B) Stickler Syndrome
C) Treacher Collins Syndrome
D) Jervell-Lange-Neilsen Syndrome
E) Waardenburg
A) SNHL
B) CHL
C) Mixed Hearing Loss
D) Microtia without hearing loss
Branchio-Oto-Renal Syndrome most often causes a mixed type hearing loss.
A patient is found to have bilateral acoustic neuromas. What underlying diagnosis is most likely?
Neurofibromatosis Type II
This patient presents and is found to have significant hearing loss. What is the most likely diagnosis?
A) Pendred Syndrome
B) Stickler Syndrome
C) Treacher Collins Syndrome
D) Jervell-Lange-Neilsen Syndrome
E) Waardenburg
Free Response Question:
A 2 year old patient with SNHL presents to the ED with a syncopal episode. What diagnose should be suspected and why is it important to diagnose early?
Quick Facts:
Steps in Vestibular Eval
1. H&N exam, include CNs
2. Spontaneous/gaze-evoked nystagmus w/ Frenzel glasses
3. Smooth Pursuit - “follow my fingers”
4. Saccades - “look to my left/right finger when I say to”
5. Head thrust
6. Headshake = “10 degrees, 2 cycles, 20 seconds”
7. Dynamic visual activity - “look at schnell chart w/ head shake”
8. Fixation suppression - “look at your thumb during rotation”
9. Positional testing - Dix-Hallpike
10. Cerebellum - finger to nose, rapid alternating movements, heel to
shin
11. Posture -Romberg
A 2 year old patient with SNHL presents to the ED with a syncopal episode. What diagnose should be suspected and why is it important to diagnose early?
Quick Facts:
Steps in Vestibular Eval
1. H&N exam, include CNs
2. Spontaneous/gaze-evoked nystagmus w/ Frenzel glasses
3. Smooth Pursuit - “follow my fingers”
4. Saccades - “look to my left/right finger when I say to”
5. Head thrust
6. Headshake = “10 degrees, 2 cycles, 20 seconds”
7. Dynamic visual activity - “look at schnell chart w/ head shake”
8. Fixation suppression - “look at your thumb during rotation”
9. Positional testing - Dix-Hallpike
10. Cerebellum - finger to nose, rapid alternating movements, heel to
shin
11. Posture -Romberg
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