Otosclerosis

11 Questions | Total Attempts: 240

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Otosclerosis

Baileys 143 - Otosclerosis answer appropriately


Questions and Answers
  • 1. 
    Otosclerosis is genetically transmitted by
    • A. 

      Autosomal dominance with complete penetrance

    • B. 

      Autosomal dominance with incomplete penetrance

    • C. 

      Autosomal recessive with complete penetrance

    • D. 

      Autosomal recessive with incomplete penetrance

  • 2. 
    What is the percentage of patients in which there is increased vascularity of the cochlear promontory in the early phase of OS?
    • A. 

      10%

    • B. 

      20%

    • C. 

      30%

    • D. 

      40%

  • 3. 
    A patient presents for their post-op visit following stapedotomy for otoslclerosis.  They are complaining of severe SNHL.  What diagnosis was most likely missed on initial evaluation prior to surgery?
    • A. 

      Prior Hx of skullbase fracture

    • B. 

      Acoustic Neuroma

    • C. 

      Meniere disease

    • D. 

      Semicircular Canal Dehiscence

  • 4. 
    A patient with suspected otosclerosis presents to your office for testing.  What may be a characteristic finding on audiogram?
    • A. 

      Normal speech discrims, 5dB loss at 2000Hz and 20dB loss at 500 and 4000Hz

    • B. 

      Abnormal speech discrims,20dB loss at 2000Hz and 5dB loss at 500 and 4000Hz

    • C. 

      Abnormal speech discrims, 5dB loss at 2000Hz and 20dB loss at 500 and 4000Hz

    • D. 

      Normal speech discrims, 20dB loss at 2000Hz and 5dB loss at 500 and 4000Hz

  • 5. 
    Your patient is currently being treated medically with sodium fluoride for otosclerosis and presents with complaints of nausea, what is your next step in management?
    • A. 

      Discontinue medication

    • B. 

      Lower dose of medication

    • C. 

      Recommend taking medication with food

    • D. 

      Recommend taking medication at night

  • 6. 
    What patient has the least amount of risk in complications from stapedectomy?
    • A. 

      75 y/o female with HTN

    • B. 

      25 y/o female scuba diver

    • C. 

      6 y/o female with congenital footplate fixation

    • D. 

      40 y/o female chef

  • 7. 
    What is the minimum amount of time to wait before attempting a stapedectomy on the second ear?
    • A. 

      2 months

    • B. 

      4 months

    • C. 

      6 months

    • D. 

      12 months

  • 8. 
    What is the risk of postoperative deafness in stapedectomy?
    • A. 

      2%

    • B. 

      4%

    • C. 

      6%

    • D. 

      8%

  • 9. 
    The artery that courses in the obturator foramen of the stapes is the embryologic remnant of the _____
    • A. 

      First branchial arch

    • B. 

      Second branchial arch

    • C. 

      Third branchial arch

    • D. 

      Fourth branchial arch

  • 10. 
    A profuse perilymph gusher secondary to a patent cochlear aqueduct is seen more frequently which side?
    • A. 

      Left

    • B. 

      Right

  • 11. 
    A patient post-op stapedectomy is in your office a week after surgery.  They complain that their hearing was better and now is worse.  Audiogram confirms MHL severe in the high frequencies. What complication is suspected?
    • A. 

      Acute otitis media

    • B. 

      OW fistula

    • C. 

      TM perforation

    • D. 

      Reparative granuloma

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