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MCPHS - OTC Exam 3b
MCPHS OTC Exam 3 (2) OTIC (EARs) Ch. 30
| Question | Answer |
|---|---|
| Ear Drum is barrier to what? | Auditory Canal is Separated by Tympanic Membrane from Inner Ear |
| What is Outter Ear Called? | Auricle or Pina (cart. part) |
| What is EAC? | Extrernal Auditory Canal |
| What is the Tracus? | Cartilage part just in front of EAC opening |
| Auricle is comprised of? | Cartilage, highly vascularized, outer part we call the "ear" (external part) |
| Ear Wax is also called? | Cerumen |
| Cerumen contains? | AntiBacterial/AntiMicrobials |
| How is earwax removed naturally from ear? | By talking or chewing |
| What can cause compaction of earwax? | Q-tips, hair, over active glands, ear plugs, hearing aids |
| What happens when removing earwax too much? | Infections, compaction, irritation |
| Sx of Impacted Cerumen? | Diff. Hearing, Fullness/Tightness in Ear, Vertigo, Dull Pain |
| Only FDA Approv. Cerumen Softening Agent? | Carbamide Peroxide 6.5% in Anhydrous Glycerin. (Olive Oil may work too, but not approved by FDA) |
| What other Solns do Pt.'s tend to use to remove Earwax? | Hydrogen Peroxide & Alcohol (Not Recommended - Irritants) |
| How much Carbamide Peroxide in EAC to remove Wax? | 5-10 gtts for 15 min. (If Pain, Bleeding, or Dizziness after 4 d consult MD) |
| Name of Carbamide Peroxide products? | Debrox Drops, ERO Drops, Flent's Earwax Removal Sys, Murine Earwax Removal Sys. |
| What can a water pick do when it hits the ear drum? | It puts a hole in it! Never use a water pick to remove earwax! |
| What is External Otitis? | "Swimmer's Ear" Bacterial or Fungus Infection. NO OTC for TX. Need Rx - See MD |
| S, Sx, Tx of "Water Clogged Ear"? | Felt in EAC, Diff. Hearing, Itch, Pain (not worse when tugging), ( >24hr = Tissue Maceration can lead to Infection) |
| Sx of Swimmer's Ear? | Pain is more server if pulled on ear, discharge, fever |
| Non-Pharm: Tx. of Water Clogged Ear? | Plug to break air buble that is trapping water, stamping on feet tugging on ear lobe, (hair drier on low, low/no heat) |
| Pham Tx of Water Clogged Ear? | FDA: 95% Al & 5% Anhydrous Glycerin for "Ear Drying Aid", AAO (Am. Acad. Otolaryngology): 50/50 mix Alcohol & Vinegar. |
| Tinnitus is? | Ringing in Ear(s) caused by Drug Tx (Salicylates, Quinine, Aminoglycosides, Diuretics). Sx of Disease (Meningitis, syphilis, neoplasm, meniere's disease, hypothyroid). Acoustic Trauma |
| Tx for Tinnitus? | Soft Music to mask tinnitus &/or Cochlear Implants |
| What is Meniere's Disease? | Disease of Inner Ear. Imbalance of Fluid in Cochlear Tubes (Laberanth). Sx: Tinnitus, HA, N&V... |
| What is Otalgia? | "Ear Pain" b/c Auricle & EAC are very sensitive. Can be Refered pain from HA, TMJ, Cervical Arthritis. May be infection, or small pimple. See MD for Rx if Inftection (can accompany lung infections w/fever) |
| When should Earsol HC Drops not be Used? | When Pt. has Ear Infection Hydrocortisone products should not be used (although normally useful in removing inflammation otherwise) |
| What is in Similanson Homeopathic Ear Drops | Chamolilla, Merurius, Sulfur (Not FDA Approved, No "Theraputic Agents") |
| Star Otic Solution Contains? | Non-Aqueous Acetic Acid, Burow's Soln, Boric Acid, PEG, (Antiseptic Soln. for minor Irritations) |
| Otitis Media is? | Middle Ear Bacterial Infection, No OTC, See MD (No Itching - Steady Pain, Unilaterally) |
| External Otitis is? | Itchy, Acute Onset of Pain that increases with tragus or auricle movement |
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