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Chapter 23. Noninfectious Disorders of the Ear
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A 30-year-old woman presents to your office after undergoing successful stapedotomy for otosclerosis. She asks about the chances that her children will have otosclerosis. You tell her:
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A. Your children will definitely have hearing loss from otosclerosis.
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B. There is a 50% chance that your children will have hearing loss from otosclerosis.
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C. There is a chance your children will inherit the gene but their level of hearing loss will vary
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D. Only females can inherit the otosclerosis gene.
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E. There is no genetic component to otosclerosis.
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A patient presents to the emergency room with vertigo and hearing loss after a toothpick went in his ear. The ear canal is filled with blood, but a small perforation is seen. How would you manage this patient?
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B. Bed rest and labyrinthine sedatives.
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C. Emergency surgery—tympanoplasty and ossicular reconstruction.
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D. Emergency surgery—tympanoplasty, tissue seal of the oval window, and secondary reconstruction.
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E. Reevaluate in 6 weeks.
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Patient presents to the emergency department after falling asleep while ice fishing. You notice his ear has decreased sensation, no capillary refill, and is deep blue. You recommend
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A. Immediate debridement of nonviable tissue
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B. Rapid rewarming of the ear
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C. Slow rewarming of the ear
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According to OSHA standards, someone who works in a factory regularly exposed to 95-dB noise can work for how long before requiring hearing protection?
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