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Chapter 23. Noninfectious Disorders of the Ear

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:

A. Your children will definitely have hearing loss from otosclerosis.

B. There is a 50% chance that your children will have hearing loss from otosclerosis.

C. There is a chance your children will inherit the gene but their level of hearing loss will vary

D. Only females can inherit the otosclerosis gene.

E. There is no genetic component to otosclerosis.

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?

A. Antibiotic drops.

B. Bed rest and labyrinthine sedatives.

C. Emergency surgery—tympanoplasty and ossicular reconstruction.

D. Emergency surgery—tympanoplasty, tissue seal of the oval window, and secondary reconstruction.

E. Reevaluate in 6 weeks.

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

A. Immediate debridement of nonviable tissue

B. Rapid rewarming of the ear

C. Slow rewarming of the ear

D. Hyperbaric oxygen

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?

A. 1 hour

B. 2 hours

C. 4 hours

D. 6 hours

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