Clinical Tuning Fork Tests and Tympanogram December 3, 2021December 5, 2021 by pgcracked 3 Created on December 03, 2021 Tuning Fork Tests and Tympanogram MCQs 1 / 41 Post head injury, the patient had conductive deafness and on examination, tympanic membrane was normal and mobile with increased compliance on impedance. Likely diagnosis is: (AIIMS 2006) Distortion of ossicular chain Hemotympanum Tympanosclerosis Otosclerosis 2 / 41 A young man presents with loss of hearing right ear following an accident. On otoscopic examination the tympanic membrane was normal. Pure tone audiometry shows an bone gap of 55 dB in the right with normal cochlear reserve. Which of the following will be the likely tympanometry finding: (Al 2009) As type tympanogram Ad type tympanogram B type tympanogram C type tympanogram 3 / 41 In Osteogenesis Imperfecta, the tympanogram is: (DNB 2003, Exam 2013) Flat Non- compliance High-compliance Low-compliance 4 / 41 In a patient of TM perforation Tympanometery shows which curve (AIIMS 2001) Flat As curve Ad curve C type 5 / 41 B-type tympanogram is seen in: (Exam 2013) Serous Otitis media Otosclerosis Ossicular discontinuity All of the above 6 / 41 Dome shaped curve in tympanogram is found in: (RJ 2003) Otosclerosis Ossicular discontinuity TM perforation Middle ear fluid 7 / 41 Impedance audiometry is done using frequency probe of: (Delhi 2007 Exam2012) 226 Hz 550 Hz 440 Hz 1000 Hz 8 / 41 Which of the following test assesses resistance in middle ear: (MAHE 2000) Pure tone audiometry Impendence audiometry Caloric test BERA (Brainstem evoked response audiometry) 9 / 41 Trough shaped curve in audiometry is seen in: (Exam 2013) Congenital SNHL Otitis media with effusion Ototoxicity Meniere's 10 / 41 Hearing loss is maximum in: (Exam 2013) Tympanic membrane perforation Complete destruction of ossicular chain Complete closure of oval window Complete obstruction of EAC 11 / 41 In a patient audiogram shows a hearing loss of 54 dB. Most probable condition in his ear is (AI 2006) Ossicular disruption with intact tympanic membrane Ossicular disruption with tympanic membrane perforation Complete fixation of the stapes footplate Otitis media with effusion 12 / 41 Which of the following conditions causes maximum hearing loss: (AI 2004) Ossicular disruption with intact tympanic membrane Ossicular disruption with tympanic membrane perforation Partial fixation of the stapes footplate Otitis media with effusion 13 / 41 After rupture of tympanic membrane the hearing loss is: (AI 2003) 10-40 dB 60 dB 30 dB 300 dB 14 / 41 40 dB compared to 20 dB is: (Exam 2001) Double 10 times 100 times 1000 times 15 / 41 Threshold for moderate hearing loss (Exam 2013) 26-40 dB 0-25 dB 41-55 dB > 91 dB 16 / 41 According to WHO classification, severe degree of impairment of hearing is at: (TN 2004) 26-40 dB 41-55 dB 56-70 dB 71-91 dB 17 / 41 Ear is sensitive to: (Jharkhand 2003) 500-3500 Hz 20-20,000 Hz 300-5000 Hz 5000-8000 Hz 18 / 41 High frequency audiometry is used in: (MINIS May 2009) Otosclerosis Ototoxicity Non-organic hearing loss Meniere's disease 19 / 41 The "O" sign in pure tone audiogram indicates: (AP 2005) Air conduction of right ear Air conduction of left ear Bone conduction of right ear Bone conduction of left ear 20 / 41 In pure tone audiogram the symbol X is used to mark: (JIPMER 2002) Air conduction in right ear Air conduction in left ear Bone conduction in right ear No response in air conduction in right ear 21 / 41 In a patient, Rinne test positive in both ears, Weber's lateralizes to the right. What does this signify: (Exam 2013) Right Sensorineural Deafness Left Sensorineural Deafness Right Conductive Deafness Left Conductive Deafness 22 / 41 A 38 year old gentleman reports of decreased hearing in the right ear for the last 2 years. On testing with a 512 Hz tuning fork, the Rinne test is negative on the right ear and positive on the left ear. With the Weber's test the tone is perceived as louder in the left ear. Most likely, the patient has: (AIIMS 2002) Right conductive hearing loss Right severe sensorineural hearing loss Left sensorineural hearing loss Left conductive hearing loss 23 / 41 A middle aged woman presented with right sided hearing loss, Rinne test shows positive result on left side and negative result on right side. Weber's test showed lateralisation to left side, diagnosis is: (AIIMS 2000) Right sided conductive deafness Right sided severe sensorineural deafness Left sided sensorineural deafness Left sided conductive deafness 24 / 41 One man had 30 dB deafness in left ear with Weber test showing more sound in left ear and BC more on left side and normal hearing in right ear, his test can be summarized as: ( AIIMS 2002) Weber's test left lateralised, Rinne-right positive, BC > AC on left side Weber's test right lateralised, Rinne-left positive, AC > BC on right side Weber's test left lateralised, Rinne-false positive on right side, BC > AC on left side Weber's test left lateralised, Rinne-equivocal. BC > AC on right side 25 / 41 A 38 yr old male presented with diagnosis of suppurative labyrinthitis. A positive Rinne test and positive fistula test was recorded on initial investigation. The patient refused treatment and returned to the emergency department after 2 weeks complaining of deafness in the affected ear. On examination, fistula test was observed to be negative. What is the likely expected finding on reapating the Rinne test: (Al 2009) True positive Rinne test False positive Rinne test True negative Rinne test False negative Rinne test 26 / 41 In Bing test on alternately compressing and relaxing the tragus the sound increase and decreases. This indicates: (JIPMER 2002) SN deafness Adhesive otitis media Otosclerosis CSOM 27 / 41 Gelle's test is done in: (JIPMER 98) Senile deafness Traumatic deafness Otosclerosis Serous Otitis media 28 / 41 Threshold for bone conduction is normal and that for air conduction is increased in disease of: (AP 96) Middle ear Inner ear Cochlear nerve Temporal nerve 29 / 41 Weber test in conductive deafness: Sound louder in normal ear Sound louder in diseased ear Heard with equal intensity in both ear Inconclusive test 30 / 41 In the right middle ear Pathology Weber's test will be: (AI 2004, Exam 2013) Normal Centralised Lateralised to right side Lateralised to left side 31 / 41 What should he the least hearing loss for Weber test to lateralize: (Rj 2004) 5dB 10dB 15dB 20dB 32 / 41 Weber test is best elicited as: (AI 2002) Placing the tuning fork on the mastoid process and comparing the bone conduction of the patient with that of the examiner Placing the tuning fork on the vertex of the skull and determining the effect of gently occluding the auditory canal on the threshold of low frequencies Placing the tuning fork on the mastoid process and comparing the bone conduction in the patient Placing the tuning fork on the forehead and asking him to report in which ear he hears it better ears 33 / 41 Rinne test is positive in: (AIIMS 91) CSOM Normal individual Otomycosis Wax in ear 34 / 41 Positive Rinne test is seen in: (JIPMER 2001) Otosclerosis CSOM Impacted Wax Presbycusis 35 / 41 Positive Rinne test indicates: (Exam 2013) AC > BC BC > AC BC = AC None 36 / 41 Rinne test is negative if minimum deafness is: (SRMC 2002) 15-20 dB 25-30 dB 35-40 dB 15-50 dB 37 / 41 Rinne test negative is seen in: (JIPMER 2002) Presbvcusis CSOM Labyrinthitis Meniere's disease 38 / 41 Rinne test is negative in: (AIIMS 2004) Sensorineural deafness Acoustic neuroma Tympanosclerosis Meniere's disease 39 / 41 Tuning fork frequency used most commonly in ENT is: (Exam 2013) 256 Hz 512 Hz 1024 Hz 2048 Hz 40 / 41 Tuning fork of 512 FPS is used to test the hearing because it is: (Karnataka 2006) Better heard Better felt Produces over tones Not heard 41 / 41 All are tuning fork tests except: (UP 2002/Exam 2002) Schwabach's test Grants test Rinne test Weber's test Your score is The average score is 39% LinkedIn Facebook Twitter VKontakte 0% Restart quiz Post navigation Testicular and Ovarian TumorsPediatrics: Respiratory System