Otoscopy and impression Taking Refresher Quiz

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Question 1 of 12

1. Question
1. When should you not take impressions (one or more answers)
Client has otitis externa
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Client has had recent ear surgery
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Client's ears are healthy and clear of wax
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Client has new perforation
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Client has grommets which are still in the eardrum and were placed there 4 months ago
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Wax or foreign body is present
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Question 2 of 12

2. Question

What is stenosis?

Wax blockage
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Nasal blockage
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Narrowing of the ear canal, likely due to exotoses and osteomas
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Form of ear surgery
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Question 3 of 12

3. Question

What issues may affect your placement of the otoscop? (one or more)

Not wearing your glasses
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Choosing the wrong size otostop
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Not pulling on the pinna to open the ear canal wider
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Not checking the placement of the otostop with your otoscope
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Compressing the otostop as you have applied too much force
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Question 4 of 12

4. Question

How do you know where the 2^nd bend is (one or more)

I just know where it is
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I’ve put a marked line on my otolight so I know where it is
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Often coincides with slight resistance as it enters the bony portion of the canal.
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When you look on otoscopy, you will see that the otostop is framed by the cartilaginous portion of the canal
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Question 5 of 12

5. Question

Potential reasons why your impressions may not be good enough quality for making an earmould (one or more)

I am using the wrong otostop size for the canal
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My impression material is setting too quickly so I can’t get a good impression
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I am stopping and starting when syringing and this is causing air pockets
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I am just being lazy and not paying due attention when making my moulds
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I am not putting the nozzle of the syringe or gun in the correct place
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Question 6 of 12

6. Question

What type of viscosity is impression gun material?

High viscosity
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I don’t know
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Medium Viscosity
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Low viscosity
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Question 7 of 12

7. Question

When should you take a 2^nd impression or take it again at the same appointment (one or more)

If you’ve made an impression and it’s not near or past the second bend and that is required for the loss
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Unexplained voids or bubbles in the material
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There are folds in the material particularly in the canal because it has set too quickly
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If you don’t have a good concha or helix fill
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Client has a collapsed canal and you need to do an open jaw impression
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Question 8 of 12

8. Question

Reasons why a client’s earmoulds may no longer be fitting correctly (one or more)

They have lost weight or are a child/adolescent and have had a growth spurt
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They want a new one
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If you jiggle the pinna and lobule and it is obvious that the mould is loose
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The aid feeds back continually and there is no wax
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You have made several impressions and earmoulds and none of them fit properly
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Question 9 of 12

9. Question

Open jaw impressions are recommended (one or more)

Client preferred option
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Client has a narrowed or collapsed canal
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When clients need new moulds I should always make an open jaw
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Where clients have had several moulds and continue to have issues with feedback or comfort/fit
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Question 10 of 12

10. Question

Otitis Externa is

Infection of the external ear, generally the ear canal but can include pinna and concha
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Skin infection on the face
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Skin infection on the body
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Question 11 of 12

11. Question

What health issues may be a trigger to developing otitis externa? (one or more)

Diabetes/ autoimmune disorders
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Colds
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Previous history of otitis externa
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Radiotherapy
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Question 12 of 12

12. Question

Mastoid Cavities of the ear have the following attributes (one or more)

They were born with the cavity
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The middle ear has had some disease such as chronic severe infections or cholesteatomas which have eaten away areas of the middle ear and the area of disease has been removed surgically
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The ear canal is a normal shape
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The ear canal will have some abnormality in shape and/or length as will the area around the eardrum
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There will be a scar behind the pinna (likely an indentation or dip in the skin behind the pinna too
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