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Examination Stations
Published in Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar, ENT OSCEs, 2023
Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar
A positive Rinne test result is NORMAL, where the air conduction is heard better than the bone conduction. This is unusual for a medical sign, where the positive sign is usually pathological. This can lead to some confusion. Normal hearing will have a positive Rinne test result in both ears and Weber test will be central (Figures 2.9–2.11).
Cranial nerves
Published in Ian Mann, Alastair Noyce, The Finalist’s Guide to Passing the OSCE, 2021
Place a vibrating tuning fork (256 or 512 Hz) on the mastoid process, posterior to the ear. Ask the patient to tell you when they can no longer hear a sound. At that point, angle the fork towards the auricular meatus, the sound should be heard again. This is a normal test result, otherwise known as Rinne positive. Air conduction should be better than bone conduction. If sound is heard better through bone than through the normal conducting system (bone conduction is greater than air conduction), the patient has conductive hearing loss and is Rinne negative. In sensorineural deafness, air conduction often exceeds bone conduction, and so is Rinne positive, but may give false negatives. For this reason, the Rinne test should be used in conjunction with the Weber test.
Examination Stations
Published in Joseph Manjaly, Peter Kullar, Alison Carter, Richard Fox, ENT OSCEs: A Guide to Passing the DO-HNS and MRCS (ENT) OSCE, 2019
Joseph Manjaly, Peter Kullar, Alison Carter, Richard Fox
A positive Rinne test result is NORMAL, where the air conduction is heard better than the bone conduction. This is unusual for a medical sign, where the positive sign is usually pathological. This can lead to some confusion. Normal hearing will have a positive Rinne test result in both ears and Weber test will be central (Figures 2.9 through 2.11).
Effects of methylphenidate treatment in children with ADHD: a multimodal EEG/fNIRS approach
Published in Psychiatry and Clinical Psychopharmacology, 2019
Nazan Dolu, Miray Altınkaynak, Ayşegül Güven, Sevgi Özmen, Esra Demirci, Meltem İzzetoğlu, Ferhat Pektaş
Subjects comprised 18 children with ADHD-combined, before treatment (mean age = 9.55 ± 1.87, range 7–12 years) and 18 healthy children (mean age = 9.88 ± 1.99, range 7–12 years). Controls underwent a standard clinical assessment comprising neurological, endocrine and psychiatric evaluations. The ADHD patients were referred from Children Psychiatry Department of Erciyes University, Medical Faculty Hospital. Children with ADHD who have any central nervous system diseases such as epilepsy, cerebral palsy, developmental delay were not included in the study. All participants had normal hearing functions and were right-handed. The hearing functions tested with Rinne and Weber test. Intelligence Quotient (IQ) scores of participants were all >80 according to The Wechsler Intelligence Scale for Children-Revised (WISC-R). WISC-R is a general test of intelligence which measure verbal and performance abilities. The verbal test contains six subsets (information, vocabulary, arithmetic, comprehension, similarities and digit span), and performance test also contains six subtests (picture completion, block design, object assembly, picture arrangement, coding and mazes). So IQ score is obtained from WISC-R’s completely 12 subtests. In this study we used Turkish version of WISC-R whose standardization and norms were adapted for Turkish sample by Savasir and Sahin [22]. The study was approved by the ethics committees of Erciyes University and written consent was obtained from the parents. Demographic characteristic of the subjects is shown in Table 1. There were not significant differences between controls and children with ADHD in terms of age, years of education, gender and IQ.
Weber test accuracy in sudden sensorineural hearing loss: which frequency is best?
Published in Acta Oto-Laryngologica, 2021
Omer J. Ungar, Ophir Handzel, Yahav Oron, Anton Warshavsky, Gilad Horowitz, Daniel Yafit, Rani Abu Eta, Nidal Muhanna, Shahaf Shilo
Due to its simplicity, availability, reliability, and cost-effectiveness, the Weber test became an integral part of the physical examination of patients with hearing losses, and it remains the basis of the otolaryngologist’s initial evaluation of SSNHL worldwide [13]. The recent SSNHL guideline of the American Academy of Otolaryngology-Head and Neck Surgery Foundation incorporated the Weber test as a part of the evaluation of a suspected SSNHL before decision-making for audiometric referral [2]. No single tuning fork frequency, however, was recommended as being superior to the others in the guidelines.