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Quiz on Ototoxicity and Audiological Findings

Total questions: 15

Worksheet time: 5mins

Name
Class
Date
1.

What is the primary target of aminoglycoside toxicity?

a)

Cochleo-vestibular systems

b)

Liver and kidneys

c)

Heart and lungs

d)

Nervous system

2.

Which of the following is a common sign of platinum-induced ototoxicity?

a)

Nausea

b)

Tinnitus

c)

Dizziness

d)

Ringing in the ears

3.

What is the mechanism of action of aminoglycosides in causing ototoxicity?

a)

Inhibition of protein synthesis

b)

Free radical generation

c)

Blocking ion channels

d)

Disruption of DNA replication

4.

Which of the following agents is known for causing reversible ototoxicity?

a)

Furosemide

b)

Streptomycin

c)

Salicylates

d)

Cisplatin

5.

What is a common symptom of salicylate ototoxicity?

a)

Severe vertigo

b)

Bilateral symmetrical hearing loss

c)

Tinnitus

d)

Nausea and vomiting

6.

What is the primary effect of quinine on the cochlea?

a)

Enhanced cochlear mechanics

b)

Direct damage to the auditory nerve

c)

Increased blood flow

d)

Inhibition of hair cell transduction

7.

What type of hearing loss is associated with aminoglycoside-induced ototoxicity?

a)

Conductive hearing loss

b)

Bilateral sensorineural hearing loss

c)

Unilateral sensorineural hearing loss

d)

Reversible hearing loss

8.

Which audiometric test is recommended for detecting ototoxicity?

a)

High-frequency audiometry

b)

Speech audiometry

c)

Tympanometry

d)

Pure tone audiometry

9.

What is the primary cause of hearing loss due to salicylates?

a)

Reversible biochemical changes

b)

Increased blood flow

c)

Permanent cell death

d)

Structural damage to hair cells

10.

What is a common characteristic of hearing loss from cisplatin?

a)

Unilateral and reversible

b)

Bilateral and progressive

c)

Conductive and temporary

d)

Sensorineural and mild

11.

What is the effect of aminoglycosides on inner ear fluids?

a)

Rapid clearance

b)

Slow clearance

c)

No effect

d)

Increased production

12.

What is the expected outcome of high-frequency audiometry in ototoxicity?

a)

Only detects conductive loss

b)

No correlation with hearing loss

c)

Detection of late changes

d)

Detection of early changes

13.

What is a common treatment for malaria that can cause ototoxicity?

a)

Chloroquine

b)

Cisplatin

c)

Quinine

d)

Aspirin

14.

What is the primary effect of cisplatin on the cochlea?

a)

Cell death in inner hair cells

b)

Reversible hearing loss

c)

Enhanced auditory function

d)

Increased hair cell growth

15.

What is the typical latency of wave V in ABR for cisplatin patients?

a)

Variable latency

b)

Decreased latency

c)

Increased latency

d)

No change in latency