Visual examination of the external auditory canal and the tympanic membrane using
an otoscope
Otoscopic procedure that assesses the ability of the tympanic membrane to move in
response to a change in air pressure
In pneumatic otoscopy, the increase and decrease in pressure causes the healthy tympanic
membrane to move in and out. Lack of movement indicates increased impedance or
eardrum perforation.
Hearing test that uses a turning fork (instrument that produces constant pitch when
struck) that is struck and then placed against or near the bones on the side of the
head to assess nerve and bone conduction of sound
There are two types of tuning fork tests: the Rinne test and the Weber test.
Tuning fork test that evaluates bone conduction of sound in one ear at a time
(See Fig. 11–13.)
The Rinne test is useful for differentiating between conductive and sensorineural hearing
loss.
Tuning fork test that evaluates bone conduction of sound in both ears at the same
time
During the Weber test, hearing sound equally in both ears indicates normal hearing.
532 CHAPTER 11• Special Senses: Eyes and Ears
tuning fork test
Rinne
RĬN-nē
Weber
otoscopy
ō-TŎS-kŏ-pē
ot/o: ear
-scopy: visual
examination
pneumatic
nū-MĂT-ĭk
Figure 11-12Snellen chart with letters. From Med/Surg, 4 ed by
Williams, p. 1233, Fig 51.3.