ENT MCQs Top pool Questions and answers, 100% Accurate, graded A
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ENT MCQs Top pool Questions and answers, 100% Accurate, graded A
19 year old Caucasian woman with 2 day history of left-sided earache. Pain has worsened acutely over last 24 hours, describes some seepage from ear. Over past few weeks left ear has felt blocked and has been using cotton buds to ...
graded a 19 year old caucasian woman with 2 day history of left sided earache pain has worsened acutely over last 24 hours
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ENT MCQs Top pool Questions and
answers, 100% Accurate, graded A
19 year old Caucasian woman with 2 day history of left-sided earache. Pain has worsened acutely over
last 24 hours, describes some seepage from ear. Over past few weeks left ear has felt blocked and has
been using cotton buds to clean them. Hearing is not impaired, afebrile. Pain is worsened on superior
movement of the auricle. Scanty discharge emerging from left ear.
Which of the following is the most likely diagnosis?
a. Acute otitis externa
b. Chronic otitis externa
c. Acute otitis media
d. Mastoiditis
e. Chronic otitis media - ✔✔-a
ACUTE OTITIS EXTERNA
Inflammation of outer ear canal, common in swimmer's and people who regularly use cotton buds in
their ears.
Overriding feature is pain, worsened by superior movement of the pinna.
Signs may be minimal, dx easily missed.
Which of the following is the most appropriate treatment for patient with acute otitis externa?
a. Discharge with advice to stop using cotton buds.
b. Discharge with combination of acidifying and antibiotic ear drops
c. Discharge with oral analgesia
d. Referral to ENT specialist
e. None of the above as ear-canal is self-cleaning - ✔✔-b
DISCHARGE WITH COMBINATION OF ACIDIFYING AND ANTIBIOTIC EAR DROPS
, Acidifying drops prevent build up of wax, creating a hostile environment for pathogens.
Antibiotics treat infection.
6 year old boy brought to paediatric ED. Mother worried as boy has been lethargic and complaining of
right-sided earache all day. No similar attacks in the past. On examination, unwell, 39 degrees, pulse
110bpm, BP 90/40. No cervical adenopathy. Otoscopy reveals bright red tympanic membrane.
What is the most likely causative pathogen?
a. Group B strep
b. H. influenzae
c. TB
d. Moraxella catarrhalis
e. None of the above - ✔✔-b
HAEMOPHILUS INFLUENZAE
Acute otitis media is commonly caused by H. influenzae or Strep pneumo
What is the most appropriate therapy for acute otitis media?
a. Immediate myringotomy
b. Advice on hygiene and antipyretics
c. Refer to ENT to tympanostomy tube
d. Oral antibiotics (amoxicillin) for 5 days
e. Antibiotic (amoxicillin) ear drops - ✔✔-d
ORAL ANTIBIOTICS
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