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CMN 568 Ears – Questions And Accurate Answers
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CMN 568 Ears – Questions And Accurate Answers
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CMN 568 Ears – Questions And Accurate AnswersOtitis Externa (Swimmer's Ear) Right Ans - Inflammation of the outer ear
and ear canal due to infection
Cellulitis of the soft tissues of the external auditory canal Right Ans - Otitis
Externa
What pathogens are responsible for Otitis Externa? Right Ans -
Pseudomonas aeruginosa
Staphylococcus aureus
Aspergillus or other fungi
Which of the following is considered a risk factor for Otitis Externa?
A. A mother that repeatedly cleans her child's ears.
B. Swimming
C. Doing back flips on the trampoline.
D. A & B Right Ans - D
How does keeping the ears too clean contribute to Otitis Externa? Right
Ans - Removes protective cerumen and increases pH which promotes
bacterial growth
Hallmark Sign of Otitis Externa Right Ans - Severe ear pain made worse by
moving pinna or tragus
What type of discharge would the provider expect to see when caring for a
patient with a diagnosis of Otitis Externa? Right Ans - Purulent discharge
Differential Diagnosis of Otitis Externa Right Ans - AOM w/ TM rupture
Patent PE tubes
Furunculosis of the ear canal
Mastoiditis
If debris is visualized and the TM is visualized what should the next action be?
Right Ans - The NP can gently remove the debris using warm water and a bulb
syringe?
, What is a negative response that can occur if the NP irrigates with cold water?
Right Ans - Vestibular response and can cause an episode of dizziness and
possible vomiting.
What is the first-line treatment for a patient with Otitis Externa? Right Ans
- Fluroquinolone drops
Ciprofloxacin/dexamethasone (Ciprodex)
What drops cover both pseudomonas and Staph? Right Ans - Ciprodex
Can Neomycin/Polymyxin B/Hydrocortisone be used if the TM is perforated
or PE Tubes in place/ Right Ans - No
Patient comes in and the provider tells the patient that they have otitis
externa. The patient asks, "What can I do differently to prevent this from
ocurring again?
Select All That Apply Right Ans - A. Avoid use of Q-Tips
B. Do not dry ears out, moisture keeps the ears healthy.
C. Avoid vigorous ear cleaning.
D. Use drying agents after swimming such as 2-3 drops of 1:1 solution of white
vinegar/70% ethyl alcohol.
A-C-D
Acute Otitis Media (AOM) Right Ans - inflammation of the middle ear
bulging tympanic membrane
middle ear effusion as demonstrated by pneumatic otoscopy Right Ans -
Acute Otitis Media
AOM pathogens Right Ans - Streptococcus pneumoniae
Haemophilus influenzae
Moraxella catarrhalis
Streptococcus Pyogenes
acute otitis media Pathogens Mnemonic Right Ans - She Hit Me
Streptococcus Pneumoniae
Haemophilus influenzae
Moraxella Catarrhalis
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