Exam & Evaluation (Otitis Media in Children)
Questions: Please respond to following statements.
What is the total estimated yearly cost of treating otitis media in the U.S.?
$12 billion dollars
almost one billion dollars
$75 million dollars
$5 billion dollars
The mastoid acts to provide additional air volume.
At rest, the eustachian tube is collapsed closed.
What anatomic factor aids the transmission of pathogens to the middle ear ______?
a continuous mucous membrane, from oropharnyx to middle ear
the tympanum (ear drum)
The normal adult eustachian tube has a number of functions. From the choices below, check all TRUE statements.
It allows the gas pressure to equalize between the ME and the ambient gas pressure.
It protects the ME from excess sound pressure in the nasopharynx.
It protects the nasopharynx against fluid reflux from the adenoids.
It allows the secretions produced in the middle ear to drain.
It protects the middle ear against fluid reflux from the nasopharynx.
A slight negative pressure within the middle ear is normal.
Mucociliary action of the ET and equilibration of air pressure increase the accumulation of fluid and pathogens within the middle ear.
One of the differences between a child's and an adult's auditory anatomy is:
The erect adult's eustachian tube only inclined about 10 degrees.
The length of the eustachian tube.
Adult's trap less air in their ET and middle ear.
Drainage of the adult ear is not influenced by gravity.
Choose ALL of the symptoms that correspond with Otitis Media with Effusion (OME).
Immobile tympanic membrane
Fluid in the middle ear
What bacteria is responsible for 60% of AOM today?
An immobile bulging tympanum, fever and nausea are indicative of acute otitis media.
Direct evidence of middle ear fluid is obtained using invasive procedures. Choose 2 direct methods from the choices below.
While examining the tympanic membrane, you note that the cone of light is prominent at "5 o'clock." You are looking at the left ear.
The antibiotic given first, and most frequently, for AOM, (if the child is not allergic to penicillin) is:
It is likely that AOM proceeded most cases of OME.
Needle aspiration of fluid from the middle ear is called:
Prolonged hearing loss which may compromise speech and IQ level is an appropriate reason for surgical intervention.
Check ALL and ANY of the choices below, indicating something that can be done to prevent otitis media.
Bottle feed baby
Day care in groups of less than 6 children
Prevent child's exposure to second-hand smoke
Remove allergens from environment
Haemophilus type B (HIB) vaccine
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