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Exam & Evaluation (Otitis Media in Children)
 
Questions: Please respond to following statements.

1 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
2 The mastoid acts to provide additional air volume.
True     False
3 At rest, the eustachian tube is collapsed closed.
True     False
4 What anatomic factor aids the transmission of pathogens to the middle ear ______?
  external canal
  a continuous mucous membrane, from oropharnyx to middle ear
  the tympanum (ear drum)
  the ossicles
5 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.
6 A slight negative pressure within the middle ear is normal.
True     False
7 Mucociliary action of the ET and equilibration of air pressure increase the accumulation of fluid and pathogens within the middle ear.
True     False
8 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.
9 Choose ALL of the symptoms that correspond with Otitis Media with Effusion (OME).
  Fever
  Severe earache
  Immobile tympanic membrane
  Fluid in the middle ear
10 What bacteria is responsible for 60% of AOM today?
  Moraxella catarrhalis
  Streptococcus pneumoniae
  Staphylococcus aureus
  Haemophilus influenze
11 An immobile bulging tympanum, fever and nausea are indicative of acute otitis media.
True     False
12 Direct evidence of middle ear fluid is obtained using invasive procedures. Choose 2 direct methods from the choices below.
  Tympanocentesis
  Tympanometry
  Otalgiavision
  Myringotomy
13 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.
True     False
14 The antibiotic given first, and most frequently, for AOM, (if the child is not allergic to penicillin) is:
  Amoxicillin
  Erythromycin
  Trimethoprim/sulfamethoxazole
  Sulfa
15 It is likely that AOM proceeded most cases of OME.
True     False
16 Needle aspiration of fluid from the middle ear is called:
  adenoidectomy
  tympanocentesis
  tonsillectomy
  myringotomy
17 Prolonged hearing loss which may compromise speech and IQ level is an appropriate reason for surgical intervention.
True     False
18 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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