Primary Care Otolaryngology

Chapter 5

Questions 1. The most common organisms causing acute otitis media are ________, __________, and ________. 2. The first-line antibiotic therapy for acute otitis media in children is _______. 3. Children with persistent otitis media with effusion for ___ months and evidence of hearing loss are candidates for PE tube placement. 4. Ear drainage in patients with PE tubes in place should be treated with _______________________. 5. The presence of bilateral fluid in the ears may cause up to a __________ dB conductive hearing loss. 6. It is important to examine the ____________ in any adult with uni- lateral otitis media with effusion. 7. In a patient with acute otitis media, in addition to being opaque and bulging, the eardrum has ____________ mobility on pneumatic otos- copy. 8. The collection of trabeculated bony cavities lined with mucosa and connected with the middle ear is called the mastoid ______________. 9. The pars flaccida of the eardrum can become _______________when there is chronic negative pressure in the middle ear. 10. The outside of the TM, including the pars flaccida , is lined with ____________ epithelium. 11. _________________ is suspected in a child presenting with fever, ear pain, a protruding auricle, and fluctuance behind the ear. 12. In patients with chronic eustachian tube dysfunction, desquamated debris, consisting mainly of keratin, collects in the retracted pars flac- cida . Over time, this can grow and become a __________. 13. If a patient presents with a draining ear, appropriate therapy includes drops and ________________. 14. If ear drainage persists despite medical therapy, the patient requires referral to an otolaryngologist to rule out ______________. 15. ____________________is the firm submucosal scarring that can appear as a chalky white patch on the eardrum.

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Primary Care Otolaryngology