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Chapter 5
Primary Care Otolaryngology
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.