ENT

Question 1

what is otitis media

Answer 1

infection of the middle ear

Question 2

common cause of otitis media

Answer 2

strep pneumoniae

Question 3

clinical presentation of otitis media

Answer 3

decreased hearing
sore throat
coryza
ear pain
fever

Question 4

why are infants and young children more prone

Answer 4

their eustachian tubes are short, horizontal and function poorly

Question 5

examination in otitis media

Answer 5

bulging red and inflamed
discharge if perforation

Question 6

management for otitis media

Answer 6

self limiting within a few days
but abx necessary if systemically unwell or high risk of complications
5-7 days of amox or clarithromycin

Question 7

what is glue ear

Answer 7

middle ear fills up with fluid which can cause temporary hearing loss

Question 8

which age range is usually affected in glue ear

Answer 8

under 7
commonly 2-5yrs

Question 9

clinical presentation of glue ear

Answer 9

hearing loss
ear pain
tinnitus

Question 10

management of glue ear

Answer 10

often clears up on its own within 3 months but

temporary hearing aids
grommets

Question 11

when should children with glue ear be referred to a specialist

Answer 11

• symptoms are affecting learning and development - slt
• severe hearing loss before glue ear
• downs syndrome or cleft lip and palate - less likely to get better by itself