Ear Conditions Flashcards

(25 cards)

1
Q

Which of these anatomical features is responsible for most sound collection?
a. tympanic membrane
b. the pinna
c. tragus
d. antihelix
e. helix

A

b. the pinna

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2
Q

Which anatomical feature appears to bulge in the presence of infection?
a. mastoid area
b. the pinna
c. tympanic membrane
d. eustachian tube
e. the EAM

A

c. tympanic membrane

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3
Q

Which of the listed products has the most evidence of efficacy in treating earwax?
a. oil-based products (e.g. Cerumol)
b. peroxide-based products (e.g. otex)
c. water-based products (e.g. sodium bicarbonate)
d. saline
e. all products are comparable

A

e. all products are comparable

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4
Q

From the list of symptoms below, which are most closely associated with outer ear problems?
a. itch and pain
b. pain and discharge
c. discharge and deafness
d. deafness and dizziness
e. dizziness and tinnitus

A

a. itch and pain

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5
Q

Tenderness associated with manipulation of the tragus suggests what?
a. middle ear problem
b. inner ear problem
c. outer ear problem
d. perichondritis
e. mastoiditis

A

c. outer ear problem

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6
Q

Which of the listed patient groups is most susceptible to suffer from earwax impaction?
a. young children
b. young adults
c. middle-aged adults
d. older adults
e. all groups are equally susceptible

A

d. older adults

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7
Q

A patient presents with a left ear problem. Which of the following symptoms would most strongly suggest a referral to the GP?
a. redness in the outer ear
b. pain
c. hearing loss
d. mucopurulent discharge
e. swollen ear canal

A

d. mucopurulent discharge

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8
Q

Mrs Brown brings in her 8 year old son who has been complaining of ear pain that he has had for the last 24 hours. He is generally well and otoscopic investigation reveals a red-yellow and bulging tympanic membrane. What course of action are you going to take?
a. Tell Mrs Brown her son has otitis media, and the symptoms will resolve on their own. No further action is required.
b. Tell Mrs Brown her son has otitis media and the symptoms will resolve on their own. The pain can be managed with simple analgesia.
c. Tell Mrs Brown her son has otitis media and the symptoms will resolve on their own. However, it would be best to get him checked out by the GP.
d. Tell Mrs Brown her son has otitis media and the symptoms will NOT resolve on their own. He needs antibiotics and must see the doctor.
e. Tell Mrs Brown her son has otitis media and the symptoms will resolve on their own. The pain can be managed with ear drops.

A

b. Tell Mrs Brown her son has otitis media and the symptoms will resolve on their own. The pain can be managed with simple analgesia.

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9
Q

Manufacturers of earwax products recommend plugging the ear with cotton wool except for which of the following?
a. cerumol
b. earex
c. earex advance
d. molcer
e. waxsol

A

c. earex advance

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10
Q

Which patient group is most susceptible to otitis externa?
a. infants
b. children younger than 5 years
c. older adults
d. young adolescents
e. people in their 30s

A

b. children younger than 5 years

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11
Q

Mr Burnett, a 48 year old man, enters the pharmacy and wants some advice about a sore ear that he has experienced for the last 3 days. He describes having some local itching and pain. What is the most likely diagnosis?
a. local inflammation of the pinna
b. otitis externa
c. perichondritis
d. otitis media
e. meniere’s disease

A

b. otitis externa

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12
Q

Otitis media is more prevalent in which age group?
a. 0 to 4 years
b. 4 to 6 years
c. 7 to 9 years
d. 10 to 12 years
e. older than 12 years

A

a. 0 to 4 years

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13
Q

If a patient complains of tinnitus and deafness, what is the most likely part of the ear that is affected?
a. outer ear
b. middle ear
c. inner ear
d. either middle or outer ear
e. inner and middle ear

A

c. inner ear

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14
Q

Which patient group is predisposed to otitis externa?
a. patients with seborrhoeic dermatitis
b. patients with acne vulgaris
c. patients with tinea corporis
d. patients with discoid eczema
e. patients with lichen planus

A

a. patients with seborrhoeic dermatitis

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15
Q

Symptoms suggestive of a middle ear problem are?
a. itch, pain and discharge
b. pain, discharge and deafness
c. deafness, dizziness and tinnitus
d. pain only
e. itch only

A

b. pain, discharge and deafness

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16
Q

The best way to view the EAM of an adult is to?
a. Pull the pinna up and back to straighten the EAM
b. Pull the pinna down and back to straighten the EAM
c. Pull the pinna up and forward to straighten the EAM
d. Pull the pinna down and forward to straighten the EAM
e. Pull the pinna back to straighten the EAM

A

a. Pull the pinna up and back to straighten the EAM

17
Q

Which sign/symptom is most associated with otitis media?
a. itch
b. discharge
c. deafness
d. earache
e. localized ear swelling
f. lesions slow to heal
g. localized ear tenderness
h. dizziness

18
Q

Which sign/symptom is most associated with earwax?
a. itch
b. discharge
c. deafness
d. earache
e. localized ear swelling
f. lesions slow to heal
g. localized ear tenderness
h. dizziness

19
Q

Which sign/symptom is most associated with perichondritis?
a. itch
b. discharge
c. deafness
d. earache
e. localized ear swelling
f. lesions slow to heal
g. localized ear tenderness
h. dizziness

A

e. localized ear swelling

20
Q

Which sign/symptom is most associated with otitis externa?
a. itch
b. discharge
c. deafness
d. earache
e. localized ear swelling
f. lesions slow to heal
g. localized ear tenderness
h. dizziness

21
Q

Which sign/symptom is most associated with polyp?
a. itch
b. discharge
c. deafness
d. earache
e. localized ear swelling
f. lesions slow to heal
g. localized ear tenderness
h. dizziness

22
Q

Which sign/symptom is most associated with malignancy?
a. itch
b. discharge
c. deafness
d. earache
e. localized ear swelling
f. lesions slow to heal
g. localized ear tenderness
h. dizziness

A

f. lesions slow to heal

23
Q

Which sign/symptom is most associated with mastoiditis?
a. itch
b. discharge
c. deafness
d. earache
e. localized ear swelling
f. lesions slow to heal
g. localized ear tenderness
h. dizziness

A

g. localized ear tenderness

24
Q

Which sign/symptom is most associated with foreign body?
a. itch
b. discharge
c. deafness
d. earache
e. localized ear swelling
f. lesions slow to heal
g. localized ear tenderness
h. dizziness

25
Which sign/symptom is most associated with glue ear? a. itch b. discharge c. deafness d. earache e. localized ear swelling f. lesions slow to heal g. localized ear tenderness h. dizziness
c. deafness