Mastoiditis

Question 1

Mastoiditis refers to the spread of infection to the mastoid air cells Increases the risk of intracranial complications. Which of the following is a patient unlikely to present with?

1 - post-auricular swelling
2 - otorrhea
3 - loss of post-auricular sulcus
4 - pyrexia

Answer 1

2 - otorrhea

Need to exclude any neurological causes

Question 2

All of the following is typically performed in a patients with suspected mastoiditis, except which one?

1 - lumbar puncture
2 - bloods
3 - blood cultures
4 - CT scan (Temporal bones and head)

Answer 2

1 - lumbar puncture

Question 3

Which of the following is NOT a non-surgical approach used in the treatment of suspected mastoiditis?

1 - IV antibiotics
2 - analgesia
3 - antipyretics
4 - oral antibiotics
5 - fluids

Answer 3

4 - oral antibiotics

Question 4

Which 2 of the following is surgical approaches are used to treat mastoiditis?

1 - mastoidectomy
2 - grommet
3 - tympanoplasty
4 - myringoplasty

Answer 4

1 - mastoidectomy
2 - grommet

Question 5

Does acute mastoiditis and suspected facial nerve palsy require standard or urgent ENT referral?

Answer 5

• urgent ENT referral

Question 6

Which 2 of the following are intracranial complications of mastoiditis?

1 - meningitis
2 - central retinal vein occlusion
3 - Intracranial abscesses
4 - cerebral plasy

Answer 6

1 - meningitis

3 - Intracranial abscesses