Exploring Otorrhoea

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Questions and Answers

Which condition requires urgent systemic antibiotics to control the spread of infection?

  • Cellulitis of the outer ear
  • Otitis media
  • Perichondritis of the outer ear
  • Necrotising otitis externa (correct)

When is urgent ENT referral needed for a patient with otitis externa?

  • When there is otorrhoea
  • When there is a normal external auditory canal
  • When there are worsening symptoms in a vulnerable patient (correct)
  • When there is a history of reduced hearing

What is the most common age group affected by otitis media?

  • Elderly
  • Teenagers
  • Children (correct)
  • Adults

What percentage of children in their first year of life experience otitis media?

<p>10% (C)</p> Signup and view all the answers

What is the characteristic discharge in acute otitis media?

<p>Mucopurulent (C)</p> Signup and view all the answers

What is the typical resolution time for otitis media?

<p>24 hours (C)</p> Signup and view all the answers

What is suggestive of acute otitis media during examination?

<p>Perforation of the tympanic membrane (B)</p> Signup and view all the answers

When is otorrhoea present in otitis media?

<p>When there is a perforation of the tympanic membrane (D)</p> Signup and view all the answers

What is the incidence of otitis media among children in their first year of life?

<p>10% (D)</p> Signup and view all the answers

What is the most common complication of otitis externa?

<p>Necrotising otitis externa (C)</p> Signup and view all the answers

Which of the following is a common symptom of otitis externa?

<p>Itchy ear (C)</p> Signup and view all the answers

What is the prevalence of otitis externa in males?

<p>1.2% (C)</p> Signup and view all the answers

What is the recommended initial treatment for otitis externa?

<p>Ear drops with antimicrobial and steroid (C)</p> Signup and view all the answers

What should patients with otitis externa avoid to minimize further irritation?

<p>All of the above (D)</p> Signup and view all the answers

When should a swab for culture and sensitivity be taken in otitis externa?

<p>If a fungal infection is suspected (A)</p> Signup and view all the answers

What is the recommended treatment for otitis externa if a fungal infection is suspected?

<p>Oral antifungal medication (A)</p> Signup and view all the answers

What is the role of systemic antibiotics in the management of otitis externa?

<p>Not necessary (C)</p> Signup and view all the answers

What is the appropriate referral for otitis externa if symptoms do not improve?

<p>ENT referral for aural microsuction (D)</p> Signup and view all the answers

What is the characteristic appearance of the external auditory canal in otitis externa?

<p>Narrowed and inflamed (D)</p> Signup and view all the answers

What is the main distinguishing feature of otitis externa compared to other causes of a discharging ear?

<p>Change in hearing (A)</p> Signup and view all the answers

Which of the following is a key characteristic of cholesteatoma?

<p>Foul smelling otorrhoea (B)</p> Signup and view all the answers

What is the main cause of cholesteatoma?

<p>Build up of keratin in the middle ear (D)</p> Signup and view all the answers

What is the typical appearance of the external auditory canal in cholesteatoma?

<p>Crusting over the drum (D)</p> Signup and view all the answers

Which condition should be considered as an alternative diagnosis if otitis externa is not resolving?

<p>Cholesteatoma (D)</p> Signup and view all the answers

What is the recommended management for cholesteatoma?

<p>Surgical removal (C)</p> Signup and view all the answers

What is the distinguishing feature of cholesteatoma compared to otitis externa?

<p>Appearance of wax deep within the ear (B)</p> Signup and view all the answers

What is a common symptom of cholesteatoma?

<p>Hearing loss (A)</p> Signup and view all the answers

When should suspected cholesteatoma be assessed urgently?

<p>Within 24 hours (A)</p> Signup and view all the answers

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