Podcast
Questions and Answers
What is the peak incidence of otitis media?
What is the peak incidence of otitis media?
- 16 to 25 years of age
- 6 to 15 years of age
- 26 to 35 years of age
- 6 to 15 months of age (correct)
Which group, besides children, is also affected by otitis media?
Which group, besides children, is also affected by otitis media?
- Elders (correct)
- Middle-aged adults
- Young adults
- Teenagers
What is the main characteristic of acute otitis media (AOM)?
What is the main characteristic of acute otitis media (AOM)?
- Intermittent onset and variable duration
- Chronic onset and prolonged duration
- Gradual onset and persistent duration
- Rapid onset and short duration (correct)
When is immediate referral indicated for acute otitis media (AOM)?
When is immediate referral indicated for acute otitis media (AOM)?
What is one of the signs or symptoms often present in otitis media with effusion (OME)?
What is one of the signs or symptoms often present in otitis media with effusion (OME)?
Which finding is indicative of moderate to severe bulging in acute otitis media (AOM)?
Which finding is indicative of moderate to severe bulging in acute otitis media (AOM)?
What is a common finding in chronic serous otitis according to the text?
What is a common finding in chronic serous otitis according to the text?
What does retraction of the tympanic membrane indicate?
What does retraction of the tympanic membrane indicate?
Which diagnostic test may be used when otoscopic examination cannot determine the presence of fluid in the middle ear?
Which diagnostic test may be used when otoscopic examination cannot determine the presence of fluid in the middle ear?
What is one reason for considering allergy testing in patients with recurrent or chronic otitis symptoms?
What is one reason for considering allergy testing in patients with recurrent or chronic otitis symptoms?
What is a significant change in status that should be noted in young children during a physical exam?
What is a significant change in status that should be noted in young children during a physical exam?
What is considered critical to accurately distinguish Acute Otitis Media (AOM) from Otitis Media with Effusion (OME)?
What is considered critical to accurately distinguish Acute Otitis Media (AOM) from Otitis Media with Effusion (OME)?
What is the common characteristic of Acute Otitis Media (AOM) that helps in its diagnosis?
What is the common characteristic of Acute Otitis Media (AOM) that helps in its diagnosis?
What is the role of pneumatic otoscopy in diagnosing Acute Otitis Media (AOM)?
What is the role of pneumatic otoscopy in diagnosing Acute Otitis Media (AOM)?
Which criterion qualifies for a diagnosis of Acute Otitis Media (AOM)?
Which criterion qualifies for a diagnosis of Acute Otitis Media (AOM)?
What is recommended for obtaining a clear view of the tympanic membrane (TM) during examination?
What is recommended for obtaining a clear view of the tympanic membrane (TM) during examination?
What is the common cause associated with bullae between the layers of the tympanic membrane (TM)?
What is the common cause associated with bullae between the layers of the tympanic membrane (TM)?
What is the most common age group affected by Chronic effusion (serous OM or 'glue ear')?
What is the most common age group affected by Chronic effusion (serous OM or 'glue ear')?
Which of the following is NOT listed as a symptom associated with OME or serous otitis in the text?
Which of the following is NOT listed as a symptom associated with OME or serous otitis in the text?
Why does exposure to cigarette smoke increase the risk for OM according to the text?
Why does exposure to cigarette smoke increase the risk for OM according to the text?
What is the term used to define three or more distinct episodes of OM in 6 months or four or more episodes in the preceding 12 months?
What is the term used to define three or more distinct episodes of OM in 6 months or four or more episodes in the preceding 12 months?
Which bacterium is mentioned as a less frequent cause of otitis infections in the text?
Which bacterium is mentioned as a less frequent cause of otitis infections in the text?
What is the common initial complaint of patients with Acute Otitis Media (AOM)?
What is the common initial complaint of patients with Acute Otitis Media (AOM)?
How many clinical practice guidelines were presented by the American Academy of Pediatrics in 2013 for diagnosing and treating AOM?
How many clinical practice guidelines were presented by the American Academy of Pediatrics in 2013 for diagnosing and treating AOM?
Which condition is characterized by hearing impairment and may persist for several months, with or without signs of infection?
Which condition is characterized by hearing impairment and may persist for several months, with or without signs of infection?
"Group A β-hemolytic Streptococcus, Staphylococcus aureus, and Moraxella catarrhalis" are mentioned as common causative agents of what?
"Group A β-hemolytic Streptococcus, Staphylococcus aureus, and Moraxella catarrhalis" are mentioned as common causative agents of what?
"Chronic effusion" is also known as what according to the text?
"Chronic effusion" is also known as what according to the text?
What is considered a helpful factor in diagnosing AOM according to the text?
What is considered a helpful factor in diagnosing AOM according to the text?
What effect does smoking have on mucociliary functioning in the eustachian tube according to the text?
What effect does smoking have on mucociliary functioning in the eustachian tube according to the text?
When should speech and audiology evaluation be considered for younger children with OME?
When should speech and audiology evaluation be considered for younger children with OME?
In adults, what are the common risk factors associated with experiencing AOM?
In adults, what are the common risk factors associated with experiencing AOM?
When should life-span considerations indicate a decrease in the incidence of AOM?
When should life-span considerations indicate a decrease in the incidence of AOM?
What is the primary focus of education regarding OM risk reduction and treatment?
What is the primary focus of education regarding OM risk reduction and treatment?
For children, what is associated with a reduced incidence of AOM during the first year of life?
For children, what is associated with a reduced incidence of AOM during the first year of life?
When should an ENT referral be considered for tympanostomy tubes?
When should an ENT referral be considered for tympanostomy tubes?
What is the recommended first-line antibiotic for children with AOM who are not allergic and have not received it in the last 30 days?
What is the recommended first-line antibiotic for children with AOM who are not allergic and have not received it in the last 30 days?
What approach might increase parental comfort with delaying antibiotic administration?
What approach might increase parental comfort with delaying antibiotic administration?
In children allergic to penicillin, what antibiotic can be considered safe for treating AOM?
In children allergic to penicillin, what antibiotic can be considered safe for treating AOM?
What should parents be made aware of regarding antibiotic treatment for OM?
What should parents be made aware of regarding antibiotic treatment for OM?
What is the recommended duration for 'watchful waiting' for nonsevere Acute Otitis Media (AOM)?
What is the recommended duration for 'watchful waiting' for nonsevere Acute Otitis Media (AOM)?
For nonsevere AOM in children younger than 24 months with mild otalgia and fever below 39°C, what treatment option is recommended?
For nonsevere AOM in children younger than 24 months with mild otalgia and fever below 39°C, what treatment option is recommended?
Which medication is NOT recommended for children with Acute Otitis Media (AOM) or Otitis Media with Effusion (OME)?
Which medication is NOT recommended for children with Acute Otitis Media (AOM) or Otitis Media with Effusion (OME)?
What is the recommended treatment duration for severe AOM in children younger than 2 years of age?
What is the recommended treatment duration for severe AOM in children younger than 2 years of age?
What kind of medication is commonly used for pain control in adults with Acute Otitis Media (AOM) if acetaminophen is not effective?
What kind of medication is commonly used for pain control in adults with Acute Otitis Media (AOM) if acetaminophen is not effective?
Which complication is a common sequela of both AOM and OME?
Which complication is a common sequela of both AOM and OME?
In 2018, what age range did the Federal Drug Administration recommend for the use of codeine in patients?
In 2018, what age range did the Federal Drug Administration recommend for the use of codeine in patients?
What should be considered if no improvement is seen with initial antibiotic therapy for OM within 48 to 72 hours?
What should be considered if no improvement is seen with initial antibiotic therapy for OM within 48 to 72 hours?
If an adult with Acute Otitis Media (AOM) is allergic to penicillin, which of the following antibiotics could be considered as an alternative?
If an adult with Acute Otitis Media (AOM) is allergic to penicillin, which of the following antibiotics could be considered as an alternative?
What is the length of antibiotic treatment for mild or moderate AOM in children aged 2 to 5 years?
What is the length of antibiotic treatment for mild or moderate AOM in children aged 2 to 5 years?
What is the current recommendation for using codeine or hydrocodone in children under the age of 18?
What is the current recommendation for using codeine or hydrocodone in children under the age of 18?
'Watchful waiting' with close follow-up within 48 to 72 hours is recommended primarily for which type of ear infection?
'Watchful waiting' with close follow-up within 48 to 72 hours is recommended primarily for which type of ear infection?
'Narcotic analgesia with codeine was used in the past', according to the text, what prompted the change in recommendation for codeine use in children?
'Narcotic analgesia with codeine was used in the past', according to the text, what prompted the change in recommendation for codeine use in children?
'Providers are encouraged to check antibiotic recommendations frequently', why is this emphasized in the text?
'Providers are encouraged to check antibiotic recommendations frequently', why is this emphasized in the text?
