Pediatrics: Acute Otitis Media Diagnosis

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Questions and Answers

What is the primary diagnosis for the 5-year-old child described in the text?

  • Chronic otitis media with effusion
  • Acute suppurative otitis media with bulging tympanic membrane (correct)
  • Acute serous otitis media with effusion
  • Acute otitis externa

Which of the following is NOT a common manifestation of acute suppurative otitis media in a 5-year-old child?

  • Severe irritability and crying
  • Febrile convulsions
  • Gastroenteritis (vomiting and diarrhea)
  • Hearing loss (correct)

What is the primary treatment for the 5-year-old child with acute suppurative otitis media and a bulging tympanic membrane?

  • Decongestant nasal sprays
  • Oral antibiotic therapy alone
  • Myringotomy (incision in tympanic membrane) and antibiotic ear drops (correct)
  • Topical steroid ear drops

Which of the following is NOT an indication for performing a myringotomy in a child with acute suppurative otitis media?

<p>To relieve pressure in the middle ear (A)</p> Signup and view all the answers

Which antibiotic is considered the drug of choice for treating acute suppurative otitis media in children?

<p>Amoxicillin-clavulanic acid (D)</p> Signup and view all the answers

Which of the following is a known complication of acute suppurative otitis media in children?

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

What is the primary aim of tympanoplasty in the tubotympanic type of chronic suppurative otitis media?

<p>To achieve a safe, dry, and functioning ear (B)</p> Signup and view all the answers

Which of the following is the most accepted theory for the development of attic cholesteatoma?

<p>Retraction pocket theory (A)</p> Signup and view all the answers

Why is attic cholesteatoma considered a dangerous disease?

<p>It is associated with bone erosions (D)</p> Signup and view all the answers

Which of the following is NOT a common cause of chronic suppurative otitis media?

<p>Congenital abnormalities (A)</p> Signup and view all the answers

Which of the following is the most important complication of chronic suppurative otitis media with attic cholesteatoma?

<p>Facial nerve palsy (C)</p> Signup and view all the answers

What is the most likely cause of the patient's condition based on the information provided?

<p>Inadequate treatment of acute suppurative otitis media (C)</p> Signup and view all the answers

Which of the following is NOT a reason why chronic suppurative otitis media is considered relatively safe?

<p>Bone erosion is commonly associated with this condition. (A)</p> Signup and view all the answers

Which of the following is NOT a typical finding in chronic suppurative otitis media (tubotympanic type)?

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

Which of the following is a potential complication of chronic suppurative otitis media?

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

Which of the following statements is NOT true regarding the treatment of chronic suppurative otitis media?

<p>Topical ear drops are usually sufficient for resolving the condition. (A)</p> Signup and view all the answers

Which of the following findings would suggest a diagnosis other than chronic suppurative otitis media?

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

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