Pediatrics: Acute Otitis Media Diagnosis

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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?

To relieve pressure in the middle ear (A) Signup and view all the answers

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

Amoxicillin-clavulanic acid (D) Signup and view all the answers

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

All of the above (D) Signup and view all the answers

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

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

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

Retraction pocket theory (A) Signup and view all the answers

Why is attic cholesteatoma considered a dangerous disease?

It is associated with bone erosions (D) Signup and view all the answers

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

Congenital abnormalities (A) Signup and view all the answers

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

Facial nerve palsy (C) Signup and view all the answers

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

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

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

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

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

Cholesteatoma formation (B) Signup and view all the answers

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

Meningitis (C) Signup and view all the answers

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

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

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

Bloody discharge (C) Signup and view all the answers

Pediatrics: Acute Otitis Media Diagnosis

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