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ENT - HELP Campus

Quiz by Devin Christensen

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10 questions
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  • Q1
    What are the three most common organisms involved in otitis media?
    S. aureus, E. coli, S. peumoniae
    H. influenzae, S. aureus, S. pneumoniae
    S. pneumoniae, H. influenzae, M. catarrhalis
    Proteus, Pseudomonas, E. coli
    30s
  • Q2
    Most otitis media is caused by viral agents. What is the recommended first line treatment for bacterial otitis media?
    Aminoglycosides (i.e gentamicin)
    Fluoroquinolones (i.e. ciprofloxacin)
    Cephalosporins (i.e. cephalexin)
    Penicillin based antibiotics (i.e. amoxicillin)
    30s
  • Q3
    A 35 yo scuba diver presents concerned about 3 days of pain, decreased hearing and bloody drainage from his left ear after returning from a dive trip in the Bahamas. What is the most likely diagnosis?
    Mastoiditis
    Cholesteatoma
    Tympanic membrane perforation due to barotrauma
    Foreign Body in the ear canal
    30s
  • Q4
    A 69 yo male presents with slow onset hearing loss in his right ear. He does report some discharge which he believes to be wax. He specifically has presented to be tested for a hearing aid. Exam finds a normal left TM, however exam of the right ear shows trapped skin in the upper quadrant with a "pocket in the attic appearance." What treatment is appropriate?
    Reassurance and proceed with hearing aid testing
    Surgery for otosclerosis
    Antibiotics
    Surgery for cholesteatoma
    30s
  • Q5
    A 5 yo female presents c/o pain and a "scratching" noise in her right ear. Exam finds a large insect which is still moving. What must be done prior to further action.
    Otoscopy to check the tympanic membrane
    Remove the insect with forceps
    Drown the insect before removal
    Refer to ENT for removal
    30s
  • Q6
    After a fight last night, a 35 yo MMA fighter presents with hematoma of his right ear to your internal medicine office. How long can he wait to see his ENT?
    Within the next 30 days
    When the ENT has an opening in his schedule in the next 3 months
    He should be seen ASAP, <7 days
    Referral to ENT is not necessary, as these heal on their own
    30s
  • Q7
    A 7 yo male presents with edema and pain of his right mastoid after an acute otitis media. He has significant pain on percussion of the mastoid area. What diagnostic test can best confirm the diagnosis of mastoiditis?
    PET scan
    CT scan
    X-ray
    Ultrasound
    30s
  • Q8
    What pathogen is responsible for malignant otitis externa?
    S. aureus
    Pseudomonas
    E. coli
    Proteus
    30s
  • Q9
    Which medical condition predisposes a patient to malignant otitis externa?
    Cholesteatoma
    Hypertension
    Diabetes
    Chronic otitis externa
    30s
  • Q10
    What is the most common pathogen in fungal otitis externa?
    Penicillium
    Rhizopus
    Candida albicans
    Aspergillus
    30s

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