Otitis Media With Effusion

10 Questions | By Pascolini | Last updated: Mar 22, 2022 | Total Attempts: 263

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Baileys 90/91 - OME answer as asked

Questions and Answers

1.

Owing to eustachain tube complications the angle in an infant is
- A.
  
  10 degrees
- B.
  
  20 degrees
- C.
  
  30 degrees
- D.
  
  40 degrees
2.

In large cohort studies the numeral pressure gradient across a tympanic membrane in a pediatric patient is
- A.
  
  0-100 mmHg
- B.
  
  -10-75 mmHg
- C.
  
  0-175 mmHg
- D.
  
  1-200 mmHg
3.

In the first year of life what percentage of children experience OME
- A.
  
  25%
- B.
  
  50%
- C.
  
  75%
- D.
  
  >90%
4.

Several large meta-analysis studies have proven the benefit of decongestants in the prevention and treatment of OME
- A.
  
  True
- B.
  
  False
5.

The second most common pathogen in OME is
- A.
  
  H. flu type E
- B.
  
  H. flu (nontypable)
- C.
  
  S. pneumonia
- D.
  
  M. cat
6.

Of which of the following isolates are most likely to be Beta lactamase
- A.
  
  H. flu
- B.
  
  S. pneumonia
- C.
  
  Staph. Aureus
- D.
  
  M. cat
7.

Which of these prevention measures has shown to decrease incidence of AOM
- A.
  
  Oral decongestants in child care patients
- B.
  
  Breastfeeding in the first six months
- C.
  
  Oral vitamins B and C
- D.
  
  Hand sanitizer
8.

A three year old male presents with a 30 db hearing loss for last 13 weeks. Currently the patient has just finished a 2 week course of Augmentin 90 mg/kg. Pt currently denies pain. What is the appropriate next step?
- A.
  
  Repeat Augmentin
- B.
  
  Conservative Observation
- C.
  
  Myringotomy with PE tube
- D.
  
  Bactrim DS for ten days if not allergic
9.

A 9 month old female presents to ED with a 48 hour hx of fever and fussy with decreased PO intake. Exam shows AOM and III/VI H-B facial paresis. CT scan shows no focal abscess. Next clinical step is
- A.
  
  Admission and IV beta lactam abx
- B.
  
  Immediate mastiodectomy and CN VII decompression
- C.
  
  Myringotomy with PE tube and IV Abx
- D.
  
  IV Beta lactam and high does IV steroids
10.

Adenoidectomy does decrease time to OM in the reccurent OME
- A.
  
  True
- B.
  
  False

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