Otitis Media With Effusion

10 Questions | 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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