(Quiz week 6 Peds:: 2026-2027 Versions)
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4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
, (Quiz week 6 Peds:: 2026-2027 Versions)
A 10-year-old child presents with external ear pain, p. 134, 615 636
swelling, and decreased hearing in the left ear. The 671, 764
child is on a swim team and practices daily. Upon
physical exam, the child does not want the left ear BCE
touched. There are no other abnormal findings. The The symptoms and hx of the patient make ottis externa the most likely
NP will advise the patient to: diagnosis. Otitis externa also called swimmer's ear, is inflammation of the
ear canal. A recommended plan includes the use of aluminum acetate,
1. use aluminum acetate solution PRN solution provides soothing, effective relief of minor skin irritations and
2. Keep water out of the ear during tx inflammation. The patient should be advised to keep water out of the ear
3. Apply polymyxin b neomycin hydrocortisone during tx. Recommended tx includes the application of polymyxin B
suspension drops QID x 7 days neomycin hydrocortisone suspension drops QID x 7 days and or ofloxacin
4. Apply Steroid nasal spray BID x 1 week otic drops BID x 7 days
5. Apply ofloxacin otic drops BID x 7 days
Mark, a 10-year-old, has a lot of ear pain. He does 2. Keep ear dry until symptoms improve
not want anyone to touch it and is crying in pain. The
ear canal is swollen and exudate is present. The TM
is normal. Mark should be instructed to do which of
the following?
Group of answer choices
1. Use alcohol drops before swimming each day.
2. Keep ear dry until symptoms improve.
3. limit swimming for the remainder of the summer.
4. Wear earplugs at all times when swimming.
A school-age child presents with low-grade fever and Bullous myringiis is an ear infection in which small, fluid filled blisters form
suspected hearing loss. Upon examination the NP on the eardrum. This finding distinguishes the dx of the condition.
notes erythema and bullae on the bulging tympanic Purulent OM is an inflammation of the middle ear in which there is fluid in
membrane. There is decreased motility of the the middle ear accompanied by sign or symmptoms of ear infection: a
tympanic membrane on insufflation. Which dx is bulging eardrum usually accompanied by pain or a perforated eardrum,
most likely? often with drainage of purulent material. In serous otitis media sterile
1. Otitis externa no serous fluid is trapped inside the middle ear.
2. Bullous myringitis
3. Purulent otitis media
3. Serous otitis media
A NP assesses a child who is experiencing severe 3. Bullous Myringitis
otalgia and has a temperature of 100.7f. The Rinne Bullous myringitis is a severe type of AOM with painful blister (bullae) on a
test result show BC>AC and the Weber exam shows reddened TM. The pt may exhibit conductive hearing loss, otalgia, muffled
lateralization in the affected ear. The NP hearing , and a low-grade fever. With otitis media with effusion the TM may
notes blisters on an erythematous TM. Which of the buldge or retract but it is not red. It may follow AOM and be caused by
following is the most likely DX? chronic allergic rhinitis.
1. AOM
2. Otitis Media with effusion
3. Bullous Myringitis
4. Otitis Externa
Which of the following is true regarding the dx of 2. . Diagnosis is decreasing in incidence
epiglottitis?
1. child usually prefers to be in a prone position NO Acute and rapid onse Oht of high fever, chills, and toxicity. Will not eat or
2. Diagnosis is decreasing in incidence Yes drink; has muffled (hot potatoe) voice. and anxiety. Characteristic tripod
3. Radiologic finding of steeple sign NO thumb sign sitting posture with hyperextended neck and open-mouth breathing. Stridor,
4. Every effort should be made to visualize the tachycardia and tachypnea. Usually occurs between ages 2 and 6. Before
epiglottiitis in the office and confirm the dx NOOOO the Hib vaccine was used most docase were due to Haemophilus
influenzae type b (Hib) 75%. Other pathogens include Staph auereus,
Streptococcus pyogenes and fungi. Now rare due to the Hib conjugate
vaccine. prophylaxis with rifampin duration is 4 days for close contacts.
Sarah 7 years old is in the office today. All of the 121, 129-130 672, 673
following are acceptable management options for Answer 3 nasal neosynephine is not good for allergic rhinitis
allergic rhinitis, except.
1. oral Montelukast yes
2. nasal fluticasone yes
3. nasal neosynephrine no
4. Oral cetirizine yes
4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
Save
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u
iz
w
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Terms in this set (31)
4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
, (Quiz week 6 Peds:: 2026-2027 Versions)
A 10-year-old child presents with external ear pain, p. 134, 615 636
swelling, and decreased hearing in the left ear. The 671, 764
child is on a swim team and practices daily. Upon
physical exam, the child does not want the left ear BCE
touched. There are no other abnormal findings. The The symptoms and hx of the patient make ottis externa the most likely
NP will advise the patient to: diagnosis. Otitis externa also called swimmer's ear, is inflammation of the
ear canal. A recommended plan includes the use of aluminum acetate,
1. use aluminum acetate solution PRN solution provides soothing, effective relief of minor skin irritations and
2. Keep water out of the ear during tx inflammation. The patient should be advised to keep water out of the ear
3. Apply polymyxin b neomycin hydrocortisone during tx. Recommended tx includes the application of polymyxin B
suspension drops QID x 7 days neomycin hydrocortisone suspension drops QID x 7 days and or ofloxacin
4. Apply Steroid nasal spray BID x 1 week otic drops BID x 7 days
5. Apply ofloxacin otic drops BID x 7 days
Mark, a 10-year-old, has a lot of ear pain. He does 2. Keep ear dry until symptoms improve
not want anyone to touch it and is crying in pain. The
ear canal is swollen and exudate is present. The TM
is normal. Mark should be instructed to do which of
the following?
Group of answer choices
1. Use alcohol drops before swimming each day.
2. Keep ear dry until symptoms improve.
3. limit swimming for the remainder of the summer.
4. Wear earplugs at all times when swimming.
A school-age child presents with low-grade fever and Bullous myringiis is an ear infection in which small, fluid filled blisters form
suspected hearing loss. Upon examination the NP on the eardrum. This finding distinguishes the dx of the condition.
notes erythema and bullae on the bulging tympanic Purulent OM is an inflammation of the middle ear in which there is fluid in
membrane. There is decreased motility of the the middle ear accompanied by sign or symmptoms of ear infection: a
tympanic membrane on insufflation. Which dx is bulging eardrum usually accompanied by pain or a perforated eardrum,
most likely? often with drainage of purulent material. In serous otitis media sterile
1. Otitis externa no serous fluid is trapped inside the middle ear.
2. Bullous myringitis
3. Purulent otitis media
3. Serous otitis media
A NP assesses a child who is experiencing severe 3. Bullous Myringitis
otalgia and has a temperature of 100.7f. The Rinne Bullous myringitis is a severe type of AOM with painful blister (bullae) on a
test result show BC>AC and the Weber exam shows reddened TM. The pt may exhibit conductive hearing loss, otalgia, muffled
lateralization in the affected ear. The NP hearing , and a low-grade fever. With otitis media with effusion the TM may
notes blisters on an erythematous TM. Which of the buldge or retract but it is not red. It may follow AOM and be caused by
following is the most likely DX? chronic allergic rhinitis.
1. AOM
2. Otitis Media with effusion
3. Bullous Myringitis
4. Otitis Externa
Which of the following is true regarding the dx of 2. . Diagnosis is decreasing in incidence
epiglottitis?
1. child usually prefers to be in a prone position NO Acute and rapid onse Oht of high fever, chills, and toxicity. Will not eat or
2. Diagnosis is decreasing in incidence Yes drink; has muffled (hot potatoe) voice. and anxiety. Characteristic tripod
3. Radiologic finding of steeple sign NO thumb sign sitting posture with hyperextended neck and open-mouth breathing. Stridor,
4. Every effort should be made to visualize the tachycardia and tachypnea. Usually occurs between ages 2 and 6. Before
epiglottiitis in the office and confirm the dx NOOOO the Hib vaccine was used most docase were due to Haemophilus
influenzae type b (Hib) 75%. Other pathogens include Staph auereus,
Streptococcus pyogenes and fungi. Now rare due to the Hib conjugate
vaccine. prophylaxis with rifampin duration is 4 days for close contacts.
Sarah 7 years old is in the office today. All of the 121, 129-130 672, 673
following are acceptable management options for Answer 3 nasal neosynephine is not good for allergic rhinitis
allergic rhinitis, except.
1. oral Montelukast yes
2. nasal fluticasone yes
3. nasal neosynephrine no
4. Oral cetirizine yes
4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026
