NUR113 FINAL EXAM COMPLETE
QUESTIONS WITH 100% VERIFIED
ANSWERS
\Q\.What is otitis media? - ANSWER-✔Common childhood illness, also called ear
infection Not always accompanied by actual infection
\Q\.tympanic membrane - ANSWER-✔Separates middle ear from external
auditory canal
\Q\.Eustachian tube - ANSWER-✔Helps to equalize pressure in the middle ear
with atmospheric pressure
Provides route for infectious organisms
\Q\.What often precedes otitis media? - ANSWER-✔Upper respiratory infection
(URI)
\Q\.What causes serous otitis media? - ANSWER-✔Occurs when obstruction of
eustachian tube is prolonged
,\Q\
Negative pressure causes serous fluid to move from capillaries into middle ear
space
\Q\.What causes acute otitis media? What happens? - ANSWER-✔Typically follows
URI
Edema impairs drainage, causing mucus, serous fluid to accumulate
Excellent environment for bacteria growth
.What happens with chronic otitis media? - ANSWER-✔It involves permanent
perforation of tympanic membrane
\Q\.What causes chronic otitis media? - ANSWER-✔Result of recurrent acute
otitis media May result from trauma, other diseases
\Q\.What can chronic otitis media cause ? - ANSWER-✔Cholesteatoma
May cause conductive hearing loss
Marginal perforation
\Q\.What is cholesteatoma? - ANSWER-✔Small cyst caused by chronic otitis media
\Q\.How is marginal perforation repaired in chronic otitis media? - ANSWER-
✔Tympanoplasty
\Q\.What are the RF for otitis media? - ANSWER-✔Age < 2 years
,\Q\
Participating in group care setting
Seasonal allergies
Exposure to poor air quality
\Q\.What can help to prevent otitis media for infants and children? - ANSWER-
✔Breast feed for greater than or equal to 12 months if possible
Bottle feed in upright position
Keep up to date with immunizations
Avoid air pollution, especially second-hand smoke
Use small daycare or private child care
.Clinical manifestations of otitis media in an adult - ANSWER-✔Decreased
hearing in affected ear
Complaints of snapping or popping
Tympanic membrane: decreased motility, bulging; severe pressure differences
(may cause acute pain, hemorrhage, rupture of tympanic membrane or round
window)
Hemotympanum
\Q\.Clinical manifestations of acute otitis media in children - ANSWER-✔Acute
onset of ear pain
Redness of tympanic membrane on otoscopy
Middle ear effusion
Diarrhea, vomiting, fever
Pulling at eat in infants & young children
, \Q\
Irritability, acting out
Awakens crying at night
\Q\.What is recurrent otitis media? - ANSWER-✔Greater than or equal to 3
episodes within 6 months or greater than or equal to 4 episodes in 12 months
\Q\.Recurrent otitis media is increased in _ - ANSWER-✔Children of parents who
smoke Children who go to daycare centers
\Q\.Recurrent otitis media is more common in children with _ - ANSWER-
✔Down's syndrome Cleft palate
\Q\.Serous otitis media is NOT treated with _ - ANSWER-✔Antibiotics
.Serious otitis media treatment - ANSWER-✔Just evaluated periodically for
presence of acute otitis media, generally improves within 3 months
\Q\.Serious otitis media is associated with - ANSWER-✔Hearing loss & cochlear
damage, follow up with audiologist
\Q\.What does a normal tympanic membrane look like? - ANSWER-✔Pearly gray,
transparent, mobile, neutral position
QUESTIONS WITH 100% VERIFIED
ANSWERS
\Q\.What is otitis media? - ANSWER-✔Common childhood illness, also called ear
infection Not always accompanied by actual infection
\Q\.tympanic membrane - ANSWER-✔Separates middle ear from external
auditory canal
\Q\.Eustachian tube - ANSWER-✔Helps to equalize pressure in the middle ear
with atmospheric pressure
Provides route for infectious organisms
\Q\.What often precedes otitis media? - ANSWER-✔Upper respiratory infection
(URI)
\Q\.What causes serous otitis media? - ANSWER-✔Occurs when obstruction of
eustachian tube is prolonged
,\Q\
Negative pressure causes serous fluid to move from capillaries into middle ear
space
\Q\.What causes acute otitis media? What happens? - ANSWER-✔Typically follows
URI
Edema impairs drainage, causing mucus, serous fluid to accumulate
Excellent environment for bacteria growth
.What happens with chronic otitis media? - ANSWER-✔It involves permanent
perforation of tympanic membrane
\Q\.What causes chronic otitis media? - ANSWER-✔Result of recurrent acute
otitis media May result from trauma, other diseases
\Q\.What can chronic otitis media cause ? - ANSWER-✔Cholesteatoma
May cause conductive hearing loss
Marginal perforation
\Q\.What is cholesteatoma? - ANSWER-✔Small cyst caused by chronic otitis media
\Q\.How is marginal perforation repaired in chronic otitis media? - ANSWER-
✔Tympanoplasty
\Q\.What are the RF for otitis media? - ANSWER-✔Age < 2 years
,\Q\
Participating in group care setting
Seasonal allergies
Exposure to poor air quality
\Q\.What can help to prevent otitis media for infants and children? - ANSWER-
✔Breast feed for greater than or equal to 12 months if possible
Bottle feed in upright position
Keep up to date with immunizations
Avoid air pollution, especially second-hand smoke
Use small daycare or private child care
.Clinical manifestations of otitis media in an adult - ANSWER-✔Decreased
hearing in affected ear
Complaints of snapping or popping
Tympanic membrane: decreased motility, bulging; severe pressure differences
(may cause acute pain, hemorrhage, rupture of tympanic membrane or round
window)
Hemotympanum
\Q\.Clinical manifestations of acute otitis media in children - ANSWER-✔Acute
onset of ear pain
Redness of tympanic membrane on otoscopy
Middle ear effusion
Diarrhea, vomiting, fever
Pulling at eat in infants & young children
, \Q\
Irritability, acting out
Awakens crying at night
\Q\.What is recurrent otitis media? - ANSWER-✔Greater than or equal to 3
episodes within 6 months or greater than or equal to 4 episodes in 12 months
\Q\.Recurrent otitis media is increased in _ - ANSWER-✔Children of parents who
smoke Children who go to daycare centers
\Q\.Recurrent otitis media is more common in children with _ - ANSWER-
✔Down's syndrome Cleft palate
\Q\.Serous otitis media is NOT treated with _ - ANSWER-✔Antibiotics
.Serious otitis media treatment - ANSWER-✔Just evaluated periodically for
presence of acute otitis media, generally improves within 3 months
\Q\.Serious otitis media is associated with - ANSWER-✔Hearing loss & cochlear
damage, follow up with audiologist
\Q\.What does a normal tympanic membrane look like? - ANSWER-✔Pearly gray,
transparent, mobile, neutral position
