1
NU629
Regis NU629/ NU 629 | Exam 2 Meags | Advanced Health
Promotion & Disease Prevention | Qs & As| Grade A| 100%
Correct | Latest Update (2025/ 2026)
Main signs and symptoms of otitis media with effusion (OME) - ANS ✓Dull, immobile
tympanic membrane WITHOUT pain or fever
Which findings indicate a tympanic membrane rupture - ANS ✓Sudden relief of pain in a
child with otitis media with fusion
A three-year-old presents with tugging at the right ear and poor sleep. Otoscopic exam
reveals a bulging arithmetic tympanic membrane with limited mobility. What is the
most likely diagnosis?
A) otitis externa
B) otitis media with effusion
C) acute otitis media
D) serious otitis media - ANS ✓c) acute otitis media
A child with acute otitis media is not improving after 48 to 72 hours of amoxicillin. What
is the next best step?
A) azithromycin
B) amoxicillin clavulanate
C) continue current treatment
D) referred to ENT - ANS ✓b) amoxicillin clavulanate
Which physical exam finding best distinguishes, acute otitis media from otitis media
with effusion?
NU629
, 2
NU629
A) dull tympanic membrane
B) retracted tympanic membrane
C) bulging tympanic membrane
D) visible fluid behind TM - ANS ✓c) bulging tympanic membrane
Incorrect-
More coomon in OME:
B) retracted tympanic membrane
Can occur in both AOM & OME:
A) dull tympanic membrane &
D) visible fluid behind TM
Auditory Brainstem Response (ABR) - ANS ✓-measures sound induced electrical signals
in the cochlea and the functioning of the peripheral auditory system, and neurologic
pathways related to hearing
-indicates hearing thresholds
-useful in identifying, hearing loss in newborns, as well as infants or children, unable to
cooperate with evoked otoacustic emission
Tympanometry - ANS ✓-Evaluates the function of the middle ear by assessing the
movement of the TM
-Normal: brisk movement of the membrane should be seen
Sensorineural hearing loss - ANS ✓hearing loss caused by damage to the cochlea's
receptor cells or to the auditory nerves (CN VIII); also called nerve deafness
NU629
, 3
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Conductive hearing loss - ANS ✓Hearing loss or impairment resulting from interference
with the transmission of sound waves to the cochlea ( blocked sound waves) (AOM,
OME, foreign body, oral canal stenosis, atresia, ossicular malformations, cerumen
impaction, TM perforation, cholesterol's, otosclerosis
Otorrhea - ANS ✓discharge from the ear
Otalgia, otodynia - ANS ✓pain in the ear; earache
Mixed hearing loss - ANS ✓combination of sensorineural and conductive hearing loss;
abnormalities occur in the outer middle and or inner ears
At what age do vision screenings begin in children? - ANS ✓3 yrs old
Vision Milestones- birth to 2 was - ANS ✓Sees and responds to change in light, fixes on
contrasts, jerky eye movements, pupillary reflex present
At what age does a funduscopic exam begin? - ANS ✓5 yrs
What is included in a funduscopic exam? - ANS ✓Clarity, color, intensity
Visual Milestones- 2-4 wks - ANS ✓Fixes on and follows an object but sporadically
Visual Milestones- 3 to 4 months - ANS ✓recognizes parent's smile, looks from near to
far and focuses close again; beginning development of depth perception; follows 180
degree arc; reaches towards toys, few exodeviations; esotropia abnormal
Visual Milestones- 4 months - ANS ✓Color vision near that of an adult, tears present
NU629
NU629
Regis NU629/ NU 629 | Exam 2 Meags | Advanced Health
Promotion & Disease Prevention | Qs & As| Grade A| 100%
Correct | Latest Update (2025/ 2026)
Main signs and symptoms of otitis media with effusion (OME) - ANS ✓Dull, immobile
tympanic membrane WITHOUT pain or fever
Which findings indicate a tympanic membrane rupture - ANS ✓Sudden relief of pain in a
child with otitis media with fusion
A three-year-old presents with tugging at the right ear and poor sleep. Otoscopic exam
reveals a bulging arithmetic tympanic membrane with limited mobility. What is the
most likely diagnosis?
A) otitis externa
B) otitis media with effusion
C) acute otitis media
D) serious otitis media - ANS ✓c) acute otitis media
A child with acute otitis media is not improving after 48 to 72 hours of amoxicillin. What
is the next best step?
A) azithromycin
B) amoxicillin clavulanate
C) continue current treatment
D) referred to ENT - ANS ✓b) amoxicillin clavulanate
Which physical exam finding best distinguishes, acute otitis media from otitis media
with effusion?
NU629
, 2
NU629
A) dull tympanic membrane
B) retracted tympanic membrane
C) bulging tympanic membrane
D) visible fluid behind TM - ANS ✓c) bulging tympanic membrane
Incorrect-
More coomon in OME:
B) retracted tympanic membrane
Can occur in both AOM & OME:
A) dull tympanic membrane &
D) visible fluid behind TM
Auditory Brainstem Response (ABR) - ANS ✓-measures sound induced electrical signals
in the cochlea and the functioning of the peripheral auditory system, and neurologic
pathways related to hearing
-indicates hearing thresholds
-useful in identifying, hearing loss in newborns, as well as infants or children, unable to
cooperate with evoked otoacustic emission
Tympanometry - ANS ✓-Evaluates the function of the middle ear by assessing the
movement of the TM
-Normal: brisk movement of the membrane should be seen
Sensorineural hearing loss - ANS ✓hearing loss caused by damage to the cochlea's
receptor cells or to the auditory nerves (CN VIII); also called nerve deafness
NU629
, 3
NU629
Conductive hearing loss - ANS ✓Hearing loss or impairment resulting from interference
with the transmission of sound waves to the cochlea ( blocked sound waves) (AOM,
OME, foreign body, oral canal stenosis, atresia, ossicular malformations, cerumen
impaction, TM perforation, cholesterol's, otosclerosis
Otorrhea - ANS ✓discharge from the ear
Otalgia, otodynia - ANS ✓pain in the ear; earache
Mixed hearing loss - ANS ✓combination of sensorineural and conductive hearing loss;
abnormalities occur in the outer middle and or inner ears
At what age do vision screenings begin in children? - ANS ✓3 yrs old
Vision Milestones- birth to 2 was - ANS ✓Sees and responds to change in light, fixes on
contrasts, jerky eye movements, pupillary reflex present
At what age does a funduscopic exam begin? - ANS ✓5 yrs
What is included in a funduscopic exam? - ANS ✓Clarity, color, intensity
Visual Milestones- 2-4 wks - ANS ✓Fixes on and follows an object but sporadically
Visual Milestones- 3 to 4 months - ANS ✓recognizes parent's smile, looks from near to
far and focuses close again; beginning development of depth perception; follows 180
degree arc; reaches towards toys, few exodeviations; esotropia abnormal
Visual Milestones- 4 months - ANS ✓Color vision near that of an adult, tears present
NU629
