SHADOW HEALTH PRESCHOOLER SICK
VISIT: EAR PAIN RESULTS CERTIFICATION
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ A patient is 1 month old and parents are at the well-child visit. The father is
hard of hearing and they are worried about their baby's ability to hear. The
baby passed the initial birth screening, so when should she be assessed
again?
A. At 6 months
B. At 1 years old
C. At 2 years old
D. At 3 years old.
Answer: C. Infants at high risk for hearing impairment should be reassessed
at 2 years old
◍ cranial nerve IV.
Answer: trochlear, motor, down and inward movement of eye
◍ retina.
Answer: the visual receptive layer of the eye in which light waves are
changed into nerve impulses, it surrounds the soft, gelatinous vitreous
humor
◍ left.
Answer: OS
◍ You are caring for an 8 year old who has had a PE tube for 3 years. Since
the placement, she has not had any ear infections. Which of the following is
true?
, A. She should be referred to an otolaryngologist for removal
B. Nothing. The treatment is clearly working.
C. Nothing. The tubes will fall out on their own.
D. Nothing. She can be referred for removal after 5 years..
Answer: A. Children should be referred if PE tubes have been in for 2-3
years.
◍ Upon examination of a 6 month old's ear, you are unable to assess the
tympanic membrane due to cerumen build-up. All of the following can be
used to aid in wax removal, except?
A. Docusate sodium
B. Otic Domeboro
C. Water irrigation
D. Mineral oil.
Answer: B. Docusate sodium helps dissolve wax, mineral oil lubes/softens
wax for removal, and irrigation is the preferred method. Domeboro treats ear
infections
◍ A 5 year old patient has recurrent swimmers ear. Which of the following
recommendations would not be warranted to prevent infections.
A. Alcohol-Vinegar otic mix
B. Avoid getting water in the ears
C. Persistently clean the EAC
D. Use blow dryer to dry ear canal.
Answer: C. Avoid scratching or persistently cleaning the canal. The
cerumen is meant to help protect the EAC.
◍ this test interrupts the fusion reflex that normal keeps your eyes parallel, ask
the client to stare straight ahead and cover an eye with the card, keep staring
with one eye covered for several seconds then quickly remove the card, if
you remove the card slowly you may miss the return of the wandering eye to
a "normal" position, do the eyes have a fixed steady gaze or did the cover
eye "wander" or drift and swing back to re-establish the fixed gaze (this
indicates a weak eye muscle).
, Answer: describe the cover-uncover test
◍ You have a 2 year old patient with itching of the ear, pain, erythema and
yellow discharge. Upon exam, you note edema of EAC with debris and a
perforated T
M. Which of the following would be your treatment choice?
A. Floxin Otic gtts
B. Cortisporin otic gtts
C. Ciprodex otic gtts
D. Domeboro otic gtts.
Answer: C. Ciprodex is an antibitoic and steroid. Since the TM is perforated,
you must use a non-ototoxic gtt. Floxin otic gtt is nonototoxic, but does not
contain a steroid, which would be beneficial in this case.
◍ diplopia.
Answer: technical term for double vision
◍ 6 cardinal fields of gaze (an "X" and a horizontal line), ask the client to just
move their eyes and follow the movement of your finger held 12in away so
they can comfortably focus, move the target in 6 positions, hold it
momentarily when in the most lateral position, then back to center, progress
clockwise, unless the client starts to anticipate the movement, the eyes
should track parallel with the object in both eyes.
Answer: describe the diagnostic positions test
◍ A 16 year old patient has mild hearing loss of his left ear from recurrent and
untreated AOMs when he was young. What type of hearing loss is this
considered?
A. Conductive hearing loss
B. Mixed hearing loss
C. Sensorineural hearing loss
C. Noise Induced hearing loss.
Answer: A. This is an acquired problems of the middle ear from AOM,
OME, foreign body, malformation, cerumen, TM perforation, etc
◍ gently press the inner canthus, ask if it is sore or tender, watch for excessive
VISIT: EAR PAIN RESULTS CERTIFICATION
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ A patient is 1 month old and parents are at the well-child visit. The father is
hard of hearing and they are worried about their baby's ability to hear. The
baby passed the initial birth screening, so when should she be assessed
again?
A. At 6 months
B. At 1 years old
C. At 2 years old
D. At 3 years old.
Answer: C. Infants at high risk for hearing impairment should be reassessed
at 2 years old
◍ cranial nerve IV.
Answer: trochlear, motor, down and inward movement of eye
◍ retina.
Answer: the visual receptive layer of the eye in which light waves are
changed into nerve impulses, it surrounds the soft, gelatinous vitreous
humor
◍ left.
Answer: OS
◍ You are caring for an 8 year old who has had a PE tube for 3 years. Since
the placement, she has not had any ear infections. Which of the following is
true?
, A. She should be referred to an otolaryngologist for removal
B. Nothing. The treatment is clearly working.
C. Nothing. The tubes will fall out on their own.
D. Nothing. She can be referred for removal after 5 years..
Answer: A. Children should be referred if PE tubes have been in for 2-3
years.
◍ Upon examination of a 6 month old's ear, you are unable to assess the
tympanic membrane due to cerumen build-up. All of the following can be
used to aid in wax removal, except?
A. Docusate sodium
B. Otic Domeboro
C. Water irrigation
D. Mineral oil.
Answer: B. Docusate sodium helps dissolve wax, mineral oil lubes/softens
wax for removal, and irrigation is the preferred method. Domeboro treats ear
infections
◍ A 5 year old patient has recurrent swimmers ear. Which of the following
recommendations would not be warranted to prevent infections.
A. Alcohol-Vinegar otic mix
B. Avoid getting water in the ears
C. Persistently clean the EAC
D. Use blow dryer to dry ear canal.
Answer: C. Avoid scratching or persistently cleaning the canal. The
cerumen is meant to help protect the EAC.
◍ this test interrupts the fusion reflex that normal keeps your eyes parallel, ask
the client to stare straight ahead and cover an eye with the card, keep staring
with one eye covered for several seconds then quickly remove the card, if
you remove the card slowly you may miss the return of the wandering eye to
a "normal" position, do the eyes have a fixed steady gaze or did the cover
eye "wander" or drift and swing back to re-establish the fixed gaze (this
indicates a weak eye muscle).
, Answer: describe the cover-uncover test
◍ You have a 2 year old patient with itching of the ear, pain, erythema and
yellow discharge. Upon exam, you note edema of EAC with debris and a
perforated T
M. Which of the following would be your treatment choice?
A. Floxin Otic gtts
B. Cortisporin otic gtts
C. Ciprodex otic gtts
D. Domeboro otic gtts.
Answer: C. Ciprodex is an antibitoic and steroid. Since the TM is perforated,
you must use a non-ototoxic gtt. Floxin otic gtt is nonototoxic, but does not
contain a steroid, which would be beneficial in this case.
◍ diplopia.
Answer: technical term for double vision
◍ 6 cardinal fields of gaze (an "X" and a horizontal line), ask the client to just
move their eyes and follow the movement of your finger held 12in away so
they can comfortably focus, move the target in 6 positions, hold it
momentarily when in the most lateral position, then back to center, progress
clockwise, unless the client starts to anticipate the movement, the eyes
should track parallel with the object in both eyes.
Answer: describe the diagnostic positions test
◍ A 16 year old patient has mild hearing loss of his left ear from recurrent and
untreated AOMs when he was young. What type of hearing loss is this
considered?
A. Conductive hearing loss
B. Mixed hearing loss
C. Sensorineural hearing loss
C. Noise Induced hearing loss.
Answer: A. This is an acquired problems of the middle ear from AOM,
OME, foreign body, malformation, cerumen, TM perforation, etc
◍ gently press the inner canthus, ask if it is sore or tender, watch for excessive
