How do you define Recurrent Acute Otitis Media? - ANSWER 3 episodes in 6 months or 4
episodes in 12 months
What are the most common (3) bacterial causes of Otitis media and most URI? - ANSWER
Strep Pneumoniae
H. Influenzae
M. Catarrhalis
What is the treatment for Acute otitis media? - ANSWER Watchful waiting is first line
(unless positive bacterial in nature)
PCN product - amoxicillin or augmentin
If you are treating a Tympanic Membrane perforation with topical antibiotics, which is the
class that can be used which is not ototoxic? - ANSWER Fluoroquinolones (floxicins)
Before removing an insect from an ear, what should you use to drown the insect before
removal? - ANSWER Mineral oil or viscous lidocaine
Weber Test - ANSWER
Rinne test - ANSWER
How quickly should a Hematoma of the external ear be drained before causing damage
(cauliflower ear)? - ANSWER As quickly as possible, < 7 days
Otomastoiditis is most often caused by what bacteria? - ANSWER Strep Pneumoniae
1
, Child pt presents w/ protrusion of the ear, fever, pain and a bulging mastoid... likely
diagnosis? - ANSWER Otomastoiditis
Malignant otitis externa is caused by which bacteria? - ANSWER Pseudomonas
Tx: FQ
A pt who presents w/ Herpes zoster w/ facial paralysis you should suspect what diagnosis? -
ANSWER Ramsey Hunt
Tx: acyclovir or Valcyclovir
What is the diagnostic test of choice to confirm mastoiditis? - ANSWER CT scan
What is the most common pathogen in fungal otitis media? - ANSWER Aspergillus causes
90% of cases
Types of medication which are common medication causes of Tinnitus: - ANSWER ASA,
NSAIDs, Aminoglycosides, Loop diuretic
Episodic tinnitus or low pitched rumbling is associated with what diagnosis? - ANSWER
Menieres
Central vertigo is associated with a CNS complication and not a sensorineural complication.
Peripheral vertigo is an inner ear complication - ANSWER
Vertigo + syncope =? - ANSWER Vertebral basilar insufficiency
4 Ds: Dizziness, Diplopia, Dysphagia, Drop attacks
2
episodes in 12 months
What are the most common (3) bacterial causes of Otitis media and most URI? - ANSWER
Strep Pneumoniae
H. Influenzae
M. Catarrhalis
What is the treatment for Acute otitis media? - ANSWER Watchful waiting is first line
(unless positive bacterial in nature)
PCN product - amoxicillin or augmentin
If you are treating a Tympanic Membrane perforation with topical antibiotics, which is the
class that can be used which is not ototoxic? - ANSWER Fluoroquinolones (floxicins)
Before removing an insect from an ear, what should you use to drown the insect before
removal? - ANSWER Mineral oil or viscous lidocaine
Weber Test - ANSWER
Rinne test - ANSWER
How quickly should a Hematoma of the external ear be drained before causing damage
(cauliflower ear)? - ANSWER As quickly as possible, < 7 days
Otomastoiditis is most often caused by what bacteria? - ANSWER Strep Pneumoniae
1
, Child pt presents w/ protrusion of the ear, fever, pain and a bulging mastoid... likely
diagnosis? - ANSWER Otomastoiditis
Malignant otitis externa is caused by which bacteria? - ANSWER Pseudomonas
Tx: FQ
A pt who presents w/ Herpes zoster w/ facial paralysis you should suspect what diagnosis? -
ANSWER Ramsey Hunt
Tx: acyclovir or Valcyclovir
What is the diagnostic test of choice to confirm mastoiditis? - ANSWER CT scan
What is the most common pathogen in fungal otitis media? - ANSWER Aspergillus causes
90% of cases
Types of medication which are common medication causes of Tinnitus: - ANSWER ASA,
NSAIDs, Aminoglycosides, Loop diuretic
Episodic tinnitus or low pitched rumbling is associated with what diagnosis? - ANSWER
Menieres
Central vertigo is associated with a CNS complication and not a sensorineural complication.
Peripheral vertigo is an inner ear complication - ANSWER
Vertigo + syncope =? - ANSWER Vertebral basilar insufficiency
4 Ds: Dizziness, Diplopia, Dysphagia, Drop attacks
2
