Midterm Exam Review: NR602 / NR 602
(Latest ) Primary Care of the
Childbearing and Childrearing Family
Practicum | 100% Correct Questions with
Answers – Chamberlain
Question:
Acute otitis media (AOM)
Answer:
Physical exam: Presence of MEE, confirmed by pneumatic otoscopy, tympanometry,
or acoustic reflectometry, as evidenced by:
Bulging TM
Decreased TM translucency
Absent or decreased TM mobility
Air-fluid level behind the TM
Otorrhea
o Treat:
o Acetaminophen or ibuprofen can be used to control pain in uncomplicated/suspected
o From diagnosis, Watchful waiting (48-72 hours) is recommended in children 6 months
to 2-years of age.
-reeval q 3 months.
o Benzocaine otic drops can be used for children older than 5 years old.
o Amoxicillin (first line antibiotic) 80-90 mg/kg/day Q12H, x10d is recommended as a
first-line treatment when indicated
,Question:
Otitis media effusion (OME)
Answer:
o Transient effusion should be reevaluated every three months.
o If anatomic damage is present, reevaluation should occur every four to
six weeks.
o Referral to an otolaryngologist is indicated if damage persists.
Acetaminophen or ibuprofen can be used for pain
,Question:
Acute otitis externa (AOE) or Swimmer's Ear
Answer:
a diffuse inflammation of the EAC and can involve the pinna or TM
Physical exam:
Pain, often quite severe, with movement of the tragus (when pushed) or pinna (when
pulled) or during otoscopic examination
Swollen EAC with debris, making visualization of the TM difficult or impossible
Occasional regional lymphadenopathy
Tragal tenderness with a red, raised area of induration that can be deep and diffuse or
superficial and pointing, which is characteristic of furunculosis
Red, crusty, or pustular spreading lesions
Pruritus associated with thick otorrhea that can be black, gray, blue-green, yellow, or
white, and black spots over the TM are indicative of mycotic infection
Dry-appearing canal with atrophy or thinning of the canal and virtually no cerumen
visible with chronic OE
Presence of tympanostomy or pressureequalizing (PE) tubes or TM perforation
o Topical antimicrobials, with or without corticosteroids, are recommended for AOE.
o Common treatments include ciprofloxacin 0.3%/dexamethasone 0.1%, hydrocortisone
2%/acetic acid 1%, and neomycin/polymyxin B/hydrocortisone solution or suspension.
o Treatment is determined by the presence of tympanic membrane TM perforation.
o Revaluation in 48-72 hours is indicated if treatment fails. Protect the ear from
moisture
Symptoms should markedly improve w/in 7 days, but may take 2 weeks.
Do not sure systemic antibiotics unless infection becomes systemic
, Question:
Auricular hematoma
Answer:
o A hematoma must be drained to prevent cosmetic damage as the area
can become chronically firm and enlarged.
o Incision and drainage can be in the office or operating room depending
on the age of the client and severity of the injury
Question:
Perforated tympanic membrane
Answer:
o Most TM perforations heal on their own.
o The ear should remain dry and any additional symptoms managed.
o Referral to an otolaryngologist is indicated if the perforation does not
heal
(Latest ) Primary Care of the
Childbearing and Childrearing Family
Practicum | 100% Correct Questions with
Answers – Chamberlain
Question:
Acute otitis media (AOM)
Answer:
Physical exam: Presence of MEE, confirmed by pneumatic otoscopy, tympanometry,
or acoustic reflectometry, as evidenced by:
Bulging TM
Decreased TM translucency
Absent or decreased TM mobility
Air-fluid level behind the TM
Otorrhea
o Treat:
o Acetaminophen or ibuprofen can be used to control pain in uncomplicated/suspected
o From diagnosis, Watchful waiting (48-72 hours) is recommended in children 6 months
to 2-years of age.
-reeval q 3 months.
o Benzocaine otic drops can be used for children older than 5 years old.
o Amoxicillin (first line antibiotic) 80-90 mg/kg/day Q12H, x10d is recommended as a
first-line treatment when indicated
,Question:
Otitis media effusion (OME)
Answer:
o Transient effusion should be reevaluated every three months.
o If anatomic damage is present, reevaluation should occur every four to
six weeks.
o Referral to an otolaryngologist is indicated if damage persists.
Acetaminophen or ibuprofen can be used for pain
,Question:
Acute otitis externa (AOE) or Swimmer's Ear
Answer:
a diffuse inflammation of the EAC and can involve the pinna or TM
Physical exam:
Pain, often quite severe, with movement of the tragus (when pushed) or pinna (when
pulled) or during otoscopic examination
Swollen EAC with debris, making visualization of the TM difficult or impossible
Occasional regional lymphadenopathy
Tragal tenderness with a red, raised area of induration that can be deep and diffuse or
superficial and pointing, which is characteristic of furunculosis
Red, crusty, or pustular spreading lesions
Pruritus associated with thick otorrhea that can be black, gray, blue-green, yellow, or
white, and black spots over the TM are indicative of mycotic infection
Dry-appearing canal with atrophy or thinning of the canal and virtually no cerumen
visible with chronic OE
Presence of tympanostomy or pressureequalizing (PE) tubes or TM perforation
o Topical antimicrobials, with or without corticosteroids, are recommended for AOE.
o Common treatments include ciprofloxacin 0.3%/dexamethasone 0.1%, hydrocortisone
2%/acetic acid 1%, and neomycin/polymyxin B/hydrocortisone solution or suspension.
o Treatment is determined by the presence of tympanic membrane TM perforation.
o Revaluation in 48-72 hours is indicated if treatment fails. Protect the ear from
moisture
Symptoms should markedly improve w/in 7 days, but may take 2 weeks.
Do not sure systemic antibiotics unless infection becomes systemic
, Question:
Auricular hematoma
Answer:
o A hematoma must be drained to prevent cosmetic damage as the area
can become chronically firm and enlarged.
o Incision and drainage can be in the office or operating room depending
on the age of the client and severity of the injury
Question:
Perforated tympanic membrane
Answer:
o Most TM perforations heal on their own.
o The ear should remain dry and any additional symptoms managed.
o Referral to an otolaryngologist is indicated if the perforation does not
heal
