PNCB PREP: MANAGEMENT – PROCEDURES
Removal of cerumen is ONLY indicated when.... - Answer -Visualization of the External
Auditory Canal and Tympanic Membrane is necessary.
Cerumen can be removed by... - Answer -- Mechanically
- Gentle Irrigation
- Ceruminolytic
- Combination of irrigation followed by ceruminolytic instillation (PRODUCES BEST
RESULTS)
Best results for cerumen removal are produced when.... - Answer -Irrigation with water
following instillation of a ceruminolytic agent
Common ceruminolytic agents include: - Answer -- Docusate sodium
- mineral oil
- olive oil
- mixture: baking soda and water
Water based ceruminolytics.... - Answer -Disintegrate wax
Oil-based ceruminolytics... - Answer -Soften wax
Irrigation is contraindicated and should not be attempted if... - Answer -- If the tympanic
membrane is possibly perforated
OR
- If there are pressure-equalizing tubes in place
What anticipatory guidance is important for the provider to share with the parent prior to
removing cerumen? - Answer -Carefully explain the procedure to parents and inform
them that the ear canal is extremely sensitive and fragile and bleeds easily when
touched.
- this may prevent an adverse parent reaction when there is blood on the curette or in
the ear canal
Fluorescein Staining is used to determine and evaluate: - Answer -Corneal abrasions;
the extent and damage to the cornea or conjunctival epithelium as a result of trauma,
infection, or exposure to foreign body.
What is nursemaid's elbow? - Answer -Annular ligament displacement or subluxation of
the radial head
Removal of cerumen is ONLY indicated when.... - Answer -Visualization of the External
Auditory Canal and Tympanic Membrane is necessary.
Cerumen can be removed by... - Answer -- Mechanically
- Gentle Irrigation
- Ceruminolytic
- Combination of irrigation followed by ceruminolytic instillation (PRODUCES BEST
RESULTS)
Best results for cerumen removal are produced when.... - Answer -Irrigation with water
following instillation of a ceruminolytic agent
Common ceruminolytic agents include: - Answer -- Docusate sodium
- mineral oil
- olive oil
- mixture: baking soda and water
Water based ceruminolytics.... - Answer -Disintegrate wax
Oil-based ceruminolytics... - Answer -Soften wax
Irrigation is contraindicated and should not be attempted if... - Answer -- If the tympanic
membrane is possibly perforated
OR
- If there are pressure-equalizing tubes in place
What anticipatory guidance is important for the provider to share with the parent prior to
removing cerumen? - Answer -Carefully explain the procedure to parents and inform
them that the ear canal is extremely sensitive and fragile and bleeds easily when
touched.
- this may prevent an adverse parent reaction when there is blood on the curette or in
the ear canal
Fluorescein Staining is used to determine and evaluate: - Answer -Corneal abrasions;
the extent and damage to the cornea or conjunctival epithelium as a result of trauma,
infection, or exposure to foreign body.
What is nursemaid's elbow? - Answer -Annular ligament displacement or subluxation of
the radial head
