Page |1
Week 7 Quiz Questions with 100% Correct
Answers UPDATED!!!
A 6-year-old child presents with crying due to ear pain.
Tympanic membranes are erythematous, bulging, and
immobile, but intact. In addition to antibiotic therapy, what will
the provider recommend for pain management?
a) Low dose aspirin
b) Lidocaine ear drops
c) Prednisone
d) A tympanostomy to relieve pressure in the middle ear -
ANSWER b) Lidocaine ear drops
For children over age 5 years, the AAP guidelines recommend
topical anesthetic ear drops for pain relief if the tympanic
membrane is not perforated. Tympanostomy is not indicated at
this time. Aspirin is contraindicated in young children as it can
contribute to the development of Reye syndrome.
Glucocorticoids such as prednisone are not indicated.
A patient has been diagnosed with fungal otitis externa
(otomycosis). What will the provider prescribe initially?
, Page |2
a) Acidifying ear drops for 1 week
b) Antifungal ear drops for 14 days
c) Intravenous (IV) antifungal agents
d) Oral antibiotics for 7 days - ANSWER a) Acidifying ear drops
for 1 week
As a rule, otomycosis can be managed with thorough cleansing
and application of acidifying drops (2% acetic acid solution
applied three or four times a day for 7 days). If that does not
work, an antifungal drug solution can be tried. If the infection
fails to respond to the drug, oral antifungal therapy may be
needed. Neither antibiotic ear drops nor oral antibiotics are
indicated as the first course of treatment. IV antifungal agents
are not indicated at all.
A 2-year-old child presents to the clinic with otalgia and fever.
The left tympanic membrane (TM) is erythematous and bulging;
the right TMs is perforated and draining. The child's parent
states, "This is the fifth ear infection this year. What can we
do?" What action will the provider take to address the child's
ear problems?
a) Prescribe both ceftriaxone [Rocephin] IM with benzocaine
ear drops for pain.
Week 7 Quiz Questions with 100% Correct
Answers UPDATED!!!
A 6-year-old child presents with crying due to ear pain.
Tympanic membranes are erythematous, bulging, and
immobile, but intact. In addition to antibiotic therapy, what will
the provider recommend for pain management?
a) Low dose aspirin
b) Lidocaine ear drops
c) Prednisone
d) A tympanostomy to relieve pressure in the middle ear -
ANSWER b) Lidocaine ear drops
For children over age 5 years, the AAP guidelines recommend
topical anesthetic ear drops for pain relief if the tympanic
membrane is not perforated. Tympanostomy is not indicated at
this time. Aspirin is contraindicated in young children as it can
contribute to the development of Reye syndrome.
Glucocorticoids such as prednisone are not indicated.
A patient has been diagnosed with fungal otitis externa
(otomycosis). What will the provider prescribe initially?
, Page |2
a) Acidifying ear drops for 1 week
b) Antifungal ear drops for 14 days
c) Intravenous (IV) antifungal agents
d) Oral antibiotics for 7 days - ANSWER a) Acidifying ear drops
for 1 week
As a rule, otomycosis can be managed with thorough cleansing
and application of acidifying drops (2% acetic acid solution
applied three or four times a day for 7 days). If that does not
work, an antifungal drug solution can be tried. If the infection
fails to respond to the drug, oral antifungal therapy may be
needed. Neither antibiotic ear drops nor oral antibiotics are
indicated as the first course of treatment. IV antifungal agents
are not indicated at all.
A 2-year-old child presents to the clinic with otalgia and fever.
The left tympanic membrane (TM) is erythematous and bulging;
the right TMs is perforated and draining. The child's parent
states, "This is the fifth ear infection this year. What can we
do?" What action will the provider take to address the child's
ear problems?
a) Prescribe both ceftriaxone [Rocephin] IM with benzocaine
ear drops for pain.
