CMN 568 ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS COMPLETE STUDY
GUIDE
●● If a patient has otorrhea what must be ruled out before providing
treatment?
Answer: If the patient has PE tubes or if the TM is intact
●● If you are unable to visualize the TM what must you assume?
Answer: TM perforation or ruptured
●● What is the treatment for TM perforation (assumed perf) in AOE?
Answer: Fluroquin drops (ciprodex)
●● A patient presents with c/o of AOE for 5-7 days and has pain behind
the ear. What could be occuring?
Answer: Mastoiditis
●● You are able to visualize the TM and the symptoms are
uncomplicated for the patient with AOE. How would you treat in the
office?
Answer: Ear irrigation with warm saline or removal of debris with
cotton tip
, ●● The TM is unable to be visualized due to swelling but there is no
otorrhea present. How would you treat?
Answer: Use pope wick with ciprodex gtt
●● What are preventative measures to educate parents on for AOE?
Answer: 1. Don't bottle prop
2. 1:1 vinegar/ethyl alcohol 2-3 gtt before swimming
3. Avoid vigorous cleaning of the ears
4. Avoid use of q-tips
●● What are the age groups for watchful waiting for AOM?
Answer: 2 or older with bilateral/unilateral AOM WITHOUT otorrhea
6 mos - 2 yrs with unilateral AOM WITHOUT otorrhea
●● Patient with AOM presents with otorrhea and it is noted in the
history that patient has PE tubes. What does this signify and how would
you treat?
Answer: PE tubes are patent and working.
Ciprodex would be prescribed
●● What is the 1st line treatment for AOM with sx of otorrhea, fever,
and pain?
CORRECT ANSWERS COMPLETE STUDY
GUIDE
●● If a patient has otorrhea what must be ruled out before providing
treatment?
Answer: If the patient has PE tubes or if the TM is intact
●● If you are unable to visualize the TM what must you assume?
Answer: TM perforation or ruptured
●● What is the treatment for TM perforation (assumed perf) in AOE?
Answer: Fluroquin drops (ciprodex)
●● A patient presents with c/o of AOE for 5-7 days and has pain behind
the ear. What could be occuring?
Answer: Mastoiditis
●● You are able to visualize the TM and the symptoms are
uncomplicated for the patient with AOE. How would you treat in the
office?
Answer: Ear irrigation with warm saline or removal of debris with
cotton tip
, ●● The TM is unable to be visualized due to swelling but there is no
otorrhea present. How would you treat?
Answer: Use pope wick with ciprodex gtt
●● What are preventative measures to educate parents on for AOE?
Answer: 1. Don't bottle prop
2. 1:1 vinegar/ethyl alcohol 2-3 gtt before swimming
3. Avoid vigorous cleaning of the ears
4. Avoid use of q-tips
●● What are the age groups for watchful waiting for AOM?
Answer: 2 or older with bilateral/unilateral AOM WITHOUT otorrhea
6 mos - 2 yrs with unilateral AOM WITHOUT otorrhea
●● Patient with AOM presents with otorrhea and it is noted in the
history that patient has PE tubes. What does this signify and how would
you treat?
Answer: PE tubes are patent and working.
Ciprodex would be prescribed
●● What is the 1st line treatment for AOM with sx of otorrhea, fever,
and pain?
