CMN 568 CERTIFICATION EVALUATION
2026 SOLVED QUESTION SET GRADED A+
◉ Relapsing polychondritis.
Answer: BL recurring painful episodes or auricular edema and
erythema
◉ otitis externa.
Answer: - Infection of the outer ear (ear canal)
- swimmer's ear
- p/w otalgia, edema, purulence
- diabetics and immunocomp at risk for malignant OE
- tx: drying agent if not infected
- if infected: neomycin/polymyxin, cipro (fluoro)
- also remove debris
- can use earwick if swollen
◉ Exostoses and Osteomas.
Answer: Bony overgrowths of the ear canals due to benign tumors
surfer's ear
,◉ squamous cell carcinoma.
Answer: most common neoplasm of ear canal
- suspect is OE does not resolve
- high mortality
◉ Acute Otitis Media (AOM).
Answer: - middle ear infection
- usually precipitated by viral URI that cause ET obstruction
- erythema and decreased TM motility
- purulent otorrhea
◉ chronic otitis media.
Answer: - repeated episodes of acute otitis media causing
irreversible tissue damage and persistent tympanic membrane
perforation
- conductive hearing loss
◉ Glomus tumor.
Answer: - middle ear neoplasm
- pulsatile tinnitus
- occ vascular mass behind TM
, ◉ presbycusis.
Answer: - age related hearing loss
- progressive, gradual
- high frequency
◉ ototoxic agents.
Answer: - aminoglycosides, loop diuretics, antineoplastic agents
(cisplatin)
- may be irreversible in therapeutic doses
- inc risk if kidney dx, combo therapy, or pre-existing hearing loss
◉ tinnitus.
Answer: - ringing or buzzing in the ears
- intermittent and brief is normal
- if pulsatile - refer
◉ vertigo.
Answer: - the sensation of dizziness
- hallmark of vestibular dz
- peripheral: sudden and sever, tinnitus strong indicator, horizontal
nystagmus able to be stopped with fixation
- dix hallpike testing, fukuda test, frenzel goggles
2026 SOLVED QUESTION SET GRADED A+
◉ Relapsing polychondritis.
Answer: BL recurring painful episodes or auricular edema and
erythema
◉ otitis externa.
Answer: - Infection of the outer ear (ear canal)
- swimmer's ear
- p/w otalgia, edema, purulence
- diabetics and immunocomp at risk for malignant OE
- tx: drying agent if not infected
- if infected: neomycin/polymyxin, cipro (fluoro)
- also remove debris
- can use earwick if swollen
◉ Exostoses and Osteomas.
Answer: Bony overgrowths of the ear canals due to benign tumors
surfer's ear
,◉ squamous cell carcinoma.
Answer: most common neoplasm of ear canal
- suspect is OE does not resolve
- high mortality
◉ Acute Otitis Media (AOM).
Answer: - middle ear infection
- usually precipitated by viral URI that cause ET obstruction
- erythema and decreased TM motility
- purulent otorrhea
◉ chronic otitis media.
Answer: - repeated episodes of acute otitis media causing
irreversible tissue damage and persistent tympanic membrane
perforation
- conductive hearing loss
◉ Glomus tumor.
Answer: - middle ear neoplasm
- pulsatile tinnitus
- occ vascular mass behind TM
, ◉ presbycusis.
Answer: - age related hearing loss
- progressive, gradual
- high frequency
◉ ototoxic agents.
Answer: - aminoglycosides, loop diuretics, antineoplastic agents
(cisplatin)
- may be irreversible in therapeutic doses
- inc risk if kidney dx, combo therapy, or pre-existing hearing loss
◉ tinnitus.
Answer: - ringing or buzzing in the ears
- intermittent and brief is normal
- if pulsatile - refer
◉ vertigo.
Answer: - the sensation of dizziness
- hallmark of vestibular dz
- peripheral: sudden and sever, tinnitus strong indicator, horizontal
nystagmus able to be stopped with fixation
- dix hallpike testing, fukuda test, frenzel goggles
