NR 545 EXAM 2 COMPETENCY REVIEW 2026
MOCK TEST COMPLETE KEY INSIGHTS
◉ earache.
Answer: otalgia
◉ Tx for otitis media.
Answer: Antibiotics - only for recurrent otitis media
◉ S/S of AOM.
Answer: -ear pain
- hearing loss
-drainage of drum if perforated
-fever
Children: ear tugging or fussiness
◉ Most commonly tx OM with this.
Answer: Acetaminophen, ibuprofen, or benzocaine/lidocaine for
pain
Amoxicillin first line people w/o penicillin allergy.
,◉ Otitis Externa (Swimmer's Ear).
Answer: infection of the external auditory canal and pinna( bacterial
or fungal)
◉ How does otitis externa occur.
Answer: Swimming, irritation, introductions of organisms when
cleaning the ear
◉ s/s of otitis externa.
Answer: pain, purulent discharge, hearing deficit
◉ How to differentiate OM & otitis externa.
Answer: Otitis externa will have pain with movement of the pinna
◉ early signs of ototoxicity.
Answer: Tinnitus (ringing in ears)
◉ What causes ototoxicity?.
Answer: Atbx, such as streptomycin, neomycin, vancomycin, the
analgesics aspirin and ibuprofen, furosemide., and some
antineoplastic agents
, ◉ Management of tinnitus.
Answer: Noise suppression therapy, meds, forms of alternative
medicines such as lipid-flavonoids (no claims of success)
◉ Is there a cure for tinnitus?.
Answer: No, manage symptoms
◉ First line tx for suspected ruptured tympanic membrane.
Answer: Heal on its own, Tylenol or ibuprofen, amoxicillin
◉ Sensorineural hearing loss.
Answer: Develops with damage to the organ of Cori or the auditory
nerve
◉ What does sensorineural hearing loss result from?.
Answer: Infection, particularly viral infections including rubella.
Influenza, herpes or damage from head trauma
◉ Conductive hearing loss.
Answer: When sound is blocked in the external ear or middle ear
from wax, Foreign object, scar tissue or adhesions
◉ Rhinovirus.
MOCK TEST COMPLETE KEY INSIGHTS
◉ earache.
Answer: otalgia
◉ Tx for otitis media.
Answer: Antibiotics - only for recurrent otitis media
◉ S/S of AOM.
Answer: -ear pain
- hearing loss
-drainage of drum if perforated
-fever
Children: ear tugging or fussiness
◉ Most commonly tx OM with this.
Answer: Acetaminophen, ibuprofen, or benzocaine/lidocaine for
pain
Amoxicillin first line people w/o penicillin allergy.
,◉ Otitis Externa (Swimmer's Ear).
Answer: infection of the external auditory canal and pinna( bacterial
or fungal)
◉ How does otitis externa occur.
Answer: Swimming, irritation, introductions of organisms when
cleaning the ear
◉ s/s of otitis externa.
Answer: pain, purulent discharge, hearing deficit
◉ How to differentiate OM & otitis externa.
Answer: Otitis externa will have pain with movement of the pinna
◉ early signs of ototoxicity.
Answer: Tinnitus (ringing in ears)
◉ What causes ototoxicity?.
Answer: Atbx, such as streptomycin, neomycin, vancomycin, the
analgesics aspirin and ibuprofen, furosemide., and some
antineoplastic agents
, ◉ Management of tinnitus.
Answer: Noise suppression therapy, meds, forms of alternative
medicines such as lipid-flavonoids (no claims of success)
◉ Is there a cure for tinnitus?.
Answer: No, manage symptoms
◉ First line tx for suspected ruptured tympanic membrane.
Answer: Heal on its own, Tylenol or ibuprofen, amoxicillin
◉ Sensorineural hearing loss.
Answer: Develops with damage to the organ of Cori or the auditory
nerve
◉ What does sensorineural hearing loss result from?.
Answer: Infection, particularly viral infections including rubella.
Influenza, herpes or damage from head trauma
◉ Conductive hearing loss.
Answer: When sound is blocked in the external ear or middle ear
from wax, Foreign object, scar tissue or adhesions
◉ Rhinovirus.
