Nurs 629 Exam 3 (Maryville) Questions and Answers 100% Pass
Question : What are the pathogens that cause Otitis media?
CORRECT ANSWER : Caused by: S. Pneumoniae (most common); H. Influenzae, M. Catarrhils
Question : What are the Symptoms of Otitis media?
CORRECT ANSWER : Fever, Pain, discharge from ear,
tugging at ear, irritability, crying, lethargy, decreased appetite, decreased sleep, Recent URI
Question : What are the Objective findings in otitis media?
CORRECT ANSWER : Red, bulging OM; Retracted with
pus; no movement of TM, Inability to see landmarks; occasional hole in TM
Question : What is the Treatment for AOM + Conjunctivitis
d/t H. Influenzae?
CORRECT ANSWER : Amoxicillin-clavulanate 80-90
mg/kg/day BID x 10 days
Question : What is the Treatment for AOM d/t S. Pneumoniae
(most common)?
CORRECT ANSWER : Amoxicillin 80-90 mg/kg/day BID x
10 days (high dose)
Question : What is the Treatment for AOM with PCN
Allergy: Non-Type 1?
CORRECT ANSWER : Cefdinir, Cefuroxime
Question : What is the Treatment for AOM with PCN
Allergy: Type 1?
CORRECT ANSWER : Azithromycin, clarithromycin OR
Ceftriaxone 1-3 days
Question : What are the Predisposing factors of otitis externa?
CORRECT ANSWER : Frequent moisture, local trauma,
aggressive cleaning, Allergies/skin conditions
Question : What are the Causative organisms for otitis
externa?
CORRECT ANSWER : Psuedomonas aeruginosa (20-60%);
Staphylococcus Aureus (10-70%); 10% fungal infection
Question : What are the Symptoms of otitis externa?
CORRECT ANSWER : Discharge from ear, recent history of
swimming or placing something in the ear, low-grade fever, pain with movement of tragus, decreased hearing, redness around ear
Question : What are the Objective findings of otitis externa?
CORRECT ANSWER : Otalgia ( inner or outer ear pain),
discharge, fullness, itching, pain with movement of tragus, redness around ear, decreased hearing.
Question : What is the Treatment of pain and therapeutic
management of otitis externa?
CORRECT ANSWER : Warm compresses, Auralgan,
prednisone, Tylenol/ibuprofen, Wick (abx applied to wick )
Question : When to use a wick with otitis externa?
CORRECT ANSWER : If lumen is reduced to >50%, wicks
can help ensure delivery of topical abx to medial canal.
Question : What is the Treatment of otitis externa?
CORRECT ANSWER : Topical fluroquinolones
(Ciprofloxacin, Ofloxacin), ibuprofen and apap for pain, neomycin/polymixin b/hydrocortison otic (antibiotic/steroid)
Question : What is the Hallmark sign of otitis externa?
CORRECT ANSWER : Traction of pinna elicits pain
Question : When do we begin hearing tests in clinic for
children?
CORRECT ANSWER : 4 years old
Question : What is a normal audiology test result and how are
results read?