Case from lectures Flashcards
Cerumen (ear wax) is
- alkaline and hydrophobic
- alkaline and hydrophilic
- acidic and hydrophobic
- acidic and hydrophilic
- completely neutral
-acidic and hydrophobic
A 30 yo female presents complaining of right sided hearing loss and itching over the last 2 weeks. She denies any fevers, pain, or drainage. Examination reveals the following. What is the most likely etiology of hearing loss? (cerumen impaction)
a. conductive
b. presbycusis
c. sensorineural
d. mixed
e. latrogenic
a. conductive
A 5 yo male presents to his pediatricians office complaining of fever and right ear pain. Mom has noticed that he has a temp to 101.3 degrees F at home. He has not been eating or drinking much. Otoscopic examination is performed. What is the most likely pathogen?
a. strep pneumonia
b. moraxella catarrhalis
c. mycoplasma pneumoniae
d. pseudomonas aeruginosa
e. herpes zoster
a. strep pneumonia
A 78 yo male presents to his pcp office complaining of hearing loss. His wife has noticed that he seems to have difficulty hearing in both ears which has become worse over the past years. He has decreased hearing to whispered voice bilaterally. Audiogram is obtained which shows moderate sensorineural hearing loss. What is the most likely diagnosis?
a. cerumen impaction
b. COM
c. presbycusis
d. traumatic tympanic membrane perforation
e. ototocixity
presbycusis
a 19 yo male presents to UC complaining of left ear pain and decreased hearing. He had been swimming in a lake for most of the weekend. He denies any fevers, drainage, or sore throat. On exam, he has tragal tenderness and pain with manipulation of the auricle. The ear canal is moderately erythematous but patent. The TM is unremarkable. What is the most appropriate treatment?
a. oral augmentin
b. oral amoxicillin
c. oral cipro
d. topical clotrimazole
e. topical cipro
e. topical cipro
A 65 yo male presents with dizziness that started a few days ago. He reports that he is otherwise healthy and takes no medications. which of the following is the best first step in the evaluation?
a. dix-hallpike maneuver
b. brain MRI
c. epley maneuver
d. clarify the dizziness
e. orthostatic vital signs
d. clarify the dizziness
