Ear Diseases

Question 1

Q. What are the complications of mastoditis?

Answer 1

Deafness/ mental retardation because of infection to intracranial content

Question 2

Q. Ptn presented with ear fullness, pain that is aggravated by chewing, what’s the most likely diagnosis

Answer 2

TMJ ( temporomandibular joint syndrom)

Question 3

Q. Augmnetin/ ceftriaxone / clendamycin/ ciprofloxacin/ cefouroxime / All of these drugs are used as second line ttt for acute otitis media in a child except?

Answer 3

Ciprofloxacin is not approved for ptn <18 years

Question 4

Q. What are the types of smell loss?

Answer 4

Perception loss eg. Endocrine disorders.
Transport olfactory loss eg. Swollen nasal mucus membrane ( Rhinitis )
Sensory olfactory loss eg. Destruction of olfactory neuroepithelium by toxins, radiation, neoplasm, infection.
neuronal olfactory loss, damage to cribriform plate as in head trauma or tumors, drugs as cocaine

Question 5

A. Name the drugs that causes olfactory neuronal loss ? 5

Answer 5

Cocaine, nicotine, Ethanol, Aminoglycosides, tetracycline

Question 6

Q. What’s the organism that can cause malignant otitis’s externa and Ecthyma gangrenousom?

Answer 6

Pseudomonas aeroginousa

Question 7

A. What are the classic presentation for malignant otitis externa?

Answer 7

Sever necrotizing infection ( pain with pus ) in the external ear canal that spreads to mastoid bone and temporal bone, base of the skull and brain +/- facial nerve paralysis , hearing loss

Question 8

A. What are the risk factors for malignant otitis externa?

Answer 8

Old age, DM, and immuncmpromised ptn

Question 9

A. Otitis externa is common in ……., ……… and …….

Answer 9

Swimmers, divers, and immunecompromised ptn

Question 10

Q. What’s the most common cause for otitis externa?

Answer 10

Pseudomonas aeroginosa ( gram-negative, oxidase positive bacillus that produces blue-green pigment )

Question 11

Q. Name 5 pathogens that can cause otitis externa?

Answer 11

Pseudomonas aeroginosa ( most common) , staphylococcus, gram negative rods, aspergillus and rarely candida

Question 12

A. What’s the clinical picture for otitis externa?

Answer 12

Pain with gentle traction of the external ear, otalgia, purulent discharge

Question 13

A. What’s the treatment for otitis externa?

Answer 13

Aminoglycosides and topical antibiotics

Question 14

A. H-influenza & Moroxella catarrhalis are common causative agents in acute otitis………

Answer 14

Acute otitis media

Question 15

Q. What’s the presentation for chronic otitis media with effusion (OME ) ?

Answer 15

Hearing loss, bilateral dull retracted tympanic membrane,

Question 16

A. What’s the management for ptn with OME with objective evidence of hearing loss?

Answer 16

Myringetomy ( incision of tympanic membrane to release fluid ) and insertion of tympanostomy tube

Question 17

Q. Ptn complaining from room spinning sensation when she lie down from siting position. Otherwise No complaints. Where is the damage ?

Answer 17

Semicircular canal

Question 18

A. Does otosclerosis causes conductive or sensory loss?

Answer 18

Both ( sensory in sever cases )

Question 19

Otosclerosis is a hereditary autosomal…… disease

Answer 19

Autosomal dominant

Question 20

A. Around what age the otosclerosis become manifested?

Answer 20

In early twenties, pregnancy may cause the condition to progress rapidly

Question 21

A. Ptn presented with unilateral symptoms of hearing loss, tinnitus, dizziness, unsteadiness. What’s the most likely diagnosis?

Answer 21

Acoustic neuroma

Question 22

A. What’s the classic presentation for meniers disease?

Answer 22

Recurrent sever vertigo, hearing loss, tinnitus, feeling of fullness in the ear

Question 23

A. Presbycusis is a sensorineural hearing loss seen with age, true or false

Answer 23

True

Question 24

A. Conductive hearing loss happens from lesion between external ear and cochlea which include? 4

Answer 24

Tempanic membrane, canal, middle ear space, ossicles

Question 25

A. In sensorineural hearing loss the the cause is between ,,,,,,,, and ,,,,,,which includes? 4

Answer 25

Cochlea and auditory cortex of the brain , ( presbycusis, congenital deafness, toxicity, noise-induced hearing loss )

Question 26

A. When using tuning fork in conductive hearing loss. The ptn will hear the sound……. in the……ear

Answer 26

Louder in the affected ear