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Question 1

Differentiate AOM vs OME? -

Answer 1

• fluid + infection

- only fluid

Question 2

Fever is present in: AOM or OME

Answer 2

AOM

Question 3

Organism causing AOM

Answer 3

• strep pneumonia/ h. Influenza / moroxella cataralis

Question 4

Ear tugging is a sign of:

Answer 4

Pain in AOM

Question 5

What is 1st line in AOM tx

Answer 5

Amoxicillin 80- 90

Question 6

What will you see in AOM examination

Answer 6

Bulging - abscess of cone of light

Question 7

When to give AB in otitis media

Answer 7

Less than 6m. - severe symp- not resolve by 2d

Question 8

What determine the need for ventilation tube in effusion?

Answer 8

The level of school performance, home, imbalance, mental retarded.

Question 9

Facial nerve palsy could be due to

Answer 9

Otitis media

Question 10

What is the most common cause of hearing loss in pediatric

Answer 10

Otitis media with effusion “ middle ear fluid”

“Conductive”

Question 11

Compare between larynx in adult vs larynx in pedia

Answer 11

• higher up
• smaller
• narrower

Question 12

What is the most common laryngeal malformation?

Answer 12

Laryngomalacia

Question 13

What is the main sign in laryngomalacia?

Answer 13

Stridor “presistant” and it changes with position

Question 14

What is the cause of. Laryngomalacia?

Answer 14

Weak cartilage resulting in floppy supraglottic structure.

“Omega shaped”

Question 15

How to diagnose laryngomalacia?

Answer 15

Flexible laryngoscopy

Question 16

How to treat laryngomalacia?

Answer 16

• Observation
• treat GERD w\PPI
• surgery if indicated

Question 17

When to refer laryngomalacia patient to surgery

Answer 17

1- apneaic episode 
2- failure to thrive 
3- HTN
4- CO2 retention 
5- cor-pulmonale 
6- heart failure 
7- pectus excavatum