otic disorders

Question 1

self treatment with OTC drugs is only restricted to

Answer 1

external ear disorders

Question 2

excessive/impacted cerumen clinical presentation

Answer 2

sense of fullness or pressure in the ear
gradual hearing loss
dull pain with vertigo, tinnitus or chronic cough

Question 3

non pharmacological treatment of excessive/impacted cerumen

Answer 3

remove earwax only when it migrates to outermost EAC
use wet washcloth draped over finger

Question 4

non pharmacological treatment for excessive/impacted cerumen is not effective when

Answer 4

cerumen becomes impacted

Question 5

pharmacological treatment of excessive/impacted cerumen

Answer 5

carbamide peroxide
olive oil
hydrogen peroxide

Question 6

carbamide peroxide can be used to soften cerumen in patients

Answer 6

over 12 years old

Question 7

olive oil can be used to

Answer 7

alleviate itching and pain

Question 8

exclusions for self treatment of excessive/impacted cerumen

Answer 8

signs of infection
pain associated with ear discharge
bleeding or signs of trauma
presence of ruptured tympanic membrane
ear surgery within prior 6 weeks
typanostomy tubes present
incapable of following instructions
hypersensitivity to agents
under 12 years

Question 9

counseling points for excessive/impacted cerumen

Answer 9

do not insert objects in the ear to remove earwax
refer for further evaluation in patients under 12

Question 10

water-clogged ears clinical presentation

Answer 10

wetness or fullness in the ear
gradual hearing loss

Question 11

non pharmacological treatment for water-clogged ears

Answer 11

tilting the affected ear downward
use a blow dryer on low heat around ear

Question 12

pharmacological recommendations for water clogged ears

Answer 12

isopropyl alcohol in anhydrous glycerin
acetic acid
water absorbing earplugs

Question 13

isopropyl alcohol in anhydrous glycerin

Answer 13

over 12 years
reduces moisture in ear without overdrying

Question 14

acetic acid

Answer 14

50:50 acetic acid and 5% isopropyl alcohol

Question 15

water absorbing earplugs

Answer 15

all patients can use
removed after a maximum of 10 minutes and discarded

Question 16

exclusions for self treatment of water clogged ears

Answer 16

signs of infection
pain associated with ear discharge
dizziness
bleeding/trauma signs
presence or ruptured tympanic membrane
ear surgery within 6 weeks
typanostomy tubes present
can’t follow instructions
hypersensitivity to agents
worsening of condition despite self treatment