Otitis Externa & Media

Question 1

Bacterial causes of otitis externa

Answer 1

Staph. A
Pseudomonas

Question 2

Discharge of Otitis externa

Answer 2

Purulent and scanty

Question 3

Ab used in treatment of otitis externa

Answer 3

Ciprofloxacin

Question 4

Treatment of otitis externa

Answer 4

Aural toilet (suction)
Topical Ab & steroids: ciprofloxacin
Topical antifungal

Question 5

What is Ramsey hunt syndrome

Answer 5

Severely painful vesicular exanthem in otitis externa (herpes zoster oticus)

Question 6

Cranial nerves affected in ramsey hjny syndrome

Answer 6

7 and 8

Question 7

Most important risk factor in malignant otitis externa

Answer 7

DM or Immunodeficiency

Question 8

Cause of malignant otitis externa

Answer 8

Osteomyelitis of lateral skull base

Question 9

Floor of EAC in otitis externa contains

Answer 9

Granulations

Question 10

Complications of malignant otitis externa

Answer 10

Facial palsy
Bulbar palsy

Question 11

Bacterial causes of otitis media

Answer 11

Strept. Pneumonia
H influenza
Moraxella catarrhalis

Question 12

Discharge in otitis media

Answer 12

Profuse and purulent

Question 13

Complications of otitis media

Answer 13

TM perforation
Mastoiditis
Facial palsy

Question 14

Treatment of otitis media

Answer 14

Medical : Ab, analgesia, antipyretics
Surgical ; incision and drainage (myringotomy)

Question 15

Cause of otitis media with effusion

Answer 15

Eustacian tube dysfunction

Question 16

Otoscopy in otitis media with effusion shows….

Answer 16

Dull Tympanic membrane
Fluid level
Bubbles

Question 17

Pure tone audiogram in otitis media with effusion shows…

Answer 17

Conducrive hearing loss(air bone gap)

Question 18

Tympanometry in otitis media with effusion shows….

Answer 18

Flat curve type B

Question 19

Treatment of otitis media with effusion

Answer 19

• Watch and wait – 50%
will resolve
spontaneously within 3
months
• Surgical
• Adenoidectomy
• Myringotomy and
ventilation tube
insertion