otitis media

Question 1

Acute inflammatory disease of the middle ear and tympanic membrane with or without purulent middle ear fluid

Answer 1

acute otitis media

Question 2

Presence of middle-ear effusion without any local or systemic signs of inflammation

Answer 2

otitis media with effusion

Question 3

___children are dx’s with acute otitis media by 9 months; and ____children by 2 yrs

Answer 3

40%; 60%

Question 4

peak age for recurrent acute otitis media

Answer 4

6-12 mon

Question 5

which grps are at incr risk for acute otitis media (3)

Answer 5

1. immunocompromised
2. craniofacial disorder
3. down syndrome

Question 6

incidence of otitis media with effusion; age?

Answer 6

50% incidence in kids age 2-7

Question 7

pathophysiology of OME (3)

Answer 7

1. preceding viral illness
2. immature immune status
3. eustachian tube dysfxn

Question 8

most common causative agents of otitis media (3)

Answer 8

1. strept pneumo
2. H. influenzae
3. moraxella catarrhalis

Question 9

is acute otitis media incidence increasing or decreasing?

Answer 9

decreasing

Question 10

tx of uncomplicated otitis media

Answer 10

obervation

Question 11

under what age should you absolutely tx otitis media

Answer 11

under 6 mon

Question 12

1st line tx

Answer 12

amoxicillin

Question 13

when to intervene with surgery

Answer 13

> 3 infxns in 6 mon; >4 infxns in 12 mon

Question 14

purpose of placing ventilation tubes

Answer 14

improve short term quality of life

Question 15

Presents with chronic draining ear; smelly drainage

Answer 15

cholesteatoma

Question 16

anaerobic organisms are seen with mastoiditis or acute otitis media

Answer 16

mastoiditis

Question 17

most common organism in acute otitis media that is assc’d with meningitits

Answer 17

strep pneumo

Question 18

most common organism in acute otitis media that is assc’d with cholesteatoma (2)

Answer 18

1. pseudomonas

2. bacteroides