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Clin Med - Practice Quiz for Ear Conditions

claire.p.larkin 29 Fragen

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  1. 1A 62-year-old woman presents with a 3-week history of progressively more painful and worsening external otitis. She is a type 2 diabetic patient and has been poorly controlled on oral hypoglycemics. Examination demonstrates a foul-smelling purulent drainage and the presence of granulation tissue within the auditory canal. The tympanic membrane (TM) appears to be normal and mobile to pneumatic testing. What is your diagnosis?
    1. AOtitis Media
    2. BCholesteatoma
    3. Cmalignant otitis externa
    4. DOtitis externa
  2. 2A 55-year-old woman patient presents with a lengthy history of chronic ear infections and episodic purulent drainage from the right ear canal. The patient is without symptoms at this time. Examination of the tympanic membrane shows it to be retracted with a pocket of white material behind the TM. What is this finding called?
    1. Atympanosclerosis
    2. Botosclerosis
    3. Ccholesteatoma
    4. Dkeratosis obliterans
    5. Echronic otitis media
  3. 3A 35-year-old man presents with a 1-week history of a marked decrease of hearing in his right ear. He denies trauma, otorrhea, or vertigo. The physical examination appears to be normal except for his tuning fork tests. The Weber test lateralizes to the better ear and the Rinné test shows air conduction to be better than bone conduction in both ears. What type of hearing loss does your patient have?
    1. AConductive hearing loss
    2. BSensorineural hearing loss
    3. CPresbycusis
    4. DNone of the above
  4. 4A 60-year-old woman presents with an acute onset of left facial nerve paralysis. She has severe pain. You notice that she has vesicles on the pinna. What is the name of this syndrome?
    1. ABell Palsy
    2. BRamsay-Hunt
    3. CMobius
    4. DMillard-Gubler
    5. EMelkersson-Rosenthal
  5. 5A 50-year-old woman presents with a progressive sense of decreased hearing in her right ear and tinnitus over several years. Her father had hearing problems at a young age but never was evaluated. She denies trauma, noise exposure, or ear disease as a child. Your examination demonstrates a completely normal-appearing tympanic membrane, which is mobile to pneumatic testing. Tuning fork tests show a Weber test that lateralizes to the affected (right) ear. Air conduction is greater than bone conduction of the left; on the right bone conduction is greater than air conduction. What is your diagnosis?
    1. Aserous otitis media
    2. Botosclerosis
    3. Cpresbycusis
    4. Dtympanosclerosis
  6. 6A patient presents with swelling and mild edema of the right ear canal after swimming. What is the most appropriate initial treatment?
    1. Aoral antibiotics to prevent further swelling
    2. Binsert an otowick into the canal to prevent the canal from closing
    3. Cantibiotic ear drops
    4. Dvigorous irrigation with saline to clean the ear
    5. Eself-limited disorder requiring no treatment
  7. 7A child with a history of a recent episode of acute otitis media presents with a painful swelling of the area behind the right ear. There is protrusion of the ear. The child is febrile and looks very ill. Your examination shows a hyperemic and bulging right tympanic membrane (TM) with a purulent effusion. The TM is immobile to pneumatic testing. What is your diagnosis?
    1. AAcute Otitis Media
    2. BSerous Otitis Media
    3. COtitis Externa
    4. DMastoiditis
    5. EAuditory Tube Dysfunction
  8. 8A 60-year-old man presents with a 2-week history of sensation of spinning when turning over in bed at night. He occasionally has a spinning sensation when turning his head to the right. He denies tinnitus or decrease in his hearing. He also complains about ringing in his ear and notes that his wife complains about his inability to hear. He hears a pulsating sound in his right ear, which is worse at night. What is your diagnosis?
    1. AMeniere's Syndrome
    2. BBenign paroxysmal positional vertigo (BPPV)
    3. CAcoustic Neuroma
    4. DCholesteatoma
    5. ELabyrinthitis
  9. 9A patient presents with a 3-day history of vertigo associated with turning over in bed, which lasts for several minutes. There are no other symptoms of the ear. Dix– Hallpike testing shows rotary nystagmus, which diminishes with repeated testing. Which of the following is the most likely diagnosis?
    1. Acentral nervous system (CNS) lesion
    2. Bpositional vertigo
    3. Clabyrinthitis
    4. DMeniere disease
    5. Evestibular neuronitis
  10. 10A 50-year-old woman presents with episodes of vertigo lasting about 20 minutes and associated with fluctuating hearing loss and a low-frequency nonpulsatile tinnitus in the affected ear. After these episodes of vertigo, the patient states that her hearing improves and the tinnitus resolves. The symptoms appear to wax and wane. Which of the following illnesses is suggested by these symptoms?
    1. AMeniere disease
    2. Beustachian tube dysfunction
    3. Cvestibular neuronitis
    4. Dparoxysmal positional vertigo
    5. Enone of the above

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Practice quiz based on focused review points
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English
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