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WorksheetsQuiz on Chronic Otitis Media and Related Conditions
Total questions: 15
Worksheet time: 8mins
What is the definition of Chronic Otitis Media (COM)?
Recurrent or persistent infection with TM perforation.
Keratinized squamous epithelial mass in the middle ear/mastoid.
Inflammation of the outer ear canal.
Fluid accumulation in the inner ear.
A patient presents with a keratinized squamous epithelial mass in the middle ear. What is the most likely diagnosis?
Cholesteatoma
Chronic Otitis Media (COM)
Otitis externa
Labyrinthitis
What does "COM with cholesteatoma" refer to in the classification of chronic otitis media?
Mucosal disease
Benign squamous disease
Chronic sterile effusion behind intact TM
Acute infection
Which classification describes "Chronic sterile effusion behind intact TM"?
COM with TM perforation
COM with cholesteatoma
COME
Acute otitis externa
Which organisms are considered less common causes of CSOM?
Klebsiella, Proteus, E. coli, Streptococcus pneumoniae
Pseudomonas aeruginosa and Staphylococcus aureus
Aspergillus and Candida
Mycobacteria (TB and non-TB)
Which of the following fungi are rarely associated with CSOM?
Aspergillus and Candida
Pseudomonas aeruginosa and Staphylococcus aureus
Klebsiella and Proteus
Streptococcus pneumoniae and E. coli
What is a characteristic finding of cholesteatoma behind the tympanic membrane (TM)?
Pearly white mass
Red swollen area
Yellow fluid
Black discoloration
Which of the following is indicated if the condition is refractory?
Biopsy
Audiometry
Otoscopy
CT scan
A patient presents with symptoms that could be caused by otitis externa, granulomatous disease, or malignancy. What is the clinical process called that involves considering these possibilities?
Differential diagnosis
Definitive treatment
Prognostic evaluation
Therapeutic intervention
When are systemic antibiotics indicated in the management of active COM/CSOM?
For all cases
Only for mild cases
For resistant or invasive cases
For cases with no symptoms
What is one of the main goals of surgical management for cholesteatoma?
Eradicate disease
Reduce fever
Improve vision
Lower blood pressure
Which procedure may involve either a "canal wall up" or "canal wall down" approach?
Mastoidectomy
Myringotomy
Adenoidectomy
Laryngectomy
Which of the following is a possible complication listed in the material?
Mastoiditis
Pneumonia
Appendicitis
Nephritis
A patient presents with symptoms of severe headache, fever, and neurological deficits after an ear infection. Which complication should be suspected?
Intracranial abscess
Mastoiditis
Facial nerve palsy
Labyrinthitis
Which complication involves the formation of a blood clot in a major vein near the brain?
Lateral sinus thrombosis
Mastoiditis
Facial nerve palsy
Labyrinthitis
