MVU NURS 629 EXAM 2 2026 ACTUAL
QUESTIONS AND ANSWERS 66 QUESTIONS
100 PERCENT CORRECT VERIFIED
SOLUTIONS GRADED A+
⩥ OM is most common in. Answer: boys, first born, winter months,
bottle fed babies, preemies, daycare children, children of smokers
⩥ Reason for OM. Answer: ■ Eustachian tube is shorter. By the ages 7-
12 the eustachian tube resembles that of an adult
■ Adenoids can be enlarged. If the adenoid that is enlarged d/t smaller
nasal canals & respiratory tract, that can easily block the eustachian tube
& not allow for drainage
⩥ Common bacterial causes for OM?. Answer: ● S. pneumoniae: most
common
● H. influenzae: child presents with conjunctivitis with OM, treat with
Augmentin and topical antibiotic for conjunctivitis
● M. catarrhalis
⩥ Symptoms of OM?. Answer: ■ Fever, pain, discharge from the ear,
tugging or batting at the ear, irritability, crying, lethargy, decreased
appetite, decreased sleep, recent URI
,⩥ Clinical Signs of OM?. Answer: ■ Red, bulging TM, retracted with
pus, decreased translucency of TM, no movement of the TM, inability to
see normal landmarks, occasionally: hole in the TM
⩥ Diagnosis of OM requirements?. Answer: ■ History of acute onset
■ Identify presence of middle ear effusion: bulging TM, decreased or
absent mobility of TM, amber fluid or appearance of TM, otorrhea
■ Identify signs of middle ear inflammation: erythematous TM, otalgia
(which interferes with function/sleep)
⩥ Tx of OM? ages:
>6m
6m-2yrs
>2yrs. Answer: <6m: abx if certain or not
6-12m: abx if : fever >102, bilateral infection, severe otalgia, longer than
7 days (observe if not severe)
>2 yrs: abx if severe ^ observe if not
⩥ Symptoms relief for OM? (non-abx). Answer: ● Acetaminophen or
ibuprofen: mild to moderate pain
● Benzocaine (Auralgan, Amerciaine otic): mild to moderate pain
● Warm compress
,⩥ ABX tx for OM?. Answer: ● Clinically defined treatment failure at
48-72 hours after initial management with observation or at diagnosis
for patients being initially with antibacterial agents
ABX:
Amoxicillin 80-90 mg/kg/day BID for 10 days
OR IF PCN ALLERGY:
Non-Type 1: Cefdinir, cefuroxime
Type 1: Azithromycin, clarithromycin
OR: SEVERE OM:
Augmentin (Amoxicillin-clavulanate) 80-90 mg/kg/day for 10 days or
PCN alg: Ceftriaxone 1 or 3 days
⩥ Signs of bacterial AOM?. Answer: • Bulging TM with decreased
mobility, acute onset pain and fever
⩥ when do you not 'watch and wait' on AOM?. Answer: o Kids younger
than 6 months
o \Children 6 mo - 2 years with moderate to severe pain (concerned bc
of speech development during this time)
o 2 and older with high fever
o All children with comorbidities such as heart disease etc
, ⩥ How do you treat AOM in kid who has ear tubes?. Answer:
Ofloxacin/cipro gtt
⩥ If pt develops rash after taking amox for ear infection what do you
do?. Answer: stop and start cephalosporin
⩥ What are the predisposing factors for otitis externa?. Answer: ■
Frequent exposure to moisture of the ear
■ Aggressive cleaning of the ear canal (do not use Q-tips because that
can cause little micro tears in the skin which can lead to inflammation
and infection)
■ Local trauma to the ear
■ Allergies & skin conditions
■ Eczema
⩥ t/f otitis externa is typically bilateral?. Answer: F usually unilateral
⩥ symptoms of otitis externa?. Answer: ■ Discharge from the ear
(especially if the TM has rupture), low grade fever, recent history of
swimming or placing something in ear, pain with movement of the
tragus, redness around ear, decreased hearing
QUESTIONS AND ANSWERS 66 QUESTIONS
100 PERCENT CORRECT VERIFIED
SOLUTIONS GRADED A+
⩥ OM is most common in. Answer: boys, first born, winter months,
bottle fed babies, preemies, daycare children, children of smokers
⩥ Reason for OM. Answer: ■ Eustachian tube is shorter. By the ages 7-
12 the eustachian tube resembles that of an adult
■ Adenoids can be enlarged. If the adenoid that is enlarged d/t smaller
nasal canals & respiratory tract, that can easily block the eustachian tube
& not allow for drainage
⩥ Common bacterial causes for OM?. Answer: ● S. pneumoniae: most
common
● H. influenzae: child presents with conjunctivitis with OM, treat with
Augmentin and topical antibiotic for conjunctivitis
● M. catarrhalis
⩥ Symptoms of OM?. Answer: ■ Fever, pain, discharge from the ear,
tugging or batting at the ear, irritability, crying, lethargy, decreased
appetite, decreased sleep, recent URI
,⩥ Clinical Signs of OM?. Answer: ■ Red, bulging TM, retracted with
pus, decreased translucency of TM, no movement of the TM, inability to
see normal landmarks, occasionally: hole in the TM
⩥ Diagnosis of OM requirements?. Answer: ■ History of acute onset
■ Identify presence of middle ear effusion: bulging TM, decreased or
absent mobility of TM, amber fluid or appearance of TM, otorrhea
■ Identify signs of middle ear inflammation: erythematous TM, otalgia
(which interferes with function/sleep)
⩥ Tx of OM? ages:
>6m
6m-2yrs
>2yrs. Answer: <6m: abx if certain or not
6-12m: abx if : fever >102, bilateral infection, severe otalgia, longer than
7 days (observe if not severe)
>2 yrs: abx if severe ^ observe if not
⩥ Symptoms relief for OM? (non-abx). Answer: ● Acetaminophen or
ibuprofen: mild to moderate pain
● Benzocaine (Auralgan, Amerciaine otic): mild to moderate pain
● Warm compress
,⩥ ABX tx for OM?. Answer: ● Clinically defined treatment failure at
48-72 hours after initial management with observation or at diagnosis
for patients being initially with antibacterial agents
ABX:
Amoxicillin 80-90 mg/kg/day BID for 10 days
OR IF PCN ALLERGY:
Non-Type 1: Cefdinir, cefuroxime
Type 1: Azithromycin, clarithromycin
OR: SEVERE OM:
Augmentin (Amoxicillin-clavulanate) 80-90 mg/kg/day for 10 days or
PCN alg: Ceftriaxone 1 or 3 days
⩥ Signs of bacterial AOM?. Answer: • Bulging TM with decreased
mobility, acute onset pain and fever
⩥ when do you not 'watch and wait' on AOM?. Answer: o Kids younger
than 6 months
o \Children 6 mo - 2 years with moderate to severe pain (concerned bc
of speech development during this time)
o 2 and older with high fever
o All children with comorbidities such as heart disease etc
, ⩥ How do you treat AOM in kid who has ear tubes?. Answer:
Ofloxacin/cipro gtt
⩥ If pt develops rash after taking amox for ear infection what do you
do?. Answer: stop and start cephalosporin
⩥ What are the predisposing factors for otitis externa?. Answer: ■
Frequent exposure to moisture of the ear
■ Aggressive cleaning of the ear canal (do not use Q-tips because that
can cause little micro tears in the skin which can lead to inflammation
and infection)
■ Local trauma to the ear
■ Allergies & skin conditions
■ Eczema
⩥ t/f otitis externa is typically bilateral?. Answer: F usually unilateral
⩥ symptoms of otitis externa?. Answer: ■ Discharge from the ear
(especially if the TM has rupture), low grade fever, recent history of
swimming or placing something in ear, pain with movement of the
tragus, redness around ear, decreased hearing
