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NGR 6200 HEENT Study guide questions and
Answers 100% Pass
Risk factors for AOM - ANSWER ✔✔--recent URI
-cleft palate
-smoking
- family history
- Eskimo
-Down's syndrome
-bottle feeding
- day care
-enlarged adenoids
-eustachian tube dysfunction
-low socioeconomic group
-male gender
- family history of AOM
-use of pacifier
-previous use of antibiotics
Devices used to measure TM mobility - ANSWER ✔✔--Pneumatic otoscopy
Created by Grace Amelia © 2025, All Rights Reserved.
,2|Page
-Tympanometry
Origins of Otalgia - ANSWER ✔✔--AOM
-Otitis externa
-referred from jaw/teeth
-TMJ dysfunction
- dental abscess
-mastoiditis
-ear canal furuncle
- barotrauma
-cholesteatoma
-foreign body
-head and neck tumor
- sinus infection
-temporal arteritis (temple)
- trigeminal neuralgia (sudden severe facial pain)
-GERD
AOM diagnosis - ANSWER ✔✔--Bulging of TM (looks like donut or bagel)
-New onset of otalgia
-New onset of otorrhea
Hearing loss thresholds - ANSWER ✔✔-Normal - 0-25 dB
Created by Grace Amelia © 2025, All Rights Reserved.
, 3|Page
Mild - 26-40 dB
Moderate/Severe - 41-70
Profound - 91 dB
Umbo-elbow sign - ANSWER ✔✔-Umbo-elbow sign refers to bulging around ossicle that obscures typical
elbow shape. Bony landmarks are obscured.
First line treatment for AOM - ANSWER ✔✔-Amoxicillin
Adult dose - 1,00mg q 8 hrs
Peds - 90mg/kg/day
most common bacteria that causes middle ear effusions is Streptococcus pneumoniae (49%). Drug
resistant S pneumoniae is common and develops resistance by alterations in penicillin-binding proteins,
not beta-lactamase mechanisms
Organism responsible for AOM - ANSWER ✔✔-S. pneumoniae (49%)
H. influenza (29%)
M. catarrhalis (28%).
Viruses account for 70% of the cases. Bacteria + virus (66%)
What is the current recommended dose of amox for treatment of AOM in an adult? - ANSWER ✔✔--
Amox 500mg (2 tabs) q8 hrs for 7 days
-Amox/clauv 875/125 q 12hrs if abx in past month.
-FQ if PCN
Created by Grace Amelia © 2025, All Rights Reserved.
NGR 6200 HEENT Study guide questions and
Answers 100% Pass
Risk factors for AOM - ANSWER ✔✔--recent URI
-cleft palate
-smoking
- family history
- Eskimo
-Down's syndrome
-bottle feeding
- day care
-enlarged adenoids
-eustachian tube dysfunction
-low socioeconomic group
-male gender
- family history of AOM
-use of pacifier
-previous use of antibiotics
Devices used to measure TM mobility - ANSWER ✔✔--Pneumatic otoscopy
Created by Grace Amelia © 2025, All Rights Reserved.
,2|Page
-Tympanometry
Origins of Otalgia - ANSWER ✔✔--AOM
-Otitis externa
-referred from jaw/teeth
-TMJ dysfunction
- dental abscess
-mastoiditis
-ear canal furuncle
- barotrauma
-cholesteatoma
-foreign body
-head and neck tumor
- sinus infection
-temporal arteritis (temple)
- trigeminal neuralgia (sudden severe facial pain)
-GERD
AOM diagnosis - ANSWER ✔✔--Bulging of TM (looks like donut or bagel)
-New onset of otalgia
-New onset of otorrhea
Hearing loss thresholds - ANSWER ✔✔-Normal - 0-25 dB
Created by Grace Amelia © 2025, All Rights Reserved.
, 3|Page
Mild - 26-40 dB
Moderate/Severe - 41-70
Profound - 91 dB
Umbo-elbow sign - ANSWER ✔✔-Umbo-elbow sign refers to bulging around ossicle that obscures typical
elbow shape. Bony landmarks are obscured.
First line treatment for AOM - ANSWER ✔✔-Amoxicillin
Adult dose - 1,00mg q 8 hrs
Peds - 90mg/kg/day
most common bacteria that causes middle ear effusions is Streptococcus pneumoniae (49%). Drug
resistant S pneumoniae is common and develops resistance by alterations in penicillin-binding proteins,
not beta-lactamase mechanisms
Organism responsible for AOM - ANSWER ✔✔-S. pneumoniae (49%)
H. influenza (29%)
M. catarrhalis (28%).
Viruses account for 70% of the cases. Bacteria + virus (66%)
What is the current recommended dose of amox for treatment of AOM in an adult? - ANSWER ✔✔--
Amox 500mg (2 tabs) q8 hrs for 7 days
-Amox/clauv 875/125 q 12hrs if abx in past month.
-FQ if PCN
Created by Grace Amelia © 2025, All Rights Reserved.
