NCD Quizzes – Questions With Appropriate
Solutions
A patient presents with ear pain. She is an avid swimmer. The
history includes pain and drainage from the left ear. On
examination, she has pain when the ear is manipulated, including
manipulation of the tragus. The canal is narrowed and
erythematous, with some white debris in the canal. The rest of the
examination is normal. What is your working diagnosis for this
patient? Correct Answer - otitis externa
A 6 year-old child is brought to the clinic by his mother. Mom
reports that he had a rectal temperature of 102.2 this morning and
is complaining that his right ear hurts. Your examination of the
affected ear reveals an erythematous, bulging, immobile TM with no
light reflex and no bony landmarks visible. Your working diagnosis
is Correct Answer - acute otitis media
Retraction of the tympanic membrane is often associated with
Correct Answer - eustachian tube dysfunction
You are assessing a 23-year-old patient with a chief complaint of
sore throat for the last 24 hours. She denies any nasal discharge or
sneezing but says it is very painful to swallow. Temperature
recorded in the office is 101.8. Physical examination reveals
erythema of the tonsils and posterior pharynx with copious white
tonsillar exudate and tonsillar adenopathy (enlarged lymph nodes).
Which diagnosis is suggested by the findings described here?
Correct Answer - Streptococcal pharyngitis
Perichondritis is an infection in the perichondrium of the pinna that
can be caused by trauma such as piercings of the pinna, insect bites
and superficial infection. Why are we concerned about
, perichondritis? Correct Answer - a. It separates the cartilage of
the pinna from the perichondrium, which supplies blood to the area.
b. It can lead to abscess causing poor cosmetic healing.
c. One of the main complications is avascular necrosis.
If your patient has clinical signs and symptoms indicative of strep
throat, yet your rapid strep test is negative, the next action is:
Correct Answer - Send out a throat swab for culture while you
treat based on clinical signs.
You visualize a patient's tonsils on oropharyngeal exam. The left
tonsil is at midline touching the uvula and the right tonsil is half way
between the uvula and the anterior pillar. The left tonsil is
considered to be: Correct Answer - Grade 4
Pt with tenderness to palpation with traction of the external ear
structures, swollen, erythematous external auditory canal and
yellowish discharge. Unable to visualize the TM. Correct Answer -
Otitis Externa
Pt with retracted TM, gray bubbles and yellowish air-fluid line
behind the TM. Correct Answer - serous otitis media
Pt with red, bulging TM (unable to see bony landmarks and COL is
displaced) and pain occurs with the examination of the ear.
Correct Answer - acute otitis media
External or middle ear disorder;
Pathology is visible on otoscopic exam;
History of frequent untreated middle ear infections Correct
Answer - Conductive
Underlying causes include: loud noise exposure/trauma, inner ear
infections;
Solutions
A patient presents with ear pain. She is an avid swimmer. The
history includes pain and drainage from the left ear. On
examination, she has pain when the ear is manipulated, including
manipulation of the tragus. The canal is narrowed and
erythematous, with some white debris in the canal. The rest of the
examination is normal. What is your working diagnosis for this
patient? Correct Answer - otitis externa
A 6 year-old child is brought to the clinic by his mother. Mom
reports that he had a rectal temperature of 102.2 this morning and
is complaining that his right ear hurts. Your examination of the
affected ear reveals an erythematous, bulging, immobile TM with no
light reflex and no bony landmarks visible. Your working diagnosis
is Correct Answer - acute otitis media
Retraction of the tympanic membrane is often associated with
Correct Answer - eustachian tube dysfunction
You are assessing a 23-year-old patient with a chief complaint of
sore throat for the last 24 hours. She denies any nasal discharge or
sneezing but says it is very painful to swallow. Temperature
recorded in the office is 101.8. Physical examination reveals
erythema of the tonsils and posterior pharynx with copious white
tonsillar exudate and tonsillar adenopathy (enlarged lymph nodes).
Which diagnosis is suggested by the findings described here?
Correct Answer - Streptococcal pharyngitis
Perichondritis is an infection in the perichondrium of the pinna that
can be caused by trauma such as piercings of the pinna, insect bites
and superficial infection. Why are we concerned about
, perichondritis? Correct Answer - a. It separates the cartilage of
the pinna from the perichondrium, which supplies blood to the area.
b. It can lead to abscess causing poor cosmetic healing.
c. One of the main complications is avascular necrosis.
If your patient has clinical signs and symptoms indicative of strep
throat, yet your rapid strep test is negative, the next action is:
Correct Answer - Send out a throat swab for culture while you
treat based on clinical signs.
You visualize a patient's tonsils on oropharyngeal exam. The left
tonsil is at midline touching the uvula and the right tonsil is half way
between the uvula and the anterior pillar. The left tonsil is
considered to be: Correct Answer - Grade 4
Pt with tenderness to palpation with traction of the external ear
structures, swollen, erythematous external auditory canal and
yellowish discharge. Unable to visualize the TM. Correct Answer -
Otitis Externa
Pt with retracted TM, gray bubbles and yellowish air-fluid line
behind the TM. Correct Answer - serous otitis media
Pt with red, bulging TM (unable to see bony landmarks and COL is
displaced) and pain occurs with the examination of the ear.
Correct Answer - acute otitis media
External or middle ear disorder;
Pathology is visible on otoscopic exam;
History of frequent untreated middle ear infections Correct
Answer - Conductive
Underlying causes include: loud noise exposure/trauma, inner ear
infections;
