NURS 629 Exam 3 (Maryville)
Questions & Answers
1. Otitis media pathogens
Answer Caused by S. Pneumoniae (most common); H. Influen- zae, M. Catarrhils
2. Otitis media Symptoms
Answer Fever, Pain, discharge from ear, tugging at ear, irri- tability, crying,
lethargy, decreased appetite, decreased sleep, Recent URI
3. Objective findings in otitis media
Answer Red, bulging OM; Retracted with pus; no movement of TM, Inability to
see landmarks; occasional hole in TM
4. Treatment for AOM + Conjunctivitis d/t
H. Influenzae
Answer Amoxicillin-clavulanate 80-90 mg/kg/day BID x 10 days
5. Treatment for AOM d/t S. Pneumoniae (most common)
Answer Amoxicillin 80-90 mg/kg/day BID x 10 days (high dose)
6. Treatment for AOM with PCN Allergy
Non-Type 1
Answer Cefdinir, Cefuroxime
,7. Treatment for AOM with PCN Allergy
Type 1
Answer Azithromycin, clarithromycin OR Ceftriaxone 1-3 days
8. Predisposing factors of otitis externa
Answer Frequent moisture, local trauma, ag- gressive cleaning, Allergies/skin
conditions
9. Causative organisms for otitis externa
Answer Psuedomonas aeruginosa (20-60%); Staphylococcus Aureus (10-70%);
10% fungal infection
10. Symptoms of otitis externa
Answer Discharge from ear, recent history of swimming or placing something in the
ear, low-grade fever, pain with movement of tragus, decreased hearing, redness
around ear
11. Objective findings of otitis externa
Answer Otalgia ( inner or outer ear pain), dis- charge, fullness, itching, pain with
movement of tragus, redness around ear, de- creased hearing.
12. Treatment of pain and therapeutic management of otitis externa
Answer Warm compresses, Auralgan, prednisone, Tylenol/ibuprofen, Wick (abx
applied to wick )
,13. When to wick with otitis externa
Answer If lumen is reduced to >50%, wicks can help ensure delivery of topical abx to
medial canal.
14. Treatment of otitis externa
Answer Topical fluroquinolones (Ciprofloxacin, Ofloxacin), ibuprofen and apap for
pain, neomycin/polymixin b/hydrocortison otic (antibiot- ic/steroid)
15. Hallmark sign of otitis externa
Answer Traction of pinna elicits pain
16. When do we begin hearing tests in clinic for children
Answer 4 years old
17. What is a normal audiology test result and how are results read
Answer Normal
-10 to +15 The higher the number, the greater the loss, Severe loss 71-90 (learning
disability, limited vocabulary), Profound loss 90
18. Risk factors related to elevated cholesterol
Answer Obesity, Diabetes, Hypertension, Family history
Coronary heart disease prior to age 55, Hyperlipidemia, Diabetes
19. Clinical findings for tetralogy of Fallot
Answer Cyanosis
, caused by blood low in oxygen, Shortness of breath and rapid breathing,
especially during feeding or
Questions & Answers
1. Otitis media pathogens
Answer Caused by S. Pneumoniae (most common); H. Influen- zae, M. Catarrhils
2. Otitis media Symptoms
Answer Fever, Pain, discharge from ear, tugging at ear, irri- tability, crying,
lethargy, decreased appetite, decreased sleep, Recent URI
3. Objective findings in otitis media
Answer Red, bulging OM; Retracted with pus; no movement of TM, Inability to
see landmarks; occasional hole in TM
4. Treatment for AOM + Conjunctivitis d/t
H. Influenzae
Answer Amoxicillin-clavulanate 80-90 mg/kg/day BID x 10 days
5. Treatment for AOM d/t S. Pneumoniae (most common)
Answer Amoxicillin 80-90 mg/kg/day BID x 10 days (high dose)
6. Treatment for AOM with PCN Allergy
Non-Type 1
Answer Cefdinir, Cefuroxime
,7. Treatment for AOM with PCN Allergy
Type 1
Answer Azithromycin, clarithromycin OR Ceftriaxone 1-3 days
8. Predisposing factors of otitis externa
Answer Frequent moisture, local trauma, ag- gressive cleaning, Allergies/skin
conditions
9. Causative organisms for otitis externa
Answer Psuedomonas aeruginosa (20-60%); Staphylococcus Aureus (10-70%);
10% fungal infection
10. Symptoms of otitis externa
Answer Discharge from ear, recent history of swimming or placing something in the
ear, low-grade fever, pain with movement of tragus, decreased hearing, redness
around ear
11. Objective findings of otitis externa
Answer Otalgia ( inner or outer ear pain), dis- charge, fullness, itching, pain with
movement of tragus, redness around ear, de- creased hearing.
12. Treatment of pain and therapeutic management of otitis externa
Answer Warm compresses, Auralgan, prednisone, Tylenol/ibuprofen, Wick (abx
applied to wick )
,13. When to wick with otitis externa
Answer If lumen is reduced to >50%, wicks can help ensure delivery of topical abx to
medial canal.
14. Treatment of otitis externa
Answer Topical fluroquinolones (Ciprofloxacin, Ofloxacin), ibuprofen and apap for
pain, neomycin/polymixin b/hydrocortison otic (antibiot- ic/steroid)
15. Hallmark sign of otitis externa
Answer Traction of pinna elicits pain
16. When do we begin hearing tests in clinic for children
Answer 4 years old
17. What is a normal audiology test result and how are results read
Answer Normal
-10 to +15 The higher the number, the greater the loss, Severe loss 71-90 (learning
disability, limited vocabulary), Profound loss 90
18. Risk factors related to elevated cholesterol
Answer Obesity, Diabetes, Hypertension, Family history
Coronary heart disease prior to age 55, Hyperlipidemia, Diabetes
19. Clinical findings for tetralogy of Fallot
Answer Cyanosis
, caused by blood low in oxygen, Shortness of breath and rapid breathing,
especially during feeding or
