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Self-Assessment Questions

Family Medicine

Otitis Media: Review Questions

Paul F. Roberts, MD

Dr. Roberts is an Instructor of Family Medicine and a Senior Associate Consultant, Mayo Clinic, Jacksonville, FL.



Choose the single best answer for each question.

1. Which of the following pathogens most commonly causes acute otitis media?
  1. Respiratory viruses
  2. Haemophilus influenzae
  3. Moraxella catarrhalis
  4. Staphylococcus aureus
  5. Streptococcus pneumoniae
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2. Which of the following is the most common intracranial complication of acute otitis media?

  1. Epidural abscess
  2. Lateral sinus thrombosis
  3. Brain abscess
  4. Meningitis
  5. Acute mastoiditis
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3. Which one of the following is the drug of choice for initial treatment of acute otitis media?

  1. Ciprofloxacin
  2. Amoxicillin
  3. Erythromycin
  4. Azithromycin
  5. Cefaclor
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4. Otitis media has occurred at least once in what percentage of 3-year-old children?

  1. 15%
  2. 35%
  3. 50%
  4. 85%
  5. 98%
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5. Which of the following environmental factors may increase the incidence of acute otitis media?
  1. Putting an infant to bed with a bottle
  2. Cigarette smoke
  3. Dust
  4. Molds
  5. All of the above
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6. Which of the following is the most prevalent complication of otitis media?

  1. Fluctuating or persistent hearing loss
  2. Perforation of the tympanic membrane
  3. Development of cholesteatomas
  4. Chronic infection of the middle ear
  5. None of the above
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7. In otitis media, the otoscope examination can reveal which of the following?

  1. An erythematous tympanic membrane
  2. A bulging, immobile tympanic membrane
  3. Loss of identifiable landmarks, such as the handle of the malleus
  4. Perforation of the tympanic membrane
  5. All of the above
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