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Exam- CMN-568 Ears; Questions with Verified Answers
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Exam- CMN-568 Ears; Questions with Verified Answers
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Exam- CMN-568 Ears; Questions with Verified AnswersOtitis Externa (Swimmer's Ear) CORRECT ANS-Inflammation of the outer ear and ear canal
due to infection
Cellulitis of the soft tissues of the external auditory canal CORRECT ANS-Otitis Externa
What pathogens are responsible for Otitis Externa? CORRECT ANS-Pseudomonas
aeruginosa
Staphylococcus aureus
Aspergillus or other fungi
Which of the following is considered a risk factor for Otitis Externa?
A. A mother that repeatedly cleans her child's ears.
B. Swimming
C. Doing back flips on the trampoline.
D. A & B CORRECT ANS-D
, Exam- CMN-568 Ears; Questions with Verified Answers
How does keeping the ears too clean contribute to Otitis Externa? CORRECT ANS-Removes
protective cerumen and increases pH which promotes bacterial growth
Hallmark Sign of Otitis Externa CORRECT ANS-Severe ear pain made worse by moving
pinna or tragus
What type of discharge would the provider expect to see when caring for a patient with a
diagnosis of Otitis Externa? CORRECT ANS-Purulent discharge
Differential Diagnosis of Otitis Externa CORRECT ANS-AOM w/ TM rupture
Patent PE tubes
Furunculosis of the ear canal
Mastoiditis
If debris is visualized and the TM is visualized what should the next action be? CORRECT
ANS-The NP can gently remove the debris using warm water and a bulb syringe?
, Exam- CMN-568 Ears; Questions with Verified Answers
What is a negative response that can occur if the NP irrigates with cold water? CORRECT
ANS-Vestibular response and can cause an episode of dizziness and possible vomiting.
What is the first-line treatment for a patient with Otitis Externa? CORRECT ANS-
Fluroquinolone drops
Ciprofloxacin/dexamethasone (Ciprodex)
What drops cover both pseudomonas and Staph? CORRECT ANS-Ciprodex
Can Neomycin/Polymyxin B/Hydrocortisone be used if the TM is perforated or PE Tubes in
place/ CORRECT ANS-No
Patient comes in and the provider tells the patient that they have otitis externa. The patient
asks, "What can I do differently to prevent this from ocurring again?
Select All That Apply CORRECT ANS-A. Avoid use of Q-Tips
B. Do not dry ears out, moisture keeps the ears healthy.
C. Avoid vigorous ear cleaning.
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