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Chapter 22. Infections of the Temporal Bone

Which patients should be given antibiotics as a first-line treatment for AOM?

A. Children more than 2 years of age with mild symptoms or uncertain diagnosis

B. Children more than 6 months with moderate to severe otalgia more than 48 hours or temperature more than 39°C

C. Nonsevere, bilateral AOM in children 6 to 23 months

D. B and C

E. All of the above

Which of the following play a major role in the etiology of chronic suppurative otitis media?

A. Biofilms

B. ET dysfunction

C. Viral infection

D. A and B

E. All of the above

What is the most common intracranial complication of AOM?

A. Lateral sinus thrombosis

B. Subdural empyema

C. Meningitis

D. Intraparenchymal (brain) abscess

A subperiosteal abscess may present with which of the following symptoms?

A. Systemic signs of infection (fever, chills, malaise)

B. Pain behind ear and along the mastoid tip

C. Auricle displaced inferiorly and laterally

D. Erythema and fluctuance of the postauricular skin

E. All of the above

A newborn presents with microcephaly, hepatosplenomegaly, and a “blueberry muffin” rash. At 18 months, the patient is diagnosed with SNHL. What is the most likely cause?

A. Herpes Zoster

B. Rubella (German measles)

C. CMV

D. Rubeola (Measles)

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