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Chapter 53. Pediatric Otolaryngology

Which of the following is true regarding acute otitis media?

A. Diagnosis requires evidence of fluid but not inflammation.

B. Most common organisms are S Pneumoniae, H Influenza, and M Catarrhalis.

C. The incidence of beta-lactamase producing organisms is 60% to 70%.

D. May closely observe without antibiotics if parents are reliable and child is 6 months to 2 years of age with unilateral non severe AOM or more than 2 years of age with nonsevere bilateral AOM.

E. First-line treatment if no previous antibiotics is amoxicillin-clavulanate.

A 6-year-old boy presents with a chronically draining right ear. All of the following are reasonable next steps except

A. Microdebridement of the ear.

B. Fine cut CT scan of the temporal bone.

C. Audiogram with myringotomy and tube if hearing loss is present.

D. Diffusion-weighted MRI with gadolinium.

E. Application of topical antibiotic/steroid suspension in ear.

You are consulted regarding a newborn because the nurse is not able to pass a flexible nasal suction catheter through either side of the nose. All of the following are correct next steps except

A. Make a diagnosis of CHARGE syndrome and obtain consent for surgery.

B. Perform bilateral flexible nasopharyngoscopy.

C. Perform CT scan following administration of decongestant and suctioning.

D. Cut the end off the nipple from his bottle and place it in his mouth.

E. Send blood for genetic testing of CHD7 gene.

Obstructive sleep apnea in children may be associated with all of the following except

A. Nocturnal enuresis.

B. Attention deficit or hyperactivity (ADD or ADHD).

C. Two apneas or hypopneas in two consecutive breaths per hour or a drop in oxygen saturation to less than 92%.

D. Desaturation to less than 90% on oximetry.

E. Benefit from intraoperative dexamethasone during tonsillectomy and adenoidectomy but not postoperative antibiotics.

Which of the following are true regarding subglottic lesions?

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