Otalgia, or ear pain, is a very common presentation in general practice. Test yourself on a range of causes with this quiz!
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Approach to the Patient with Otalgia
Stem 1, question 1 of 4
Ophelia, a 13 month old female, is brought to GP by her Father with ear pain, fever, decreased appetite and a cough. She attends nursery 3 days a week and is meeting all developmental milestones.What is the most likely diagnosis?
Stem 1, question 2 of 4Which of the following are common bacterial cause of otitis media? Select all that apply
Stem 1, question 3 of 4
The GP takes Ophelia's observations with the following results: No cyanosis or pallor, respiratory rate of 35, heart rate of 128 bpm, CRT of 2 seconds. Ophelia is slightly grumpy but still smiles at her Father and is drinking wellHow should the GP manage Ophelia?
Immediate attendance at Paediatric Emergency Department
Same day attendance at paediatric ward
Repeat GP appointment tomorrow
Appointment with practice nurse in 2 days
Worsening advice and reassurance to Father
Stem 1, question 4 of 4
3 weeks later, Ophelia presents to A&E with her worried parents. She has a fever, swelling, pain and tenderness to the posterior of the ear with otorrhoea.What is the likely diagnosis?
Chronic otitis media
Ramsay Hunt Syndrome
Stem 2, question 1 of 3
Leon, a 27 year old male, presents with 1 day history of ear pain, itching, hearing loss and otorrhoea. His right ear appears swollen, red and inflamed. Leon has type 1 diabetes and eczema but is normally fit and healthy, swimming 5 times a week.What is the most likely diagnosis?
Stem 2, question 2 of 3
The GP examines Leon's ear.Which finding below would confirm the diagnosis above?
Inflamed tympanic membrane
Erythematous auditory canal
Abnormal pneumatic otoscopy
Extra oral oedema
Mastication muscle tenderness
Stem 2, question 3 of 3What is the treatment of otitis externa? Select all that apply
Jacob is found to have a dental abscess and is experiencing ear painHow is pain from a dental abscess referred to the ear?
Via the tympanic branch of the glossopharyngeal nerve
Via the auriculo-temporal branch of the trigeminal nerve
Via the facial nerve
Via the vagus nerve
Via C2 nerve
Cancer of the base of the tongue can refer pain to the earWhat is the the predominant type of base of tongue cancers?
Squamous cell carcinoma
Basal cell carcinoma
Herpes simplex virus
Respiratory Synticial virus
Zaricella zoster virus
Human papilloma virus