Question 1

A patient reports ear pain and difficulty hearing. An otoscopic examination reveals a small tear in the tympanic membrane of the affected ear with purulent discharge. What is the initial treatment for this patient?

A) Insert a wick into the ear canal.
B) Irrigate the ear canal to remove the discharge.
C) Prescribe antibiotic ear drops.
D) Refer the patient to an otolaryngologist.

C

Accepted Answer

The small tear in the tympanic membrane with purulent discharge is indicative of acute otitis media. The initial treatment for this condition is prescribing antibiotic ear drops to help clear the infection. Inserting a wick or irrigating the ear canal may cause further damage to the tympanic membrane and is not recommended. Referral to an otolaryngologist may be necessary if the infection is not resolving or if there are complications.

Question 2

A patient reports ear pain after being hit in the head with a baseball. The provider notes a perforated tympanic membrane. What is the recommended treatment?&#10;A) Order antibiotic ear drops if signs of infection occur.&#10;B) Prescribe analgesics and follow up in 1 to 2 days.&#10;C) Reassure the patient that this will heal without problems.&#10;D) Refer the patient to an otolaryngologist for evaluation.

Accepted Answer

A perforated tympanic membrane requires referral to an otolaryngologist for evaluation and further management. Treatment may include observation, antibiotics, or surgical repair, depending on the size and location of the perforation and the presence of infection. Analgesics may be prescribed as needed for pain management.

Deck 69: Tympanic Membrane Perforation