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A 4-Year-Old Boy Has Had Otitis Media with Effusion (OME)

Question 4

Multiple Choice

A 4-year-old boy has had otitis media with effusion (OME) for several weeks, and his condition has recently progressed to acute otitis media (AOM) . Which of the following factors could have contributed to his AOM? Select all that apply.


A) Reflux of fluid from the boy's nose into his middle ear
B) A deficiency in immunoglobulin M
C) Accumulation of cerumen in the external acoustic meatus
D) Sensorineural deficits in the auditory control apparatus
E) Exposure to respiratory virus

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