During an Otoscopic Examination, the Nurse Notes a Number of Lumps

During an otoscopic examination, the nurse notes a number of lumps in the patient's ear canal. Which assessment questions should the nurse ask?. Select all that apply.

A) "Have you noticed that you are not hearing as well?'
B) "Have you ever spent time in saltwater?"
C) "Do you frequently wear earbuds or earphones?"
D) "Have you ever been a surfer?"
E) "Do you clean your ear with a cotton-tipped applicator?"