Quiz on Chronic Otitis Media and Related Conditions

What is the definition of Chronic Otitis Media (COM)?

• Recurrent or persistent infection with TM perforation.

• Keratinized squamous epithelial mass in the middle ear/mastoid.

• Inflammation of the outer ear canal.

• Fluid accumulation in the inner ear.

A patient presents with a keratinized squamous epithelial mass in the middle ear. What is the most likely diagnosis?

• Cholesteatoma

• Chronic Otitis Media (COM)

• Otitis externa

• Labyrinthitis

What does "COM with cholesteatoma" refer to in the classification of chronic otitis media?

• Mucosal disease

• Benign squamous disease

• Chronic sterile effusion behind intact TM

• Acute infection

Which classification describes "Chronic sterile effusion behind intact TM"?

• COM with TM perforation

• COM with cholesteatoma

• COME

• Acute otitis externa

Which organisms are considered less common causes of CSOM?

• Klebsiella, Proteus, E. coli, Streptococcus pneumoniae

• Pseudomonas aeruginosa and Staphylococcus aureus

• Aspergillus and Candida

• Mycobacteria (TB and non-TB)

Which of the following fungi are rarely associated with CSOM?

• Aspergillus and Candida

• Pseudomonas aeruginosa and Staphylococcus aureus

• Klebsiella and Proteus

• Streptococcus pneumoniae and E. coli

What is a characteristic finding of cholesteatoma behind the tympanic membrane (TM)?

• Pearly white mass

• Red swollen area

• Yellow fluid

• Black discoloration

Which of the following is indicated if the condition is refractory?

• Biopsy

• Audiometry

• Otoscopy

• CT scan

A patient presents with symptoms that could be caused by otitis externa, granulomatous disease, or malignancy. What is the clinical process called that involves considering these possibilities?

• Differential diagnosis

• Definitive treatment

• Prognostic evaluation

• Therapeutic intervention

When are systemic antibiotics indicated in the management of active COM/CSOM?

• For all cases

• Only for mild cases

• For resistant or invasive cases

• For cases with no symptoms