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Otitis Media – Acute (PG)
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1. What is the first-line treatment for mild acute otitis media in children over 2 years?
*
Immediate antibiotics
Watchful waiting
Ear irrigation
Surgery
2. Which of the following is most appropriate to assess hearing loss in otitis media with effusion?
*
Weber / Rinne tuning fork test
MRI scan
Audiometry
X-ray
3. What is the typical duration of symptoms before antibiotics are considered for AOM?
*
10 days
24 hours
72 hours
1 week
4. What is the best prevention strategy for recurrent otitis media?
*
Ear syringing
Daily swimming
Vitamin D supplements
Pneumococcal vaccination
5. In which population is otitis media with effusion most commonly seen?
*
Preschool children
Teenagers
Elderly
Adults
6. What complication is associated with chronic suppurative otitis media?
*
Neck stiffness
Persistent ear discharge
Otitis externa
Sinusitis
7. What is the typical finding on otoscopy in otitis media with effusion?
*
Dull, retracted tympanic membrane
Perforated tympanic membrane
Bulging tympanic membrane
Red tympanic membrane
8. What role do antihistamines play in otitis media with effusion?
*
Always first-line
Only in bacterial cases
Essential for all cases
Not recommended
9. Which bacteria is NOT commonly implicated in otitis media?
*
Moraxella catarrhalis
Streptococcus pneumoniae
Haemophilus influenzae
Neisseria gonorrhoeae
10. When should a child with recurrent otitis media be referred to ENT?
*
1 episode annually
Mild earache once
≥3 episodes in 6 months
No episodes in a year
11. Which symptom is most characteristic of acute otitis media?
*
Otalgia
Vertigo
Nasal congestion
Tinnitus
12. Which sign on tympanometry suggests middle ear effusion?
*
Normal compliance
Eustachian dysfunction (Type C)
High peak (Type A)
Flat trace (Type B)
13. Which of the following is a risk factor for otitis media?
*
Attending daycare
Good dental hygiene
High-fibre diet
Regular exercise
14. What is the most common cause of acute otitis media?
*
Streptococcus pneumoniae
Staphylococcus aureus
E. coli
Klebsiella
15. Which of the following may be used in persistent otitis media with effusion?
*
Antihistamines
Cochlear implant
Grommet insertion
Triptans
16. Which of the following is a potential intracranial complication of otitis media?
*
Asthma
Hypertension
Meningitis
Diabetes
17. What is the primary cause of otitis media with effusion?
*
Otitis externa
Eustachian tube dysfunction
Fungal infection
Ear trauma
18. What is a sign of perforated tympanic membrane in acute otitis media?
*
Neck pain
Sudden relief of pain with discharge
Bleeding from ear
Worsening of pain
19. Which antibiotic is commonly prescribed for otitis media when treatment is needed?
*
Metronidazole
Amoxicillin
Doxycycline
Clarithromycin