A patient is seen for hearing loss and odd popping noises in his ...

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A patient is seen for hearing loss and odd popping noises in his left ear after having a cold. This patient is demonstrating signs of what potential problem?
 
  1. serous otitis media
  2. otitis externa
  3. acute otitis media
  4. otitis interna

Question 2

A patient experiences an increase in ear pain when the auricle is pulled up and back. The nurse realizes that this patient might be experiencing what health problem?
 
  1. otitis externa
  2. otitis media
  3. otitis interna
  4. mastoiditis

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Answer to Question 1

Correct Answer: 1
Typical manifestations of serous otitis media include decreased hearing in the affected ear and complaints of snapping or popping in the ear. Otitis externa is manifested by pain on manipulation of the external ear. Acute otitis media is manifested by pain and hearing loss, but without complaints of snapping or popping. Otitis interna would be manifested by impairment of balance.

Answer to Question 2

Correct Answer: 1
The pain of otitis externa can be differentiated from that associated with otitis media by manipulating the auricle. In external otitis, this maneuver increases the pain, whereas the patient with otitis media experiences no change in pain perception. Otitis interna would not be manifested by pain on external manipulation. Mastoiditis is a complication of otitis media and is manifested by recurrent earache and hearing loss of the affected side.