TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 64: Cholesteatoma Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. A young child has a pale, whitish discoloration behind the tympanic membrane. The provider
notes no scarring on the tympanic membrane (TM) and no retraction of the pars flaccida. The parent states that the child has never had an ear infection. What do these findings most likely represent? a. Chronic cholesteatoma b. Congenital cholesteatoma c. Primary acquired cholesteatoma d. Secondary acquired cholesteatoma ANS: B
Patients without history of otitis media or perforation of the TM most likely have congenital cholesteatoma. Primary acquired cholesteatoma will include retraction of the pars flaccida. Secondary acquired cholesteatoma has findings associated with the underlying etiology. MULTIPLE RESPONSE 1. A child is diagnosed as having a congenital cholesteatoma. What is included in management
of this condition? (Select all that apply.) a. Antibacterial treatment b. Insertion of pressure equalizing tubes (PETs) c. Irrigation of the ear canal NURSINGTB.COM d. Removal of debris from the ear canal e. Surgery to remove the lesion ANS: A, D, E
Cholesteatoma is treated with antibiotics, removal of debris from the ear canal, and possibly surgery. PETs and irrigation of the ear canal are not part of treatment for cholesteatoma.
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