Children aged 6–24 months are predisposed to OME due to:
Anonymous Quiz
9%
Immature cochlear development
9%
Increased mastoid air cell formation
79%
Narrow poorly draining eustachian tubes
3%
Reduced middle ear vascular supply
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SOMedEd
Initial management of uncomplicated OME is:
Anonymous Quiz
23%
Urgent IV antibiotics
9%
Immediate myringotomy
65%
Observation with follow-up
3%
Systemic corticosteroids
Key differentiating feature of peritonsillar abscess from tonsillitis:
Anonymous Quiz
1%
Cough
63%
Trismus
6%
Rhinorrhea
29%
Bilateral tonsillar swelling
A child with “hot potato voice”, drooling, uvular deviation, and trismus most likely has:
Anonymous Quiz
7%
Acute tonsillitis
40%
Peritonsillar abscess
41%
Epiglottitis
12%
Retropharyngeal abscess
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🧠 Eustachian Tube in Young Children | SOMedEd
In young children, the Eustachian tube is short, narrow, and more horizontal. This causes poor drainage and easy blockage, especially after viral URIs or AOM. Fluid then gets trapped in the middle ear, leading to OME.
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Which of the following best describes sickle cell trait?
Anonymous Quiz
20%
Severe hemolytic anemia with low HbA
8%
Markedly decreased RBC indices and reticulocytosis
12%
Always associated with splenomegaly
60%
Usually asymptomatic with HbA > HbS on electrophoresis
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Vesicoureteral reflux (VUR)
Anonymous Quiz
18%
Retrograde flow of urine from bladder to ureter due to urethral obstruction
69%
Retrograde flow of urine from bladder to ureter due to congenital UVJ defect
8%
Antegrade flow of urine from kidney to bladder due to infection
4%
Incomplete bladder emptying due to neurogenic bladder
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Vesicoureteral reflux (VUR)
Most specific for diagnosing vesicoureteral reflux?
Anonymous Quiz
3%
Urinalysis
14%
Renal ultrasound
80%
Voiding cystourethrogram
3%
CT abdomen
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Most specific for diagnosing vesicoureteral reflux?
A child with suspected VUR undergoes imaging. Which finding confirms the diagnosis?
Anonymous Quiz
18%
Bilateral renal enlargement on ultrasound
80%
Reflux of contrast into ureters during voiding
2%
Proteinuria on dipstick
0%
Reduced glomerular filtration rate
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Infant with 3 - 5 weeks of age presents with nonbilious projectile vomiting after feeds. Which acid–base disturbance is most likely?
Anonymous Quiz
9%
Hyperchloremic metabolic acidosis
82%
Hypochloremic hypokalemic metabolic alkalosis
5%
Respiratory acidosis
5%
High anion gap metabolic acidosis
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A patient with hematuria after infection and low C3 most likely has which condition?
Anonymous Quiz
9%
IgA nephropathy
10%
Focal segmental glomerulosclerosis
77%
Poststreptococcal glomerulonephritis
5%
Minimal change disease
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