# Patient has acute ______ otitis media requiring myringotomy.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=168371  
> language: ko  
> subject: Diseases of the respiratory system

## 문제

Patient has acute ______ otitis media requiring myringotomy.

Good Doctor Season 4 Episode 8

## 보기

1. suppurative **✔ 정답**
2. serous
3. chronic
4. adhesive
5. recurrent

**정답: 1**

## 해설

Suppurative' otitis media with severe symptoms may require surgical drainage via myringotomy.

| 단계 | 연령 | 심리사회적 위기 | 주요 관계 | 긍정적 결과(덕목) | 부정적 결과 |
| --- | --- | --- | --- | --- | --- |
| 1단계 | 영아기 (0~1세) | 신뢰감 vs 불신감 | 어머니 | 희망 | 철회, 감각 왜곡 |
| 2단계 | 유아기 (1~3세) | 자율성 vs 수치심/의심 | 부모 | 의지 | 강박, 충동 |
| 3단계 | 학령전기 (3~6세) | 주도성 vs 죄책감 | 가족 | 목적 | 무자비, 억제 |
| 4단계 | 학령기 (6~12세) | 근면성 vs 열등감 | 학교, 또래 | 능력 | 무기력, 나태 |
| 5단계 | 청소년기 (12~20세) | 정체감 vs 역할 혼미 | 또래 집단, 역할 모델 | 성실성 | 광신, 부인 |
| 6단계 | 성인 초기 (20~40세) | 친밀감 vs 고립감 | 배우자, 친구 | 사랑 | 난잡, 배타 |
| 7단계 | 성인 중기 (40~65세) | 생산성 vs 침체감 | 가족, 직장 동료 | 배려 | 과잉 확장, 거부 |
| 8단계 | 노년기 (65세 이상) | 통합감 vs 절망감 | 인류, 동년배 | 지혜 | 경멸, 절망 |

## 임상 시나리오

ACUTE OTITIS MEDIA (AOM)

1. Definition:
- Inflammation of middle ear with rapid onset
- Presence of middle ear effusion
- Signs of middle ear inflammation

2. Clinical Features:
- Ear pain (otalgia)
- Fever
- Hearing loss
- Tympanic membrane bulging
- Erythema
- Purulent effusion

3. Types:
- Suppurative: pus-containing
- Serous: clear fluid
- Chronic: >3 months
- Recurrent: ≥3 episodes/6 months

4. Treatment Options:
- Antibiotics (amoxicillin first-line)
- Myringotomy with/without tubes
- Pain management
- Watchful waiting in mild cases

5. Complications:
- Mastoiditis
- Tympanic membrane perforation
- Hearing loss
- Meningitis
- Facial nerve paralysis

## 핵심 개념

- **suppurative** — characterized by the formation or discharge of pus
- **serous** — containing or producing serum; watery fluid
- **chronic** — persisting for a long time or constantly recurring
- **adhesive** — tending to stick or adhere to surfaces
- **recurrent** — occurring repeatedly or periodically

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