# The patient presented with _____, inflammation of the middle ear often causing pain and temporary hearing loss.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=168447  
> language: ko  
> subject: Diseases of the respiratory system

## 문제

The patient presented with _____, inflammation of the middle ear often causing pain and temporary hearing loss.

## 보기

1. otitis **✔ 정답**
2. sinusitis
3. pharyngitis
4. laryngitis
5. tonsillitis

**정답: 1**

## 해설

Otitis, specifically otitis media, is inflammation of the middle ear space. It commonly occurs following upper respiratory infections when bacteria or viruses spread to the middle ear through the Eustachian tube. Symptoms include ear pain, fever, hearing impairment, and sometimes discharge. It's particularly common in children due to their shorter, more horizontal Eustachian tubes.

## 임상 시나리오

Otitis Media:
- Common middle ear infection
- Causes: bacterial/viral infection
- Risk factors: upper respiratory infection, allergies
- Symptoms: ear pain, fever, hearing loss, fluid drainage
- Types: acute, chronic, serous
- Treatment: antibiotics, pain relief, decongestants
- Prevention: good hygiene, vaccinations
- Complications: eardrum perforation, mastoiditis
- Diagnostic methods: otoscope examination, tympanometry
- Anatomy involved: tympanic membrane, middle ear cavity, Eustachian tube
- More common in children under 5
- Can be bilateral or unilateral
- May require myringotomy (ear tubes)
- Recovery time: 7-10 days with treatment
- Associated conditions: adenoid hypertrophy
- Signs: bulging tympanic membrane, decreased mobility
- Risk factors: bottle feeding, pacifier use, exposure to smoke
- Long-term effects: possible hearing impairment
- Seasonal peaks: winter months
- Preventive measures: breastfeeding, avoiding secondhand smoke

## 핵심 개념

- **otitis** — inflammation of the middle ear, typically causing pain, fever, and temporary hearing loss. Often occurs after upper respiratory infections
- **sinusitis** — inflammation of the sinuses, causing facial pain, pressure, nasal congestion, and discharge
- **pharyngitis** — inflammation of the pharynx (throat), causing sore throat, difficulty swallowing, and swollen lymph nodes
- **laryngitis** — inflammation of the larynx (voice box), leading to hoarseness, voice loss, and sore throat
- **tonsillitis** — inflammation of the tonsils, characterized by sore throat, difficulty swallowing, and swollen tonsils

## 같은 주제 문제

- [Chest X-ray shows bilateral ______ infiltrates consistent with ARDS.](https://mymerci.kr/pages/nclex_q.php?qn_id=168339)
- [Patient requires immediate ______ tube placement for airway protection.](https://mymerci.kr/pages/nclex_q.php?qn_id=168355)
- [Patient requires ______ ventilation for acute respiratory failure.](https://mymerci.kr/pages/nclex_q.php?qn_id=168360)
- [Patient has acute ______ otitis media requiring myringotomy.](https://mymerci.kr/pages/nclex_q.php?qn_id=168371)
- [Patient requires isolation for suspected ______ tuberculosis.](https://mymerci.kr/pages/nclex_q.php?qn_id=168372)
- [Patient develops acute ______ syndrome requiring prone positioning.](https://mymerci.kr/pages/nclex_q.php?qn_id=168374)
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