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ENT · Otology: otitis externa
Sample itemA swimmer has severe ear pain, tragal tenderness, and a swollen external auditory canal with discharge. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Acute otitis externa
Otitis externa is inflammation or infection of the external auditory canal and is strongly suggested by pain on tragal movement. Canal cleaning and topical treatment are commonly used when appropriate.
Option by option
A. Mastoiditis
Mastoiditis causes postauricular swelling and systemic concern.
B. Acute otitis externa (correct)
Correct. Tragal tenderness and canal inflammation are classic.
C. Acute otitis media
Middle-ear infection does not usually cause marked tragal tenderness.
D. Otosclerosis
Otosclerosis causes progressive conductive hearing loss without an inflamed canal.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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