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ENT · Ear
Sample itemWhich type of chronic suppurative otitis media is considered 'unsafe'?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Atticoantral type with cholesteatoma
The atticoantral (squamous) type involves bone erosion by cholesteatoma and can cause complications such as facial palsy, labyrinthitis, meningitis or brain abscess. The tubotympanic type has a central perforation and is called 'safe'.
Option by option
A. Tubotympanic type with central perforation
A central perforation rarely causes serious intracranial complications.
B. Both types equally
Only one type is unsafe.
C. Atticoantral type with cholesteatoma (correct)
Correct. The danger is bone erosion.
D. Neither type
The atticoantral type clearly is.
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.