Read the following Ear Consult:Johnny Masur is a 4-year-old boy referred to my clinic for evaluation of chronic otitis media. He began with a 1-week history of nasal congestion, runny nose, and cough. He has had a low-grade temperature up to 100.2. He went to his PCP last week for otopyorrhea on the left side and otalgia on the right side. He was diagnosed with bilateral acute otitis media and treated with oral antibiotics. He has failed three separate courses of oral antibiotics.PMHxJohnny's history is significant for tympanostomy tubes placed bilaterally when he was 2 years old. One tube left a persistent perforation in the tympanic membrane, so he had tympanoplasty at 3 years of age. He has not had any episodes of otitis media in the past 2 years. According to the excerpt, which of

the following statements is NOT true?

A. Johnny Masur was referred to the clinic for AOM.
B. When Johnny was 2, he had tubes placed in both of his ears to create an opening in the eardrum.
C. Johnny visited his primary care physician because he had pus coming from his left ear and pain in his right ear.
D. Johnny's ear drum was reconstructed at age 3 because one tube left a hole in the TM.
E. Johnny's primary care physician diagnosed him with an inflammation of the middle ear in both ears and prescribed antibiotics.


Answer: A

Health & Biomechanics

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