What is the sequence of events that result in otitis media with effusion?


Otitis media is also referred to as serous (secretory) otitis media. This condition is characterized by the accumulation of fluid in the middle ear cavity. The Eustachian tube (also called the auditory tube or pharyngotympanic tube) ceases to function normally. Because the Eustachian tube is responsible for aerating the middle ear, the middle ear space becomes anaerobic as tissues absorb the available oxygen. At the same time, dysfunction of the Eustachian tube may impede the equalization of pressure between the middle ear space and the environment.

In either case, a relatively negative pressure may develop in the middle ear tissues, which is called transudation. In addition, this negative air pressure can also cause drainage of mucus from the middle ear tissue. This state, termed middle ear effusion, interferes with sound transmission, which in turn, reduces the movement of the tympanic membrane.

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Rx: Diphenhydramine 5 mg/5 mL 200 mL. You will prepare the prescription by mixing diphenhydramine 12 mg/5 mL solution and diphenhydramine 1 mg/5 mL solution. How much diphenhydramine 1 mg/5 mL solution would be needed?

A) 50 mL B) 72.7 mL C) 127.3 mL D) 150 mL

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A family has called you for a 41-year-old male they cannot wake up. They state he has been threatening to kill himself and believe that he may have intentionally overdosed on his pain medications. As you enter the patient's bedroom, you observe him supine on the floor with his eyes closed. As he breathes, you hear snoring respirations. As a knowledgeable EMT, you recognize which one of the

following? A) He will require immediate suctioning. B) He is sleeping and has not overdosed. C) His tongue is partially blocking the airway. D) His respiratory rate must be less than 10 per minute.

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Death from acute myocardial infarction remains a leading reason for mortality in the United States despite advances in medicine.

Answer the following statement true (T) or false (F)

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Which of the following agencies established a standardized national approach to incident management for multiple-casualty incidents?

A) OSHA B) NAEMT C) NFPA D) USDHS

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