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ENT · Otology
Sample itemWhich complication should be suspected when a patient with recent otitis media develops postauricular swelling and protrusion of the pinna?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Mastoiditis
Mastoiditis can occur when infection spreads into mastoid air cells, producing postauricular pain, erythema, swelling, and displacement of the auricle; urgent specialist assessment is required.
Option by option
A. Mastoiditis (correct)
Correct: postauricular inflammation with pinna displacement suggests mastoiditis.
B. Vocal-cord nodules
Vocal nodules cause voice symptoms rather than mastoid inflammation.
C. Benign positional vertigo
BPPV causes brief positional vertigo without mastoid swelling.
D. Allergic rhinitis
Allergic rhinitis affects the nose and does not displace the pinna.
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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