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ENT · Otology
Sample itemWhat is the usual first management for uncomplicated impacted earwax causing hearing loss?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Use appropriate cerumen-softening or removal technique after assessment
Impacted cerumen is managed by safe softening or removal when indicated, while avoiding instrumentation that can push wax deeper or injure the canal.
Option by option
A. Insert cotton buds deeply every day
Cotton buds can compact wax and traumatize the canal.
B. Begin systemic antibiotics
Antibiotics do not remove uncomplicated wax.
C. Prescribe vestibular suppressants
Vestibular medicines do not treat conductive wax loss.
D. Use appropriate cerumen-softening or removal technique after assessment (correct)
Correct: safe cerumen management restores canal patency.
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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