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ENT · Otology
Sample itemWhat complication should be suspected in malignant otitis externa?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Skull-base osteomyelitis
Necrotizing or malignant otitis externa can invade skull base, especially in diabetes or immunosuppression, causing severe pain and cranial neuropathies.
Option by option
A. Simple cerumen impaction
Wax does not cause invasive infection.
B. Skull-base osteomyelitis (correct)
Correct: invasive infection can reach skull base.
C. Benign positional vertigo
BPPV is vestibular.
D. Otosclerosis
Otosclerosis is noninfectious.
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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