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ENT · Ear and audiology: vegetable foreign body in the ear
Sample itemA child has a dried pea lodged in the ear canal. Why should syringing with water be avoided?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. The seed swells in water and becomes impacted
Organic foreign bodies such as peas, seeds and beans swell when wet, wedging more tightly in the canal. They are removed dry with a hook or loop under vision. General anaesthesia may be needed in an uncooperative child.
Option by option
A. It makes the seed rot instantly
Rotting takes days, not minutes, and is not the reason syringing is avoided.
B. It causes immediate drum perforation in all children
Syringing does not perforate every drum but is avoided here for another reason.
C. The seed swells in water and becomes impacted (correct)
Correct. Hygroscopic seeds swell with water and become tightly impacted.
D. It forces the seed into the mastoid
Water does not push a seed into the mastoid, which is separated by the drum.
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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