Ear Syringing & Aural Toilet MCQ Quiz | Procedures – Minor

About this Quiz

Welcome to this multiple-choice quiz on Ear Syringing and Aural Toilet, designed for MBBS students. This quiz evaluates your understanding of a fundamental minor procedure frequently encountered in clinical practice. The questions cover critical areas including indications, absolute and relative contraindications, correct procedural techniques, potential complications, and post-procedure care. You will also be tested on the principles of aural toilet, including methods like microsuction and the use of a Jobson-Horne probe. A strong grasp of this topic is essential for patient safety and effective management of common ear complaints. After completing the quiz, you can download all questions and their correct answers in a PDF format for your revision. Good luck!

1. What is the primary indication for performing ear syringing?

2. Which of the following is an absolute contraindication for ear syringing?

3. What is the ideal temperature of the water used for ear syringing to avoid caloric stimulation?

4. To straighten the external auditory canal in an adult, the pinna should be pulled in which direction?

5. The jet of water during ear syringing should be directed towards which part of the external auditory canal wall?

6. What is the most common complication following ear syringing?

7. Which of the following is an example of a ceruminolytic agent used to soften wax before syringing?

8. What is the essential first step a clinician must take before attempting ear syringing?

9. Which method of aural toilet is considered the safest for a patient with a known tympanic membrane perforation?

10. A patient has a grommet (ventilation tube) in situ. Which procedure for wax removal is contraindicated?

11. The use of a Jobson-Horne probe to remove debris from the ear canal is a form of:

12. What post-procedure advice is crucial after successful ear syringing?

13. A patient with a history of recurrent otitis externa needs wax removal. What is the preferred method?

14. During syringing, a patient suddenly complains of severe pain. What is the immediate next step?

15. What is the primary purpose of cerumen (ear wax)?

16. If ear syringing is unsuccessful after two attempts, what is the most appropriate next step?

17. Which of these patient histories necessitates extreme caution or avoidance of ear syringing?

18. A potential adverse effect during aural toilet by microsuction is:

19. How do modern electronic ear irrigators (e.g., Propulse) enhance safety compared to traditional metal syringes?

20. What is a key component of obtaining informed consent before ear syringing?

21. A patient presents with a suspected foreign body (e.g., a bead) in the ear canal. Why is syringing generally avoided?

22. When performing otoscopy on a 2-year-old child, how should the pinna be manipulated to view the tympanic membrane?

23. A dry, central perforation of the tympanic membrane is noted on otoscopy. The patient is asymptomatic. What is the most appropriate management?

24. What anatomical feature makes the anteroinferior part of the tympanic membrane more vulnerable to iatrogenic perforation?

25. A patient with an only hearing ear requires wax removal. Which statement is most accurate regarding the procedure?