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MMLU / A 4-year-old boy is brought for a follow-up examination. He has a history of…

Problem

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question

A 4-year-old boy is brought for a follow-up examination. He has a history of chronic recurrent otitis media and recently completed a 10-day course of antibiotics. His vital signs are within normal limits. Examination shows clear ear canals and intact tympanic membranes; a brown, irregular mass is visualized behind the tympanic membrane. Which of the following is the most likely explanation for these findings?

choices

  1. Epithelial tissue proliferation
  2. Lingual papillae loss
  3. Middle ear effusion
  4. Midface hypoplasia

subject

professional_medicine

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