Cholesteatoma Intracranial Complications — SCE Infectious Diseases MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: D — Arrange expedited ENT assessment and audiological evaluation for suspected cholesteatoma
Persistent unilateral otorrhoea, conductive hearing loss and an attic keratin pocket are concerning for cholesteatoma, which can erode local structures and requires specialist assessment. Repeated empirical antibiotics may temporarily suppress discharge but do not remove the lesion. Irrigation is inappropriate when the tympanic membrane and middle ear may be involved.
Reference: NICE NG98: Hearing loss in adults: https://www.nice.org.uk/guidance/ng98/chapter/recommendations