Anesthesia Knowledge Test 24 (AKT-24) Practice

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What anatomical consideration may complicate ear tube placement in patients with Down syndrome?

Short neck

Narrow external auditory canal

In patients with Down syndrome, the anatomical consideration that may complicate ear tube placement is the presence of a narrow external auditory canal. This narrowness can make the insertion of tubes more challenging, as the pathway may not allow for easy access to the middle ear space.

Additionally, the anatomy of the ear in individuals with Down syndrome could present variations that contribute further to this difficulty, such as structural ear anomalies. These anatomical differences may cause variations in the angle and accessibility of the tympanic membrane, making the procedure more complex than in typical anatomical scenarios.

While other factors like a short neck, presence of a cleft palate, and large tonsils could present their own challenges in various clinical contexts, they are not as directly related to the specific difficulties associated with ear tube placement as the narrow external auditory canal.

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Presence of a cleft palate

Large tonsils

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