Advanced Health Assessment Practice Exam

In examining the ears of a 2-year-old, what is the correct technique for using the otoscope?

1. Pull the pinna up and back

2. Pull the pinna down and back

3. Hold the pinna gently in its normal position

4. Position the child prone

The correct answer is: Pull the pinna down and back

The appropriate technique for using an otoscope on a 2-year-old involves pulling the pinna down and back. This is essential because the ear canal of young children is oriented differently than that of older children and adults. By gently pulling the pinna down and back, the examiner straightens the ear canal, allowing for a clearer view of the tympanic membrane and other structures within the ear. Using this technique helps optimize the examination process and reduces the risk of causing discomfort to the child. The anatomy of the ear canal in children, particularly in those under 3 years old, requires this approach to ensure effective visualization. Other techniques, such as pulling the pinna up and back, are appropriate for older children and adults, as it would improperly position the ear canal in younger children and could hinder proper visualization. Likewise, holding the pinna in its normal position or positioning the child prone would not facilitate adequate examination of the tympanic membrane. Thus, pulling the pinna down and back is crucial for a successful otoscopic examination in a young child.