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General Medicine General 9ac3e0cc

A 5-year-old girl is admitted to the hospital with an upper respiratory tract infection. During physical examination her sense of hearing appears to be poor. Her right ear is painful, and upon otoscopic examination a golden-brown fluid can be observed through the tympanic membrane. Which is the most likely direct route for the spread of an infection from the upper respiratory tract to the middle ear cavity?

A
Pharyngotympanic tube
B
Choanae
C
Nostrils
D
Facial canal

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