Question

A 4-year-old Aboriginal boy living in a remote community presents with chronic nasal discharge, mouth breathing and suspected hearing difficulties. Examination shows bilateral tympanic membrane perforations with discharge. What is the most appropriate next step in management?

Accepted Answer

Start topical quinolone ear drops, arrange hearing assessment and ENT referral

Answer

Reassure; no further action is required

Answer

Give oral antihistamines only

Answer

Advise swimming to clear the ears

Answer

Use cotton buds to keep ears clean

Practice question

A 4-year-old Aboriginal boy living in a remote community presents with chronic nasal discharge, mouth breathing and suspected hearing difficulties. Examination shows bilateral tympanic membrane perforations with discharge. What is the most appropriate next step in management?