A 3-year-old girl presents with ear pain and fever 38.8 °C for 24 hours. Otoscopic examination shows a bulging, erythematous right tympanic membrane w...

Question

A 3-year-old girl presents with ear pain and fever 38.8 °C for 24 hours. Otoscopic examination shows a bulging, erythematous right tympanic membrane with decreased mobility. She is otherwise healthy. According to CPS guidance on acute otitis media, what is the most appropriate management?

Accepted Answer

Immediate high-dose amoxicillin because she is under 6 years

Answer

Immediate azithromycin for 3 days

Answer

Watchful waiting with analgesia only, as antibiotics are not recommended in children

Answer

Topical antibiotic ear drops only

Answer

Immediate intravenous ceftriaxone

ca-mccqe1 MCQ (SBA): Acute otitis media

A 3-year-old girl presents with ear pain and fever 38.8 °C for 24 hours. Otoscopic examination shows a bulging, erythematous right tympanic membrane with decreased mobility. She is otherwise healthy. According to CPS guidance on acute otitis media, what is the most appropriate management?