A 2-year-old boy presents with ear pain and fever for 24 hours. Tympanic membrane examination shows a bulging, erythematous membrane with reduced mobi...

Question

A 2-year-old boy presents with ear pain and fever for 24 hours. Tympanic membrane examination shows a bulging, erythematous membrane with reduced mobility on pneumatic otoscopy. He is otherwise well, with no vomiting and good oral intake. According to the CPS acute otitis media guideline, which is the most appropriate initial management?

Accepted Answer

Watchful waiting with analgesia and safety-net prescription

Answer

Immediate high-dose amoxicillin for 10 days

Answer

Routine use of oral azithromycin

Answer

Topical antibiotics alone

Answer

Oral corticosteroids to reduce inflammation

ca-mccqe1 MCQ (SBA): Acute otitis media