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Acute otitis media — MCCQE Part 1 MCQ

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EasyEar PainAcute otitis mediaMCCQE Part 1

A 14-month-old has fever, ear pain and a bulging erythematous tympanic membrane with reduced mobility. Symptoms are significant and started 2 days ago. Which of the following is the most appropriate management?

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Correct answer: A — Analgesia and amoxicillin when antibiotic criteria are met

Bulging tympanic membrane with acute symptoms supports acute otitis media; analgesia is essential, and amoxicillin is first-line when antibiotics are indicated by age or severity. Not all ear pain requires antibiotics, but this child has typical bacterial features. Tubes are not first-line for a first uncomplicated episode.

Reference: Canadian Paediatric Society acute otitis media guidance