A 3-year-old boy has fever and ear pain. Otoscopy shows a bulging erythematous tympanic membrane with decreased mobility. He has no conjunctivitis,

Question

A 3-year-old boy has fever and ear pain. Otoscopy shows a bulging erythematous tympanic membrane with decreased mobility. He has no conjunctivitis, no penicillin allergy, and no antibiotics in the past month. Which of the following is the most appropriate next step in management?

Accepted Answer

Treat with high-dose amoxicillin

Answer

Give oral fluconazole

Answer

Treat with topical acyclovir

Answer

Schedule tympanostomy today

Answer

Use antihistamines as definitive therapy

Acute otitis media — USMLE Step 3 MCQ

A 3-year-old boy has fever and ear pain. Otoscopy shows a bulging erythematous tympanic membrane with decreased mobility. He has no conjunctivitis, no penicillin allergy, and no antibiotics in the past month. Which of the following is the most appropriate next step in management?