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Acute otitis media — USMLE Step 3 MCQ

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EasyPediatrics (well-child, chronic management)Acute otitis mediaUSMLE Step 3

A 15-month-old boy has fever, irritability, and ear tugging. Otoscopy shows a bulging erythematous tympanic membrane with decreased mobility. He has no penicillin allergy. Which of the following is the most appropriate next step in management?

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Correct answer: B — Start high-dose amoxicillin

High-dose amoxicillin is first-line therapy for many young children with acute otitis media when antibiotics are indicated.

Reference: AAP Acute Otitis Media Guideline