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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 14-month-old boy has fever, ear tugging, and irritability for 2 days. Otoscopy shows a bulging erythematous tympanic membrane with decreased mobility. There is no otorrhea. Which of the following is the most likely diagnosis?

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Reveal the answer and explanation

Correct answer: B — Acute otitis media

A bulging tympanic membrane with acute symptoms and impaired mobility supports acute otitis media.

Reference: American Academy of Pediatrics clinical practice guidance and Bright Futures preventive care