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Otitis media safety-netting — GPhC CRA MCQ

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EasyInfectionsOtitis media safety-nettingGPhC CRA

A parent asks for antibiotics for a 5-year-old with ear pain for one day after a cold. The child is alert, afebrile and has no ear discharge. What would you advise the patient?

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Correct answer: C — Provide analgesia advice and safety-netting, with review if symptoms worsen

Many cases of acute otitis media improve without immediate antibiotics, and pain control is important. The child should be safety-netted for worsening symptoms, systemic illness, discharge, or prolonged symptoms. Aspirin is unsuitable for children. Leftover medicines and deep cotton-bud use can cause harm.

Reference: NICE CKS; BNF