Otitis externa with perforation risk — GPhC CRA MCQ
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Correct answer: D — Refer for medical assessment because suspected perforation affects safe choice of ear treatment
Ear discharge with hearing change and known perforation requires clinical assessment. Some otic preparations, particularly those with aminoglycosides, may be unsuitable if the tympanic membrane is not intact. Olive oil is not appropriate for painful discharging ear. Cotton buds can worsen trauma and infection.
Reference: BNF; NICE CKS