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Chronic otitis media in Aboriginal child — RACP Paediatrics MCQ

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HardAdolescent health, Aboriginal and Torres Strait Islander child health, ethicsChronic otitis media in Aboriginal childRACP Paediatrics

A 3-year-old Aboriginal child from a remote community has speech delay and persistent ear discharge. Otoscopy shows a perforated tympanic membrane with chronic otorrhoea. The caregiver reports frequent missed preschool days. What is the most appropriate investigation?

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Correct answer: D — Audiology assessment with ENT and primary care follow-up

Chronic suppurative otitis media can cause conductive hearing loss and worsen speech, learning and social development. Audiology and coordinated ENT-primary care follow-up are appropriate, especially in high-risk communities. Waiting until school age risks avoidable developmental impact.

Reference: Australian otitis media guidelines for Aboriginal and Torres Strait Islander children; RACP Knowledge Guides