A 3 year old boy has a fever of 39 degrees. On inspection he is noted to be tugging at his ear.

Question:PLAB MCQ 09
A 3 year old boy has a fever of 39 degrees. On inspection he is noted to be tugging at his ear. He has no breathing difficulty nor is he breathing fast. His mother said that he is not eating as much as usual. He goes to a child care center. Pneumatic otoscopy reveals a hyperemic, opaque and bulging tympanic membrane with poor mobility. The most appropriate management would include
a) No treatment
b) Amoxicillin for 10 days
c) Removal from child care center
d) CT scan
e) myringotomy
f) radical mastoidectomy
g) tympanometry
h) topical neomycin
i) trimethoprim/sulfamethoxazole
j) oral pseudoephedrine hydrochloride


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