An 18­month­old Child with No Previous History of Otitis Media

question 4

Multiple Choice

An 18­month­old child with no previous history of otitis media awoke during the
night with right ear pain. The primary care pediatric nurse practitioner notes an axillary temperature of 100.5°F and an erythematous, bulging tympanic membrane. A tympanogram reveals of peak of +150 mm H2O. What is the recommended treatment for this child?

• A) Amoxicillin 80 to 90 mg/kg/day in two divided doses
• B) An analgesic medication and watchful waiting
• C) Ceftriaxone 50 to 75 mg/kg/dose IM given once
• D) Ototopical antibiotic drops twice daily for 5 days

---

Definitions:

Basal Cell

A type of cell found in the lowest layer of the epidermis, involved in the production of new skin cells.

Squamous Cell

A flat, scale-like epithelial cell found in the tissue that forms the surface of the skin, lining of the hollow organs of the body, and passages of the respiratory and digestive tracts.

Melanoma

A type of skin cancer that originates in the pigment-producing melanocytes, known for its potential to spread to other parts of the body and be deadly.

Papule

A small, raised, solid pimple or swelling on the skin that is often part of an acne outbreak or skin condition.