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

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Definitions:

Proportions

Statistical measures that indicate the relative size of one part compared to another part or to the whole.

One-tail Test

A statistical test that determines the significance of one end (tail) of the data distribution, often used to test a directional hypothesis.

Population Proportion

The fraction or percentage of the population that shares a particular characteristic or attribute.

Chi-squared Goodness-of-fit

A specific type of goodness-of-fit test that uses the chi-squared statistic to test the hypothesis that an observed frequency distribution fits a claimed distribution.