A 2-Year-Old Girl Is Brought to the Office Due to Drainage

question 336

Multiple Choice

A 2-year-old girl is brought to the office due to drainage from the left ear.  The patient has been irritable over the past few days, and this morning, her mother noticed foul-smelling drainage on her pillow.  Three weeks ago, the patient was treated with amoxicillin for an episode of acute otitis media.  Temperature is 37.9 C (100.2 F) ; all other vital signs are normal.  On examination, the left external ear is unremarkable except for some dried, crusted drainage at the entrance of the external canal.  Otoscopic examination reveals a perforated, erythematous left tympanic membrane with a small amount of purulent drainage.  Which of the following is the most appropriate pharmacotherapy for this patient?

• A)Amoxicillin-clavulanate
• B)Azithromycin
• C)Ciprofloxacin
• D)Fluconazole
• E)Trimethoprim-sulfamethoxazole
• F)Vancomycin

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Definitions:

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A research method in sociology and anthropology in which the researcher immerses themselves in the community being studied to observe behaviors and interactions firsthand.

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Research methods focused on the collection and analysis of numerical data to understand patterns, relationships, or trends.

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