Otitis Media 

• Bugs and Drugs Otitis Media 

1.  Which of the following is a characteristic of severe otitis media?

a) Fever < 39°C and symptoms lasting < 48 hours
b) Mild pain and responsiveness to antipyretics
c) Fever > 39°C, severe pain, and symptoms lasting > 48 hours
d) Red tympanic membrane with no bulging

2. What are the three most common bacterial causes of otitis media?

a) Escherichia coli, Streptococcus pyogenes, and Klebsiella pneumoniae
b) Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis
c) Mycoplasma pneumoniae, Haemophilus influenzae, and Escherichia coli
d) Streptococcus pyogenes, Moraxella catarrhalis, and Klebsiella pneumoniae

3. What is a key diagnostic finding for otitis media during otoscopy?

a) Clear and transparent tympanic membrane
b) Red, displaced, bulging, and immobile tympanic membrane
c) Dry and flaky tympanic membrane with no redness
d) Fluid drainage from the external ear canal

4. Which of the following is a risk factor for requiring high-dose amoxicillin in otitis media?

a) Patient is over 6 years old
b) History of tympanic membrane perforation
c) Exposure to daycare and recent antibiotic use
d) Symptoms lasting less than 48 hours

5. When is watchful waiting appropriate for otitis media?

a) In all cases of severe otitis media

b) For children > 6 months old with uncomplicated symptoms and no underlying conditions

c) In children with craniofacial abnormalities or immunodeficiency

d) When fever is > 39°C and parents cannot access medical care

1. c)

2. b)

3. b)

4. c)

5. b)