General knowledge

Question 1

What are the most common organisms in acute otitis media?

Answer 1

Streptococcus pneumoniae, Haemophilus influenzae, Morzxella catarrhalis.

Question 2

Diagnosis of what signs are needed in AOM?

Answer 2

Moderate to severe bulging of the TM, new onset of otorrhea not caused by otitis externa, or mild bulging of TM associated with recent onset of ear pain or erythema

Question 3

What is OME

Answer 3

Otitis media with effusion:

Otitis media with thick or sticky fluid behind the eardrum in the middle ear in absence of acute symptoms.

Question 4

Abx treatment of AOM in kids

Answer 4

1st line: Amoxicillin 90mg/kg per day in two doses (max 3g/day) x 10 days
or amoxicillin/claulanate same SIG
Pen allergy: Cefdinir 14 mg/kg per day in two divided doses. (or other 3rd gen ceph)

Question 5

MOA of metformin

Answer 5

Reduction of hepatic gluconeogenesis

• also: slows the intestinal absorption of sugars and improves peripheral glucose uptake and utilization.