Upper Respiratory

Question 1

What age group is at highest risk for AOM?

Answer 1

1-3 years

Question 2

What do you give a patient who cannot take oral medications? If being treated for AOM?

Answer 2

Ceftriaxone

50mg IM or IV per day for 1-3 days

Question 3

What should be given to children with severe penicillin or cephalosporin allergies? When being treated for AOM?

Answer 3

• Bactrim
• Macrolides
• Clindamycin 30-40mg/kg/d divided TID

Question 4

What should be given to children with a penicillin allergy? When being treated for AOM?

Answer 4

• Cefuroxime 30mg/kg/d divided BID (twice a day)
• Cefdinir 14mg/kg/d in 1 or 2 doses
• Cefpodoxime 10mg/kg/d in 2 divided doses

Question 5

After perforation of the TM has occurred, how long should the patient be referred to an otolaryngologist?

Answer 5

2-3 weeks after rupture

Question 6

What are the topical fluoroquinolone otic drops used for AOM?

Answer 6

• Ofoxacin
• Ciprofloxacin
• Ciprodex (Ciprofloxacin / Dexamethasone)

Question 7

A patient recently diagnosed with AOM. The patient was prescribed Amoxicillin. On Monday, she finished her prescription. It is now a week later and she has not seen improvement in her symptoms. What is the first line of tx in this case?

Answer 7

1. Amoxicillin-clavulanate 90mg/kg/d

Question 8

A patient recently diagnosed with AOM. The patient was not prescribed medication, the mother was asked to observe the patients symptoms for improvement. What is the first line of tx in this case?

Answer 8

Ceftriaxone 50mg IM or IV per day for 3 days

Question 9

A patient recently diagnosed with AOM. The patient was not prescribed medication, the mother was asked to observe the patients symptoms for improvement. Ceftriaxone is a first line, but what other tx options do you have for treating this patient?

Answer 9

-Clindamycin 30-40mg/kg/d divided TID w/ or w/o 3rd gen cephalosporin

• Consider tympanocentesis
• consider specialist

Question 10

Inscription refers to what?

Answer 10

Drug name and formula

Question 11

Signa refers to what?

Answer 11

How to take the drug

Question 12

Subscription refers to what?

Answer 12

Amount to dispense

Question 13

What can occur with IC patients with OE?

Answer 13

-can develop malignant OE, which is a spread of infection to the skull base with resultant osteomyelitis

Question 14

How should malignant OE be evaluated?

Answer 14

with a fine cut temporal bone CT scan

Question 15

A child is brought to the ER with a high fever, neck stiffness, and muffled voice. What is the most likely diagnosis? And what should you do?

Answer 15

• Retrophygneal abscess

- get a plain film