A 3-year-old boy is brought for a follow-up examination. He just completed a 10-day course of amoxic

Discussion in 'USMLE Step 2 CK' started by samuel, Dec 11, 2014.

  1. samuel

    samuel New Member

    A 3-year-old boy is brought for a follow-up examination. He just completed a 10-day course of amoxicillin that has not resolved his right ear pain. He appears irritable. His temperature is 38.9 C (102 F). Examination shows downward and lateral displacement of the right auricle with tenderness to palpation of the posterior auricular area; his neck is supple. Which of the following is the most appropriate next step in diagnosis?

    A
    ) Bone scan

    B
    ) CT scan of the head

    C
    ) Tympanometry

    D
    ) Lumbar puncture

    E
    ) Tympanocentesis

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