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Kaplan Qbank USMLE



Author2 Posts
  #1

A 35-year-old traveling sales representative comes to your office because of decreased hearing in the left ear. Two weeks earlier, while on a business trip, she was treated at a walk-in center for acute otitis media with erythromycin, 250 mg four times a day for 10 days. She is concerned because another airplane flight is scheduled for next week and she has read that she should not fly with an ear infection. She notes that her hearing is still decreased and there is a popping sensation in the ear.

On examination, the left tympanic membrane is gray, retracted, and immobile.

Which of the following is the best therapeutic intervention?
(A) Amoxicillin
(B) Pseudoephedrine and ample fluids
(C) Over-the-counter nasal spray
(D) Referral for ears, nose, and throat consultation
(E) Chlorpheniramine

  #2

is it (B) Pseudoephedrine and ample fluids

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