Knowledge base - select an exam

We offer access to questions covering the CEM database and LEK questions from 2008.

Select Term (34)

We offer access to archived PES questions from the CEM website and unpublished questions from the latest 5 years for selected specializations.

Select Term (34)

Questions (200)

180.

A 3-year-old child has had a fever of 39.5°C for two days, which has been causing the child to wake up screaming at night and have a poor appetite. The child has had a watery runny nose for five days. Also, a purulent discharge from the right ear has been observed. What is the optimal course of action?

A. discharge culture should be performed and, once the results have been obtained, a targeted antibiotic therapy should be instituted.
B. pneumonia should be diagnosed and empirical antibiotic therapy should be instituted.
C. in all likelihood, it is an acute uncomplicated inflammation of the upper airways. Symptomatic treatment of the runny nose should be instituted.
D. acute purulent otitis media should be diagnosed and empirical antibiotic therapy should be instituted.
E. acute non-purulent otitis media should be diagnosed and no action should be taken - the child should remain under careful observation for 48 hours.

< Previous question Next question >

Do you already have an account?Sign in