Abohns Practice Test & Exam Prep

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A 28-year-old swimmer presents with severe right ear pain, otorrhea, and a tender tragus. Otoscopy shows a diffusely edematous, erythematous external auditory canal with debris obscuring the tympanic membrane. According to the AAO-HNSF 2014 clinical practice guideline for acute otitis externa, which is the most appropriate first-line therapy for an uncomplicated, immunocompetent patient?

Oral amoxicillin-clavulanate for 10 days Topical ototopical antibiotic drops (with or without steroid) Oral ciprofloxacin for 7 days Oral prednisone taper alone

Correct Answer:

Topical ototopical antibiotic drops (with or without steroid)

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