DO-HNS (RCSI) Practice Questions - Diploma In Otolaryngology - Head And Neck Surgery (DO-HNS) (RCSI, Ireland) Exam

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A 22-year-old university student presents with right ear pruritus, mild discomfort, and a sensation of fullness after returning from a summer beach holiday. Otoscopy shows a narrowed external auditory canal containing white, fuzzy debris with black spores that resembles wet blotting paper. What is the most appropriate first-line treatment for this patient?

Systemic oral fluconazole for 7 days Aural toilet followed by topical clotrimazole or acetic acid drops Topical ciprofloxacin ear drops for 7 days Oral amoxicillin-clavulanate for 10 days

Correct Answer:

Aural toilet followed by topical clotrimazole or acetic acid drops

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