Which statement is characteristic of acute otitis media (AOM)?
a. The etiology is unknown.
b. Permanent hearing loss often results.
c. It can be treated by intramuscular antibiotics.
d. It is treated with a broad range of antibiotics.
ANS: D
Historically AOM has been treated with a range of antibiotics, and it is the most common disorder treated with antibiotics in the ambulatory setting. The etiology of AOM may be bacterial, such as Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis, or a viral agent. Recent concerns about drug-resistant organisms have caused authorities to recommend judicious use of antibiotics and that antibiotics are not required for initial treatment. Permanent hearing loss is not a frequent cause of properly treated AOM. Intramuscular antibiotics are not necessary. Oral amoxicillin is the treatment of choice.
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