04-06-2009, 10:49 PM
4. A 3-year-old boy is brought for a follow-up examination. He just completed a 10-day course of amoxicillin that has not resolved his right ear pain. He appears irritable. His temperature is 38.9 C (102 F). Examination shows downward and lateral displacement of the right auricle with tenderness to palpation of the posterior auricular area; his neck is supple. Which of the following is the most appropriate next step in diagnosis?
A
) Bone scan
B
) CT scan of the head
C
) Tympanometry
D
) Lumbar puncture
E
) Tympanocentesis
A
) Bone scan
B
) CT scan of the head
C
) Tympanometry
D
) Lumbar puncture
E
) Tympanocentesis