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1. A 6-month-old infant presents to the clinic with a highgrade fever and lethargy. The caregiver mentions that the
infant has been irritable, has poor appetite, and has been
pulling at their ears. The nurse suspects otitis media. Which
of the following is an appropriate intervention?
a) Prescribe amoxicillin as the first-line treatment.
b) Refer the infant to an otolaryngologist for immediate
evaluation.
c) Order a culture and sensitivity test before starting any
treatment.
d) Administer over-the-counter analgesics and provide
home care instructions.
Answer: a) Prescribe amoxicillin as the first-line treatment.
Rationale: Otitis media is a common infection in infants
and young children. First-line treatment for uncomplicated
otitis media is amoxicillin, given its effectiveness against
the most common pathogens involved.
2. A 4-year-old child with asthma presents with an acute
exacerbation and wheezing. Which of the following
medications would be the first-line treatment during an
acute asthma attack?
a) Albuterol (short-acting beta-agonist)
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