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)