#july2020mccqe1
A 2-year-old girl is brought to her local doctor with a purulent unilateral nasal discharge, which has been present for six weeks despite two courses of oral cotrimoxazole. She is uncooperative when you try to examine her. Which one of the following is the most appropriate next step in management?
(A) Oral flucloxacillin
(B) Tobramycin nasal drops
(C) Nasal swab for microscopy and culture
(D) Nasal examination under general anaesthesia
(E) X-ray nasal sinuses
A 2-year-old girl is brought to her local doctor with a purulent unilateral nasal discharge, which has been present for six weeks despite two courses of oral cotrimoxazole. She is uncooperative when you try to examine her. Which one of the following is the most appropriate next step in management?
(A) Oral flucloxacillin
(B) Tobramycin nasal drops
(C) Nasal swab for microscopy and culture
(D) Nasal examination under general anaesthesia
(E) X-ray nasal sinuses