How should the clinician respond? 

Question 1

The antibiotic of choice for recurrent acute otitis media (AOM) and/or treatment failure in children is:

Amoxicillin (Amoxil).

Azithromycin (Zithromax).

Prednisone (Deltasone).

Amoxicillin and potassium clavulanate (Augmentin).

Question 2

A 72-year-old male patient presents to the clinic for his annual physical. He states that he is worried because he only has a bowel movement every three days. How should the clinician respond?

“You should have at least three stools per week.”

“There is no such thing as a ‘normal’ pattern of defecation.”

“You should have two to three stools per day.”

“You should defecate once a day.”

Question 3

A 30-year-old male presents to the clinic with intermittent diarrhea. He is pretty sure that the antacids taken for heartburn are the cause since the loose stools always occur within 30 minutes after taking them. How should the clinician respond?

“Antacids contain caffeine, which decreases bowel transit time.”

 

“Antacids may contain magnesium, which decreases bowel transit time and may contain poorly absorbed salts that draw fluid into the bowel.”

“Antacids contain fructose, which may not be totally absorbed, resulting in fluid being drawn into the bowel.”