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Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 17 Topic 2 Discussion

Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 17 Topic 2 Discussion

MCCQE Exam Topic 2 Question 17 Discussion:
Question #: 17
Topic #: 2

A 1-week-old boy born at full term is brought by his parents to the office with a 2-day history of eye swelling and watery discharge. This morning, the discharge became thick and yellow. On physical exam, he is afebrile and fussy with bilateral eyelid edema, purulent discharge, and erythematous conjunctivae. After taking appropriate cultures of the eyes, which one of the following is the best next step?


A.

Admit the patient and start antibiotic therapy


B.

Prescribe an oral antibiotic and reassess in 48 hours


C.

Reassure the parents and prescribe a topical antibiotic


D.

Advise warm compresses every 2 to 3 hours until discharge is cleared


E.

Recommend lacrimal sac massage


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