Which of the following is NOT a sign of otitis media?

The correct answer, indicating that a severe headache is not a sign of otitis media, is based on the typical symptoms associated with this condition. Otitis media, which is an inflammation or infection of the middle ear, generally presents with ear-related symptoms.

Common signs of otitis media include ear drainage, which may occur if there is a rupture in the eardrum or fluid build-up, leading to pus or fluid leakage from the ear. A feeling of fullness in the ear is also a prevalent symptom due to the accumulation of fluid and pressure changes within the middle ear. Fever often accompanies infections, including otitis media, as it is part of the body’s immune response to fight off infection.

In contrast, while headaches can occur for a variety of reasons, they are not typically classified as a primary symptom of otitis media. In this case, the severity and nature of the headache may suggest an alternative issue unrelated to the middle ear infection. Thus, it is appropriate to identify it as the option that does not align with the common clinical presentation of otitis media.