and "Balance problems result from serous fluid in the ear canal.”.

Choice A rationale:

The statement that "The ear pain is usually mild and intermittent" is incorrect.

Ear pain associated with acute otitis media (AOM) is often severe and continuous, causing discomfort and distress to the affected individual.

Choice B rationale:

Irritability, manifested as crying or fussiness, is a common symptom of AOM.

Ear pain and pressure can cause considerable discomfort, leading to irritability and changes in behavior, especially in children.

Choice C rationale:

The statement "Hearing loss in AOM is typically severe" is incorrect.

While hearing loss can occur in AOM, it is not always severe.

The degree of hearing impairment can vary based on the severity of the infection and the presence of fluid in the middle ear.

Choice D rationale:

Balance problems resulting from serous fluid in the ear canal are correct.

Serous fluid buildup in the middle ear can affect the balance mechanisms, leading to balance issues and dizziness, especially in children.

This fluid buildup can cause pressure changes, impacting the normal functioning of the inner ear.

Choice E rationale:

Otorrhea, which refers to discharge from the ear, is not a common symptom of AOM.

Otorrhea is more commonly associated with chronic ear infections or other ear conditions but not necessarily with acute otitis media.