Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Rosens > 19. Sore throat > Flashcards

19. Sore throat Flashcards

1
Q

sore throat medical term

A

pharyngitis - inflammation of naso oro or hyopharynx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Nasopharynx area parts

A

superior to oral cavity from skull base to soft palate
includes opening eustachian tubes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Oropharynx parts

A

area immed visible when pt opens mouth - uvula, hyoid, tonsillar pillars
includes vallecula and epiglottis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Hypopharynx parts

A

inferior to epiglottis and terminates at vocal cords

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pharyngeal tonsillar ring: which lymph tissues are present?

A

pharyngeal (adenoid), tubal, palatine, and lingual tonsils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Key signs and symptoms in sore throat

A

airway assessment
- drooling, muffled voice, neck swelling, stridor

hydration/overall toxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name 8 critical diagnosis of sore throat

A

Trauma causing an expanding neck hematoma
Epiglottitis causing airway compromise
Retropharyngeal or parapharyngeal abscess causing airway compromise Peritonsillar abscess causing airway compromise
Ludwig angina
Angioedema
Croup causing stridor at rest
Lemierre syndrome from septic internal jugular thrombophlebitis
Acute coronary syndrome presenting with referred throat pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Emergent dx of sore throat

A

Trauma causing a nonexpanding neck hematoma
Mass lesion in the neck causing sore throat (tongue, larynx, thyroid, leukemia)
Epiglottitis, retropharyngeal, parapharyngeal, or peritonsillar abscess not
causing airway compromise Stevens-Johnson syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Urgent sore throat diagnoses

A

Group A streptococcal pharyngitis Retained foreign body
Kawasaki disease
Thyroiditis
Laryngeal fracture
Pericarditis or myocarditis presenting with referred throat pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Modified centor criteria/McIsaac score parts

A

of Criteria Present

fever >38
tonsilar excdate
tensor cervical ln
no cough
age 3-14y is one oint vs age >45 -1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Modified centor criteria/McIsaac score likelihood of group a beta hemolytic strep if 1 present (percent)

A

7%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Modified centor criteria/McIsaac score likelihood of group a beta hemolytic strep if 2 present (percent)

A

13%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Modified centor criteria/McIsaac score likelihood of group a beta hemolytic strep if 3 present (percent)

A

22%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Modified centor criteria/McIsaac score likelihood of group a beta hemolytic strep if 4 present (percent)

A

38%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Modified centor criteria/McIsaac score likelihood of group a beta hemolytic strep if 5 present (percent)

A

> 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

4 original centor score criteria

A

fever
no cough
cervical LN
tonsilar exudate

17
Q

What makes a viral pharngitis more likely on exam?

A

rhinorrhea
hoarse
sneeze
cough
conjunctivits

18
Q

DDX infectious strep - name 5 viruses

A

rhino
adeno
corona
influ a or b
hsv 1,2
cmv
ebv
vzv
hepatitis

19
Q

DDX infectious strep - name 5 aerobic bacteria

A

gas
coccidiodies
non gas
neisseria gonorrhea or meningitides
mycoplasma pneum
arcanobacterium haemolyticum
chlamydia trachmoatis
staph aures

20
Q

Name 5 uncommon bacteria causing pharyngitis

A

h influ
h parainflu
cornyebacterium diptherae
yersinea
treponema
francisella tularensis
legionella
mycobacterium

21
Q

DDX infectious strep - name 5 anaerobic bacteria

A

bacteroides
peptococcus
clostridium
prevotella
fusobacterium
peptostreptococcus

22
Q

DDX infectious strep - name 1 fungal

A

candida

23
Q

what is lemierre syndrome

A

septic thrombophlebitis, can complicate an episode of acute pharyngitis or a peritonsillar abscess, and affects the ipsilateral internal jugular vein.

24
Q

Ancillary testing for GAS

A

rapid antigen test only centor >2 and if child >3 with negative rapid, do culture

if adult with centor >/=3 can do rapid test

consider monospit

25
Q

Thumb sign in what disease on XR?

A

epiglottis

26
Q

Tx viral pharyngitis

A

nsaid or tyl
supportive

27
Q

Name 5 red flags associated with airway compromise in sore throat

A

stridor
drool
muffled voice
sniffing position
hypoxia

28
Q

Visible mass with signs of airway compromise in sore throat - who to call?

A

ent

29
Q

Airway management in sore throat with impending compromise

A

consider double set up - ent, anesth, surg
upright
iv o2 monitor
empiric steroids/abx to consider

30
Q

In patients who test + for GAS by rapid test, naat or culture, what to tx?

A

IM pen G or 10 course oral pen VK

31
Q

Tx of epiglottis - abx?

A

predominantly caused by Streptococcus, Staphylococcus, and nontypeable Haemophilus species, and we recommend parenteral treat- ment with

ceftriaxone (50 mg/kg or 1000 mg qd), ampicillin/sulbactam (50 mg/kg of ampicillin component or 3000 mg q6h), or levofloxacin (750 mg qd) in penicillin-allergic patients

32
Q

Tx RPA/PTA and Ludwig angina -abx

A

ampicillin/sulbactam (50 mg/kg or 3000 mg q6h of penicillin G (4 million units or 50,000 units/kg qid) and met- ronidazole (500 mg or 7.5 mg/kg qid), until culture results are avail- able.

33
Q

Tx Lemierre disease- abx

A

piperacillin/ tazobactam (3.375 gm qid) or the combination of ceftriaxone 1000 mg q24h and metronidazole 500 mg q8h.

34
Q

Name 4 different possible tx regimens for GAS

A

Benzathine penicillin G, intramuscular, 600,000 U for <27 kg and 1.2 million U for >27 kg

Penicillin V, oral, children <27 kg 250 mg 2 to 3 times daily; children ≥27 kg 500 mg 2 times daily; adolescents and adults 250 mg 4 times daily or 500 mg twice daily × 10 days

Amoxicillin, oral, 50 mg/kg once daily (max = 1000 mg); or 25 mg/kg (max = 500 mg) twice daily × 10 days

If penicillin-allergic:
Clindamycin, oral, 7 mg/kg/dose 3 times daily (maximum, 300 mg/dose) × 10
days

Cephalexin, oral, 20 mg/kg/dose twice daily (maximum, 500 mg/dose) × 10 days

Azithromycin, oral, 12 mg/kg/day × 5 days

35
Q

A 20-year-old female presents to the emergency department com- plaining of a sore throat. She has a temperature of 39°C, tender cer- vical lymphadenopathy, exudates on exam and denies any history of cough, rhinorrhea, nausea, vomiting or diarrhea. Her modified Centor score is which of the following?
a. 2 b. 3 c. 4 d. 5

A

c

36
Q

24-year-old female presents for sore throat, difficulty swallowing,
and a muffled voice. On examination, she has fullness, swelling and induration of the left posterior peritonsillar area with uvular devi- ation to the right. What is the next step in the management of this patient?
a. Computed tomography imaging
b. Discharge with antibiotics, clindamycin 300 mg TID × 10 days c. Drainage either by needle aspiration or incision and drainage d. Rapid Antigen Detection Test for Group A Streptococcus

A

c

37
Q

A 39-year-old male presents to the emergency department com- plaining of a sore throat. He is sitting forward on the stretcher, drooling, with inspiratory stridor. His oropharynx exam shows minimal erythema and no exudate. Which of the following condi- tions is the likely diagnosis?
a. Epiglottitis
b. Group A streptococcal pharyngitis
c. Periodic fever, aphthous stomatitis, pharyngitis, and cervical
adenitis (PFAPA) syndrome d. Viral pharyngitis

A

a

38
Q

In adult patients who test positive for Group A streptococcal (GAS) pharyngitis who have no allergies, which of the following is the most appropriate antibiotic choice?
a. Azithromycin 12 mg/kg/day (max dose, 500 mg) × 5 days
b. Clindamycin 7 mg/kg/dose (max dose, 300 mg) TID × 10 days
c. Metronidazole 30 mg/kg/day divided TID × 10 days
d. Penicillin VK 50 mg/kg/day divided QID × 10 days

A

d

39
Q

In which age group is Group A streptococcal infection most com-
mon?
a. Age <3 years
b. Age 5–15 years c. Age 15–45 years d. Age >45 years

A

b

Rosens (59 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions