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Otorhinolaryngology > Adenotonsillar Disease > Flashcards

Adenotonsillar Disease Flashcards

1
Q

after teenage years, your tonsils and adenoids _________ in size

A

after teenage years, your tonsils and adenoids DECREASE in size

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2
Q

name the ring of lymphoid aggregation in the subepithelial layer of oropharynx and nasopharynx

A

waldeyer’s ring

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3
Q

waldeyer’s ring is composed of what 3 things?

A

tonsils (palatine tonsil)
adenoids (pharyngeal tonsil)
lingual tonsils

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4
Q

tonsils are made up of what type of cell?

A

squamous

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5
Q

adenoids are made up of what type of cell?

A

ciliated pseudo stratified columnar

stratified squamous

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6
Q

deep crypts

tonsils or adenoids?

A

tonsils

adenoids have deep folds

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7
Q

where food goes in there is what type of cell?

A

squamous

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8
Q

where air does in there is that type of cell?

A

columnar

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9
Q

the upper aerodigestive there is what type of cell?

A

respiratory mucosa

squamous epithelium

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10
Q

other name for acute tonsillitis?

A

adenotonsilitis

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11
Q

the majority of acute tonsillitis cases are what in nature?

A

viral

EBV

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12
Q

are throat swabs recommended in acute tonsillitis?

A

no

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13
Q

name the important pathogen in acute tonsillitis because of the potential sequelae

A

GABHS

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14
Q

name the common organisms cultured in patients with chronic tonsillar disease

A

streptococcus pyogenes

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15
Q

streptococcus pyogenes treatment?

A

penicillin

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16
Q 
Malaise
Sore throat, mild analgesia requirement
Temperature
Able to undertake near normal activity
Possible lymphadenopathy
Lasts 3-4 days

diagnosis? be specific

A

viral tonsilitis

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17
Q 
Systemic upset,
Fever
Odynophagia
Halitosis
Unable to work / school
Lymphadenopathy
Lasts ~1 week, requires antibiotics to settle

diagnosis? be specific

A

bacterial tonsilitis

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18
Q

name the criteria for tonisiilitls

A

CENTOR Criteria

Cant cough
Exudate
Nodes (ant. cervical)
Temp
young OR old
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19
Q

tonsilitis treatment

A

supportive
antibiotic - penicillin
hospital - IV fluids and antibiotics and steroids
surgery

20
Q

antibiotic if penicillin allergic?

A

clarithromycin

21
Q

state the bad day after tonsil surgery

A

day 5

22
Q

unilateral throat pain and odynophagia

trismus

3-7 days of preceding acute tonsillitis

diagnosis?

A

peritonsilar abscess

23
Q

other name for peritonsilar abscess?

A

quincy

24
Q

there is a ______ displacement of the tonsils and uvula in quincy

A

there is a MEDIAL displacement of the tonsils and uvula in quincy

25
Q

concavity of the palate is ____ in quincy

A

concavity of the palate is LOST in quincy

26
Q

Quincy treatment?

A

aspiration and antibiotics

27
Q 
gross tonsillar enlargement with membranous exudate
marked cervical lymphadenopathy
palatal petechial haemorrhages
generalised lymphadenopathy
hepatosplenomegaly

diagnoisis?

A

infectious mononucleosis

28
Q

other name for infective mononucleosis

A

glandular fever

29
Q

what causes glandular fever?

A

EBV

30
Q

tonsilitis - high or low CRP?

glandular fever - high or low CRP?

A

tonsillitis - high CRP

glandular fever - low CRP

31
Q

how do you diagnose glandular fever?

A

atypical lymphocytes in peripheral blood

positive monospot or paul-bunnell test

low CRP

32
Q

do not prescribe what in glandular fever?

A

ampicillin

33
Q

why do you not prescribe ampicillin in glandular fever?

A

generalised macular rash will result

34
Q

glandular fever management?

A

symptomatic
antibiotics
steroids

35
Q

do not give amoxicillin to __________

A

do not give amoxicillin to TONSILITIS

36
Q

chronic “sore throat”

“malodorous breath”

presence of tonsilliths

peritonsillar erythema

persistent tender cervical lymphadenopathy

diagnosis?

A

chronic tonsilitis

37
Q

obstructive hyperplasia can be broken into 2 - name them

A

adenoid or tonsil

38
Q

obligate mouth breathing

hyponasal voice

snoring and other signs of sleep disturbance

AOM / OME

adenoid or tonsil obstructive hyperplasia?

A

adenoid obstructive hyperplasia

39
Q

snoring and other symptoms of sleep disturbance

muffled voice

dysphagia

adenoid or tonsil obstructive hyperplasia?

A

tonsil obstructive hyperplasia

40
Q

unilateral tonsillar enlargement can be broken into 2 - name them

A

non-neoplastic or neoplastic

41
Q

fluid and HL

OME or AOM?

A

OME

42
Q

no fluid and no HL

OME or AOM?

A

AOM

43
Q

fluid

OME or AOM?

A

AOM and OME

44
Q

what increases the incidence of OME?

A

day care
older siblings
smoking household
recurrent URTI

45
Q

a gap on audiometry suggests what type of hearing loss?

A

conductive

Otorhinolaryngology (17 decks)

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