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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

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?

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
concavity of the palate is ____ in quincy
concavity of the palate is LOST in quincy
26
Quincy treatment?
aspiration and antibiotics
27
``` gross tonsillar enlargement with membranous exudate marked cervical lymphadenopathy palatal petechial haemorrhages generalised lymphadenopathy hepatosplenomegaly ``` diagnoisis?
infectious mononucleosis
28
other name for infective mononucleosis
glandular fever
29
what causes glandular fever?
EBV
30
tonsilitis - high or low CRP? glandular fever - high or low CRP?
tonsillitis - high CRP glandular fever - low CRP
31
how do you diagnose glandular fever?
atypical lymphocytes in peripheral blood positive monospot or paul-bunnell test low CRP
32
do not prescribe what in glandular fever?
ampicillin
33
why do you not prescribe ampicillin in glandular fever?
generalised macular rash will result
34
glandular fever management?
symptomatic antibiotics steroids
35
do not give amoxicillin to __________
do not give amoxicillin to TONSILITIS
36
chronic “sore throat” “malodorous breath” presence of tonsilliths peritonsillar erythema persistent tender cervical lymphadenopathy diagnosis?
chronic tonsilitis
37
obstructive hyperplasia can be broken into 2 - name them
adenoid or tonsil
38
obligate mouth breathing hyponasal voice snoring and other signs of sleep disturbance AOM / OME adenoid or tonsil obstructive hyperplasia?
adenoid obstructive hyperplasia
39
snoring and other symptoms of sleep disturbance muffled voice dysphagia adenoid or tonsil obstructive hyperplasia?
tonsil obstructive hyperplasia
40
unilateral tonsillar enlargement can be broken into 2 - name them
non-neoplastic or neoplastic
41
fluid and HL OME or AOM?
OME
42
no fluid and no HL OME or AOM?
AOM
43
fluid OME or AOM?
AOM and OME
44
what increases the incidence of OME?
day care older siblings smoking household recurrent URTI
45
a gap on audiometry suggests what type of hearing loss?
conductive

Otorhinolaryngology (17 decks)

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