adenotonsillitis

Question 1

the components of the waldeyers ring include

Answer 1

the nasopharyngeal tonsils superiorly, the lingual tonsils inferiorly, the tubal tonsils laterally and the palatine tonsils anterolaterally

Question 2

location of the tonsils

Answer 2

nasopharyngeal-behind the nasal cavity at the midline of the nasopharynx
tubal- around the opening of the eustachian tube in the lateral wall of the nasopharynx
lingual-at the posterior third of the tongue
palatine tonsils- at the tonsillar bed of the lateral oropharynx wall

Question 3

the tonsillar bed is bounded by

Answer 3

the palatoglossal arch anteriorly and the palatopharyngeal arch superiorly

Question 4

the majority of the tonsils typically drain into the

Answer 4

deep cervical and jugulodigastric lymph nodes

Question 5

what is tonsillitis

Answer 5

inflammation of the palatine tonsils which are typically referred to as just tonsils

Question 6

most cases of bacterial tonsillitis are caused by

Answer 6

Group A beta hemolytic streptococcus

Question 7

symptoms of acute tonsillitis

Answer 7

fever
sore throat
foul breath/halithosis
odynophagia
tender lymph nodes
dysphagia

Question 8

airway obstruction in acute tonsillitis may manifest as

Answer 8

mouth breathing
snoring
sleep disordered breathing
nocturnal breathing pauses
sleep apnea

Question 9

symptoms of a peritonsillar abscess

Answer 9

severe throat pain
fever
drooling
foul breath
trismus(difficulty opening the mouth)
altered voice quality

Question 10

the ‘hot potato voice’ is widely recognized as a symptom of

Answer 10

a peritonsillar abscess

Question 11

adenotonsillitis is a clinical diagnosis T/F

Answer 11

True

Question 12

epidemiology of tonsillitis

Answer 12

tonsillitis is generally the result of an infection whether bacterial or viral. for viral cases ,the common virus include rhinovirus, rsv, adenovirus and coronavirus. others include ebv cmv hbA hiv etc
for bacterial cause GABHS is typically the most common but S.aureus S.pneumoniae H.influenzae have also been cultured.

Question 13

the paradise criteria for recurrent tonsillitis includes

Answer 13

recurrent sore throat or URTI or tonsillitis for at least 7 episodes per year or at least 5 episodes in 2 successive years or at least 3 episodes in 3 successive years

Question 14

indications for tonsillectomy include

Answer 14

suspected malignancy/actual malignancy
recurrent tonsillitis
recurrent peritonsillar abscess
tonsillitis with associated sleep apnea
kissing tonsils