Case 2 Flashcards

1
Q

It is the most important source of concern in acute pharyngitis

a. S. pyogenes
b. Rhinovirus
c. F. necrophorum
d. Parainfluenza virus

A

A

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2
Q

Most appropriate approach in acute pharyngitis

a. MRI
b. CT
c. RADT
d. throat swab culture

A

D

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3
Q

It is the primary treatment focus in the treatment of acute pharyngitis

a. reduce the risk of rheumatic fever
b. reduce the risk of scarlet fever
c. reduce the risk of glomerulonephritis
d. reduce the risk of peritonsillar abscess

A

A

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4
Q

Features that are suggestive of vital etiology of acute tonsillopharyngitis, except:

a. conjunctivitis
b. coryza
c. cough
d. cold

A

D

should be hoarseness

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5
Q

Common presentation of streptococcal tonsillitis-pharyngitis include the following, except:

a. sudden onset of sore throat
b. odynophagia
c. fever
d. dysphagia

A

D

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6
Q

The following are true in the diagnosis of acute tonsillopharyngitis, except:

a. throat culture is the gold standard for diagnosis
b. either a positive throat culture or RADT provides adequate confirmation of GABHS in the pharynx
c. a positive RADT result should be confirmed with a throat culture whenever possible
d. none of the options

A

C

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7
Q

Drug of choice for treatment of streptococcal pharyngitis

a. erythromycin
b. ibuprofen
c. penicillin
d. paracetamol

A

C

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8
Q

The tonsils occupy 26-50% of the lateral dimension of the oropharynx

a. 0
b. 1+
c. 2+
d. 3+
e. 4+

A

C

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9
Q

Most prevalent symptom of laryngopharyngeal reflux

a. sore throat
b. hoarseness
c. globus sensation
d. heartburn

A

B

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10
Q

Antibiotic treatment of acute streptococcal pharyngitis can prevent the development of the following complications, except:

a. quinsy
b. acute glomerulonephritis
c. rheumatic fever
d. peritonsillar abscess

A

B

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11
Q

According to the Paradise Criteria for Tonsillectomy (American Academy of Otolaryngology, AAO), what is the minimum frequency of sore throat episodes in order to indicate tonsillectomy?

a. At least seven episodes in the previous year
b. At least five episodes in each of the previous two years
c. At least three episodes in each of the previous three years
d. None of the above

A

A

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12
Q

Most common bacteria in the normal flora of the mouth.

a. S. aureus
b. Prevotella
c. Viridans streptococci
d. Lactobacillus

A

C

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13
Q

All of the following are absolute indications for adenoidectomy and tonsillectomy, except:

a. Adenotonsillar hyperplasia with obstructive sleep apnea, failure to thrive, or abnormal dentofacial growth
b. Suspicion of malignant disease
c. Hemorrhagic tonsillitis
d. None of the above

A

D

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14
Q

Which among the following does not pertain to laryngopharyngeal reflux?

a. LPR patients are treated with Histamine 2 blockers
b. Fever and chronic throat clearing are two of the symptoms of LPR
c. Decreased mucociliary clearance in LPR is due to the retrograde flow of acid and pepsin
d. Good motor function with upright and daytime reflux is seen in LPR

A

B

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15
Q

A patient presents with fever, pharyngeal exudate and conjunctivitis. Which is the most likely etiologic agent of the condition?

a. Group A Streptococci
b. Herpes Simplex Virus
c. Adenovirus
d. Influenza virus

A

C

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