Exam 1: Pharyngitis

Question 1

what is pharyngitis?

Answer 1

inflammation of the phalyngeal walls

Question 2

This type of infection accounts for about 90% of pharyngitis cases

Answer 2

viral infection

Question 3

This type of infection accounts for 10% of pharyngitis cases

Answer 3

bacterial infection (strep)

Question 4

White, irregular patches on the oropharynx suggest this form of infection

Answer 4

fungal infection: Candida albicans

Question 5

These are the main causal factors of fungal pharyngitis:

Answer 5

-antibiotics and inhaled corticosteroids

Question 6

how can pts. prevent contracting fungal pharyngitis when they’re on drugs?

Answer 6

-rinse mouth with water after taking the med

Question 7

____ is the drug of choice for bacterial pharyngitis

Answer 7

Penicillin

Question 8

Candida infections (viral) are treated with ____

Answer 8

Nystatin (Mycostatin)

Question 9

what’s a teaching point for pts’ taking Nystatin?

Answer 9

Swish it as long as possible in your mouth before swallowing

Question 10

What are some at home remedies for the pain/discomfort pts. can be taught for pharyngitis?

Answer 10

• increase fluid intake
• gargle with warm saltwater
• suck on hard candies
• AVOID citrus fruits
• get humidifier

Question 11

diagnostics for pharyngitis?

Answer 11

• Throat Swab
• ELISA
• CBC (to tell if it’s viral or bacterial)

Question 12

____ is a complication of acute pharyngitis?

Answer 12

peritonsillar abscess

Question 13

what is peritonscillar abscess usually caused by?

Answer 13

Beta-hemolytic streptococci

Question 14

S&S of peritonscillar abscess?

Answer 14

• pain
• swelling
• high fever/chills
• difficulty swallowing

Question 15

Treatments for peritonscillar abscess

Answer 15

IV antibiotic therapy
incision and drainage of abscess
(emergencies) elective tonsillectomy

Question 16

Positioning of pt. after tonsillectomy?

Answer 16

• Semi-Fowler’s
• Head to side
• Airway assessment
• Diet management