HEENT 06 Mouth & Throat pt 1

Question 1

Sore throat, Swollen hyperemic red tonsils
Often coated with a yellow or thin white non-confluent membrane. Peels away without bleeding. White particulate matter in tonsillar crypts.

Answer 1

Acute Tonsillitis

Question 2

Sore throat
Fever
Anterior cervical adenopathy
Tonsillar exudate

Answer 2

Pharyngitis

Question 3

headache, pharyngeal exudate, painful cervical adenopathy, GI symptoms, chills, and high fever

Answer 3

GABHS pharyngitis

Question 4

sneezing, rhinorrhea, and cough

Answer 4

Viral pharyngitis

Question 5

What are 2 tests to check for streptococcal pharyngitis? What’s the order?

Answer 5

1. Rapid antigen test.
2. Throat culture
   A negative rapid antigen test does not rule out strep pharyngitis. It must be confirmed with a throat culture (takes days for results)

Question 6

Lymphadenopathy, fever, and sore throat, ±exudates. Malaise/fatigue, splenomegaly, pharyngeal petechiae and occasionally a maculopapular rash. shaggy white-purple tonsillar exudate, often extending into the nasopharynx,

Answer 6

Mononucleosis

Question 7

2 drugs for Mononucleosis (to prevent any strep throat)

Answer 7

prednisone, erythromycin

Question 8

What causes Mononucleosis?

Answer 8

Epstein-Barr virus

Question 9

The tonsil and uvula become edematous and erythematous, and the tonsil is displaced medially. Sore throat + inspiratory stridor or respiratory difficulty – airway obstruction

Answer 9

Peritonsillar Abscess

Question 10

Unilateral ±, severe throat pain, Dysphagia (difficulty swallowing), Odynophagia (pain swallowing), Trismus (difficulty opening the mouth wide), Neck pain, Referred ear pain Drooling, Muffled (‘hot potato’) voice
Fever

Answer 10

Peritonsillar Abscess

Question 11

4 tests to diagnose Peritonsillar Abscess

Answer 11

CBC
Blood cultures
Monospot test
Tonsillar swab

Question 12

Trismus (inability to open the mouth) and bulging of the palate may not be seen

Answer 12

Retropharyngeal Abscess

Question 13

Sore throat, odynophagia; Cheesy, raised white plaques. Can be wiped off, revealing a raw, erythematous, and sometimes bleeding base

Answer 13

Pharyngeal candidiasis

Question 14

What are 2 drugs for Oral Candidiasis?

Answer 14

Topical nystatin or clotrimazole

Question 15

What are nystatin and clotrimazole?

Answer 15

Antifungal medications

Question 16

painful acute gingival inflammation and necrosis, often with bleeding, halitosis, fever, and cervical lymphadenopathy.

Answer 16

Acute Necrotizing Gingivitis

Question 17

What is the treatment for Acute Necrotizing Gengivitis?

Answer 17

Penicillin plus Metronidazole

Question 18

What is cellulitis?

Answer 18

common skin infection caused by bacteria. Fever; Pain or tenderness in the affected area; Skin redness or inflammation that gets bigger as the infection spreads;

Question 19

Dysphagia, Odynophagia, “Woody” edema in the sublingual region, forcing the tongue up and back with the potential for airway obstruction. Fever, dysarthria, and drooling ±,
“hot potato” voice

Answer 19

Ludwig’s Angina

Question 20

Rapidly progressive cellulitis on the lower second and third molars

Answer 20

Ludwig’s Angina

Question 21

2 drugs for Ludwig’s Angina

Answer 21

Ampicillin/Sulbactam

Question 22

Hoarseness of voice or a harsh voice with a deep pitch is often the main symptom of

Answer 22

Laryngitis

Question 23

Acute or chronic inflammation: erythema & Acute, due to URTI. Edema of laryngeal mucous membranes

Answer 23

Laryngitis