IC15

Question 1

When to give antiviral for influenza?

Answer 1

Patients with flu symptoms AND are hospitalised/ high risk for complications/ severe, complicated or progressive illness

Question 2

When to see a doctor for influenza?

Answer 2

Symptoms does not improve after 10 days or symptoms improved then develop new fevers, worsening SOB or cough

Question 3

Complications of pharyngitis

Answer 3

Acute rheumatic fever & acute glomerulonephritis

Question 4

Usual bacterial pathogen causing bacterial pharyngitis

Answer 4

Strep grp A - S. pyogenes

Question 5

What is used to evaluate the need for S. pyogenes testing/ initiating Ab tx in pharyngitis?

Answer 5

Modified Centor Criteria

Question 6

5 criteria for Modified Centor Criteria with 1 score

Answer 6

• Fever > 38
• Absence of cough
• Tonsillar exudates
• Swollen, tender anterior cervical lymph nodes
• 3 to 14 y/o

Question 7

Common bacterial pathogens for sinusitis

Answer 7

Strep pneumoniae & H. influenzae

Question 8

Complications of influenza

Answer 8

Primary viral pneumonia & secondary bacterial pneumonia, exacerbation of chronic resp disease, myocarditis