Infectious Diseases 6 - ENT

Question 1

most common cause of tonsillitis, otitis media, sinusitis

Answer 1

after viral

strep pyogenes (A)

then pneumoniae

Question 2

Centor criteria x 4

Answer 2

fever 38 +
tonsils pus
no cough
tender cervical LNs

Question 3

adult abx for tonsillitis

Answer 3

pen V (phenoxymethylpenicillin) 
10 dyas

Question 4

otitis media

Answer 4

if unresolved after 3-4 days

amoxicillin

bulging red tympanic membrane +/- perforation

Question 5

sinusitis treatment

Answer 5

if symptoms longer than 10 days

try high dose steroid nasal spray

then pen V for 5 days