Oral, Pharyngeal, Laryngeal Dz

Question 1

Hypogeusia

Answer 1

Diminished taste to 1 or more tastants

Question 2

Ageusia

Answer 2

Absent taste function

Question 3

Dysgeusia

Answer 3

Persistent inappropriate taste

Question 4

Allegeusia

Answer 4

Unpleasant taste that is usually pleasant

Question 5

Phantogeusia

Answer 5

Unpleasant taste produced due to gustatory hallucination

Question 6

Odynophagia

Answer 6

Mouth pain
Can be many things
treat underlying cause

Question 7

Stomatitis

Answer 7

Blanket term for inflammation of the mouth

Question 8

Laryngitis

Answer 8

Inflammation of the vocal fold mucosa and larynx
Can be acute or chronic
Usually viral

Question 9

Laryngitis Tx

Answer 9

Usually self limiting
vocal rest and hydration
Humidified air
Abx not usually indicated

Question 10

Polypoid Corditis

Answer 10

Reinke’s edema
Isolated edema of mucosal edge of vocal fold
Usually due to smoking or allergy
Vocal rest is tx

Question 11

Vocal nodules

Answer 11

Singers nodes, bilateral
Thickened areas of the vocal cord
Caused by smoking, vocal abuse
Excision is tx in adults

Question 12

Vocal polyps

Answer 12

Caused by smoking, vocal abuse, reflux
larger, fluid filled
More common in men
Unilateral
Excisional tx

Question 13

Laryngeal Cancer

Answer 13

Primarily squamous cell
Metastasizes to regional nodes
5-year cure rate is 90%

Question 14

Which CN are involved in the oral preparatory phase?

Answer 14

V, VII and XII

Question 15

Which CN are involved in the pharyngeal phase?

Answer 15

V, X, XI and XII

Question 16

Acute pharyngitis

Answer 16

Generally viral (90%)
If bacterial, group A strep (more likely in kids)
Smoking, Post nasal drip, mouth breathing, GERD

Question 17

GABHS

Answer 17

Group A strep
Most common in kids 6-15 yo
more frequent in late winter and spring

Question 18

S/S of GABHS

Answer 18

Exudative pharyngeal erythema
Palatal petechiae
Tender anterior cervical adenopathy
High grade fever
absence of post-nasal drip

Question 19

Tx of choice for GABHS

Answer 19

Oral PCN TID for 10 days
or
Azithromycin

Question 20

Tonsillitis

Answer 20

Inflammation of the pharyngeal tonsils
Rare in kids < 2 yo
Generally bacterial
usually viral in young kids
Same tx as pharyngitis

Question 21

Peritonsillar abscess

Answer 21

Complication of tonsillitis
Unilateral bulging tonsil resulting in displaced uvula
Tender cervical adenopathy
Tx with I&D, IV Abx
Some need emergent tonsillectomy

Question 22

Indications for tonsillectomy

Answer 22

> 6 episodes of GABHS pharyngitis in 1 yr
3 or more tonsil infections in 1 yr
Affects work/school