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Clinical Med B > oropharynx triggers > Flashcards

oropharynx triggers Flashcards

1
Q

white/purple exudates in oropharynx with fever, HA and posterior cervical LAD

A

Mono/EBV

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2
Q

posterior cervical LAD

A

mono/EBV

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3
Q

splenomegaly

A

mono/EBV

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4
Q

rash caused by ampicillin or amoxicillin

A

Mono/EBV

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5
Q

small vesicles on soft palate and uvula that rupture to form shallow white ulcers

A

coxasackievirus

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6
Q

vesicles on hard palate and tongue

A

HSV infection

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7
Q

sore throat, fever, conjunctivitis, post auricular adenopathy

A

adenovirus

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8
Q

sore throat, fever, myalgias, headache, cough

A

influenza

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9
Q

any chief complaint of sore throat should always recieve

A

rapid antigen detection test (strep)

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10
Q

what does monospot look for

A

heterophile antibodies

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11
Q

what population shows high false negatives with the monospot test

A

children less than 4 years of age

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12
Q

what lab values are seen in mono

A

lymphocytosis
elevated LFTs

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13
Q

oral prednisone for significant tonsilar swelling, advised to avoid contact sports for 4 weeks. antivirals not reccomended

A

EBV/mono

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14
Q

No cough

A

strep

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15
Q

tonsillar exudates, anterior cervical LAD, fever, sore throat

A

strep throat (GABHS)

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16
Q

rash looking like sunburn with sandpaper consitiency

A

scarlet fever (GABHS)

also presents with strawberry tongue and palatal petechiae

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17
Q

PCN VK, PCN G, Amox.

keflex if allergy

azithro/clinda last resort

A

strep throat

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18
Q

otitis media is seen as a complication to which diagnosis

A

strep throat

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19
Q

complications of this diagnosis include:
glomerulonephritis
vlavular heart disease
rheumatic fever

A

strep throat

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20
Q

what lab finding is elevate after a recent strep infection

A

Antistreptolysin O titer

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21
Q

MC microbes are strep pyogenes and staph aureus

A

peritonsillar abscess

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22
Q

presents with unilateral sore throat with referred ear pain, fatigue, irritability and neck swelling

A

peritonsilar abscess

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23
Q

presents with muffled voice, trouble swallowing and drooling.
also with unilateral sore throat

A

peritonsillar abscess

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24
Q

deviation of the uvula to the right side suggests what diagnosis? what side is the affected side?

A

peritonsillar abscess to the left tonsil

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25
CT v IV contrast
peritonsillar abscess - not necessary for DX but checks for complications! also retropharyngeal abscess - ring enhancing lesion Ludwigs angina - assess extent
26
lateral neck radiograph, what is it used for??
used in peritonsillar abscess to r/o epiglottitis or retropharyngeal abscesses
27
IV Unasyn or clindamycin. if patient does not respond promptly, add Vanc.
Peritonsillar abscess after IV is done, do 14 days of oral such as Augmentin or clinda. if MRSA use oral clinda or linezolid
28
patient presents with trouble and pain with swallowing with associated neck swelling, stiffness and LAD
Retropharyngeal abscess
29
IV: Unasyn rocephin + metro Clinda + levo
retropharyngeal abscess continue IV until afebrile then transfer to PO metro or levo Also exact formulas used to treat ludwigs angina
30
exudative tonillopharyngitis with fever and cervical LAD
bacterial Laryngitis
31
MCC is GABHS, Diptheria, M Cat
acute laryngitis
32
can be given oral steroids or erythromycin to aid in speedy recover
actors/singers with acute laryngitis
33
PCN, eryththromycin
bacterial laryngitis
34
how do you treat GERD as a cause of laryngitis
Proton pump inhibitor
35
acute laryngeal and subglottic swelling
croup
36
MCC is parainfluenza 1 & 3
croup
37
barking, seal like cough
croup
38
inspiratory stridor
croup
39
use of accessory respiratory muscles (retractions)
croup
40
Xray shows steeple sign (subglottic narrowing)
croup
41
if a patient has a barky cough and a hoarse cry, but lacks chest wall retractions and stridor, what is their diagnosis
MILD croup
42
treated with dexamethasone shot and oral prednisone
treatment for outpatient croup
43
dexamethasone and nebulized epi
moderate to severe croup
44
stridor at rest with mild-moderate retractions
moderate croup
45
stridor at rest, marked retractions with agitations, lethargy and cyanosis
severe croup
46
complication of bacterial tracheitis
croup
47
cellulitis of supraglottitis and surrounding structures
epiglottitis
48
MC caused by H flu type B
epiglottitis
49
tripod position
epiglottitis
50
dysphagia, drooling, distress and odynophagia out of proportion to PE findings
epiglottitis
51
confirmed diagnosis with laryngoscopy
epiglottitis
52
Xray showing thumbprint sign
epiglottitis note: Xray is only obtained if pt is stable and you are trying to differentiate from croup which shows the CHURCH steeple sign (Church-Croup)
53
rocephin + van Rocephin + clinda PCN allergy = van + flouroquinolone
epiglottitis
54
arises from infected or recently extracted tooth 2/3 of the time
ludwigs angina
55
a patient presents with firm textured skin on the floor of his mouth that has progressively resulted in bilateral swelling in the sublingual and submaxillary area. no LAD is noted
ludwigs angina
56
strep viridans is MCC
ludwigs angina after 2nd/3rd molar infection post extraction
57
what is considered an emergency in ludwigs angina
deep neck masses
58
inspiratory stridor, aside from Croup, is seen when?
bilateral vocal cord paralysis
59
when would it be recommmeneded to remove tonsils
* obstructive sleep apnea * recurrent throat infections (>3 episodes in each of 3 years, >5 in each of 2, >7 in 1 year)
60
noted w tongue displacement
ludwigs angina
61
damage or lesion to the recurrent laryngeal nerve results in..
vocal cord paralysis
62
peritonsillar abscess s/s
D THORN "it feels like i have D THORN stuck in there" se: Drooling trismus hot potato voice refferred ear pain neck swelling and pain
63
diptheria
bacterial laryngitis treated with PAN/erythromycin cuz remeber you dip your pen in blood

Clinical Med B (22 decks)

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