Paediatric ENT

Question 1

Tonsillitis:

• cause

Answer 1

• Viral infection most common overall
• Group A step (strep pyogenes) if bacterial

Question 2

Tonsillitis:

• management

Answer 2

• Antibiotics if bacterial and high FeverPAIN score
  
  • Penicillin V or amoxicillin if unable to tolerate
  • Clarithromycin in penicillin allergy

Question 3

Ottitis media:

• cause

Answer 3

Streptococcus pneumoniae

Question 4

Otitis media:

• management

Answer 4

• No medication
• Amoxicillin if <2 years or with otorrhoea

Question 5

Croup:

• age

Answer 5

Typically 6 months to 2 years

Question 6

Croup:

• causes

Answer 6

• Parainfluenza
• Respiratory syncytial virus (RSV)

Question 7

Croup:

• management

Answer 7

• Supportive
• Maybe oral dexamethasone

Question 8

Epiglottis:

• cause

Answer 8

Haemophilus influenza type B

Question 9

Epiglottitis:

• management

Answer 9

• IV antibiotics (ceftriaxone)
• Steroids (dexamethasone)