Pharyngitis

Question 1

Pharyngitis definition

Answer 1

Inflammation of the pharynx

Question 2

Pharyngitis viral pathogens

Answer 2

Rhinovirus is the most common

Question 3

Pharyngitis bacterial pathogens

Answer 3

Group A strep is the most common

Question 4

Nonspecific symptoms of pharyngitis

Answer 4

Sore throat, fever, erythema

Question 5

Symptoms of Group A Strep pharyngitis

Answer 5

Sudden onset of sore throat, age 5-15, fever, headache, tonsillopharyngeal inflammation, palatal petechiae, tender nodes, scarlatiniform rash

Question 6

Symptoms of viral pharyngitis

Answer 6

Conjunctivitis, coryza, cough, diarrhea, hoarseness, discrete ulcerative stomatitis, viral exanthema

Question 7

Diagnosis of pharyngitis

Answer 7

Treat everyone with a positive RADT test (adults) and kids with a negative RADT test and a positive throat culture

Question 8

Pharyngitis treatment

Answer 8

Penicillin VK or amoxicillin for 10 days

PCN allergy: Cephalexin for 10 days
Severe PCN allergy: clindamycin for 10 days or azithromycin for 5 days

Question 9

Pharyngitis treatment for patients with unlikely adherence

Answer 9

Benzathine penicillin IM x1

Question 10

Adjunctive pharyngitis treatment

Answer 10

APAP, NSAIDs, topical anesthetics