Pulmo

Question 1

Bacterial pathogens causing acute bacterial sinusitis in children and adolescents

Answer 1

S. pneumoniae
H. influenzae
M. catarrhalis

Question 2

Internal jugular vein septic thrombophlebitis

Pathogen?

Answer 2

Lemierre syndrome

F. necrophorum

Question 3

Retropharyngeal nodes involute by __ , making infection in older children and adults less common.

Answer 3

5 yr

Question 4

Usual pathogens of retropharyngeal and lateral pharyngeal infections

Answer 4

Group A streptococcus
Oropharyngeal anaerobic bacteria
Staphylococcus aureus

Question 5

Antimicrobial treatment of retropharyngeal abscess

Answer 5

Third generation cephalosporin

plus ampicillin-sulbactam

Question 6

Paradise criteria for tonsillectomy

- Frequency of sore throat

Answer 6

At least 7 times in the last year or
At least 5 times each year for the last 2 years or
At least 3 times each year for the last 3 years

Question 7

Paradise criteria for tonsillectomy

- Clinical features

Answer 7

Sore throat plus at least 1 of the ff:

• Temp >38.3
• Cervical lymphadenopathy >2 cm
• Tonsillar exudate
• Culture positive for GAS

Question 8

Paradise criteria for tonsillectomy

• treatment
• documentation

Answer 8

• Antibiotics administered in conventional dosage for strep
• Each episodes documented in a medical record or
• Observance by the physician of at least 2 episodes (1 year observation period)