quiz 5 part 2

Question 1

mono sx

Answer 1

pharyngeal petechiae, maculopapular rash, malaise

Question 2

mono labs

Answer 2

lymphocytosis, IgM ab, monospot, ebv serology, atypical lymphocytes

Question 3

mono tx

Answer 3

prednisone, ampicillin (rash risk) no contact sports

Question 4

acute necrotizing gingivitis

Answer 4

-prevotella intermedia, actinomyces
-pain and necrosis
-vincents angina

Question 5

ang sx

Answer 5

-bleeding, halitosis (bad breath), fever, cervical adenopathy

Question 6

ang tx

Answer 6

pnc with metronidazole and clindamycin or erythromycin alone
-debreidment
-antiseptic/ chlorhexine mouth wash

Question 7

ang risk

Answer 7

preterm birth

Question 8

ludwig angina

Answer 8

2nd or 3rd molar
-tooth extraction
-fulminant cellulitis
-must preserve the airway, intubate or trach bc asphyxiation can cause death

Question 9

ludwig tx

Answer 9

iv ampicillin/ sulbactam, pnc g with metronidazole or clindamycin
-preserve the airway

Question 10

oral candidians

Answer 10

c. albicans, stomatitis, oral thrush in kids
-mild can be asymptomatic

Question 11

oral candidiasis sx

Answer 11

sore throat, odynophagia, cheesy white pkaques with a red bleeding base, brownish coating with deep fissures, pain w eating, angular cheilosis

Question 12

candidians tx

Answer 12

-nystatin or clotrimazole
-severe: flutixazoke or itraconazole

Question 13

leukoplakia

Answer 13

-can not be removed
-white lesions
-precancerous
-eruythroplakia is reda

Question 14

all erythroplakia is?

Answer 14

premalignant

Question 15

retropharygneal abscess

Answer 15

-early stage will present similar to pharyngitis until inflammation in the later stage
-can end up obstructing the upper aerodigestive tract

Question 16

retropharyngeal abscess sx

Answer 16

dysphagia, odynophagia, drooling, neck stiffness, trismus, chest pain

Question 17

retropharyngeal abscess tx

Answer 17

needle aspiration watch for the internal carotid
-tonsillectomy

Question 18

peritonsillar abscess

Answer 18

collection of fluids in the peritonsillar space that pushes the tonsils medially
-pus in one or both tonsils

Question 19

why no tongue depressors

Answer 19

can cause respiratory arrest in kids with airway obstruction

Question 20

peritonsillar cellulitis morphs into

Answer 20

peritonsillar abscess if it does not resolve

Question 21

peritonsillar abscess sx

Answer 21

-throat pain, trismus, dysphagia, odynophagia, drooling, neck pain
-signs: fever, dehydration, distress, tonsillar hypertrophy, contralateral deflection, bad breath, adenopathy, neck pitting ipsilateral

Question 22

contralateral deflection

Answer 22

peritonsillar abscess
-uvula pushed to the good side

Question 23

peritonsillar abscess workup

Answer 23

cbc, blood culture, monospot, tonsillar swab

Question 24

apthous ulcer

Answer 24

-red halo
-topical steroid, (diphenhydramine, lidocain, maalox mouth wash)

Question 25

epiglottitis

Answer 25

covers larynx due to swelling
-supraglotitttis can cause airway obstruction
-medical emergency

Question 26

epiglottitis sx

Answer 26

-adult: URI, sore throat, muffled voice, tripod position, pain
-kids: drool, dysphagia, distress, stridor, cyanosis
-thrush candida can possible be s.aur

Question 27

epiglottitis labs

Answer 27

WBC 15-46,000
-blood cultures may show influenxa b
-nack x ray show swollen epi and ct will show column of air suggesting fluid or early abscess

Question 28

epiglotittis tx

Answer 28

-intubate, hospitalize, NPO, oxygen, ceftriaxone, taper steroids, not always need intubation

Question 29

cutaneous candida

Answer 29

red exudate