sore throat

Question 1

sore throat encompasses what 3 conditions

Answer 1

pharyngitis, tonsillitis, and laryngitis.

Question 2

what are the two scoring systems determining treatment

Answer 2

fever pain and centor

Question 3

fever pain score criteria

Answer 3

Fever over 38°C.
Purulence (pharyngeal/tonsillar exudate).
Attend rapidly (3 days or less)
Severely Inflamed tonsils
No cough or coryza

Question 4

centor score criteria

Answer 4

The Centor criteria are: score 1 point for each (maximum score of 4)
presence of tonsillar exudate
tender anterior cervical lymphadenopathy or lymphadenitis
history of fever
absence of cough

Question 5

why do you give penicillin V in tonsillitis over amoxicllin

Answer 5

Penicillin V is the first line antibiotic for tonsillitis due to amoxicillin having the potential to cause a rash in cases of glandular fever. However, it is not generally used in otitis media.

Question 6

An 8-year-old child presents with enlarged tonsils that meet in the midline and are covered with a white film that bleeds when you attempt to remove it. He is pyrexial but otherwise well.

Answer 6

Acute bacterial tonsillitis67%

In acute tonsillitis the tonsils will often meet in the midline and may be covered with a membrane. Individuals who are systemically well are unlikely to have diptheria.

Question 7

A 10-year-old child presents with enlarged tonsils that meet in the midline. Oropharyngeal examination confirms this finding and you also notice peticheal haemorrhages affecting the oropharynx. On systemic examination he is noted to have splenomegaly.

Answer 7

Infectious mononucleosis65%

A combination of pharyngitis and tonsillitis is often seen in glandular fever. Antibiotics containing penicillin may produce a rash when given in this situation, leading to a mistaken label of allergy.

Question 8

A 19-year-old man has had a sore throat for the past 5 days. Over the past 24 hours he has noticed increasing and severe throbbing pain in the region of his right tonsil. He is pyrexial and on examination is noted to have a swelling around the right tonsillar region.

Answer 8

Quinsy68%

Unilateral swelling and fever is usually indicative of quinsy. Surgical drainage usually produces prompt resolution of symptoms.