Throat

Question 1

odynophagia

Answer 1

painful swallowing

Question 2

If patient has a medium risk for strep but rapid is negative what do you do?

Answer 2

culture

Question 3

Peritonsillar abscess

Answer 3

collection of pus by tonsil and capsule of tonsillar pillar

Question 4

s/s of peritonsillar abscess

Answer 4

orthopnea (labored breathing), dyspnea, asymetricall swelling, medial deviation of soft palate, tismus (lockjaw), otalgia (pain in ear)

Question 5

tismus

Answer 5

lock graw

Question 6

what kind of a referral is peritonsillar abscess?

Answer 6

an immediate referral

Question 7

otalgia

Answer 7

pain in ear

Question 8

viral pharyngitis and s/s including what youre not going to find

Answer 8

viral infection of pharynx, erythema and edema of throat, tender posterior lymph nodes, no tonsillar enlargement, no exudate

Question 9

infectious mononucleosis and s/s

Answer 9

virus that attacks epithelial cells d/t Epstein Barr virus

s/s: pharyngeal exudate, petechiae in mouth, swollen posterior cervical lymphadenopathy, spenomegaly, strep occurs with it sometimes (GABHS)

Question 10

N. gonorrhea Pharyngitis s/s and tests for it

Answer 10

pharyngeal exudate, bilateral cervical lymphadenopathy

tests: gram stain, gonorrhea culture

Question 11

Inflammatory Pharyngitis signs and symptoms and what you wont see

Answer 11

sinus tenderness, pale or swollen pharynx, post-nasal drainage, no fever or lymphadenopathy

Question 12

tests for inflammatory pharyngitis

Answer 12

Eosinophils in nasal secretions with allergy

Question 13

Infectious mononucleosis tests

Answer 13

monospot, CBC with diff: >50% lymphocytes

Question 14

Epiglottitis

Answer 14

inflammation and edema of epiglottis which can go into larynx and clog airway

Question 15

Epiglottitis s/s

Answer 15

resp distress, drooling, toxic appearance, DO NOT EXAMINE PHARYNX

Question 16

Epiglottitis tests

Answer 16

no tests, DO NOT EXAMINE PHARYNX, refer immediately

Question 17

Herpangia

Answer 17

infection caused by coxsackie virus

Question 18

Herpangia s/s

Answer 18

lymphadenopathy, small grayish papulovesicular lesions on soft palate and pharynx which progresses to ulcers <5mm

Question 19

tests for Herpangia

Answer 19

based on symptoms but can fo serology to confirm Dx

Question 20

Vincents Angina

Answer 20

Fusospirochetal infection results in necrostizing ulcerative gingivostomatitis (inflammation of gingival tissue)
s/s: gray ulcers, poor hygine, foul breath

Question 21

Aphthous Stomatitis

Answer 21

canker sores

Question 22

herpes simplex infection and s/s

Answer 22

HSV type 1 or type 2,

s/s: perioral lesions, lymphadenitis, vesicles on palate, pharynx and gingiva, buring, tingling