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ENT > Throat Pathology > Flashcards

Throat Pathology Flashcards

1
Q

What is a common feature of glandular fever that does not involve the throat?

A

heaptosplenomegaly

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2
Q

Sx of glandular fever…

A

pyrexia
lymphadenopathy
pharyngitis
tonsils have white exudate

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3
Q

What criteria is used for getting the risk of isolated streptococcus infection?

A

centor criteria

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4
Q

What is involved in the centor criteria?

A

Cough absent
Exudates (tonsillar)
Nodes
Temp. >38

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5
Q

Tx for tonsillitis…

A

normally self-limiting
if strep…
1st - penicillin
2nd - clarithromycin

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6
Q

What antibiotic should be avoided if suspected mono?

A

amoxicillin

Can cause a rash

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7
Q

What are the hallmarks of quinsy?

A 
unilateral sore throat
trismus
hot potato voice
reduced neck mobility
uvular deviation
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8
Q

Mx for quinsy…

A

urgent ENT referral
aspiration/incision and drainage
IV antibiotics

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9
Q

What criteria has to met for a tonsillectomy?

A

sore throats are due to tonsilitis
5 or more episodes in 1 year
symptoms have been occurring for at least 1 year
prevents normal functioning

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10
Q

List neck lumps that are congenital…

A

cystic hygoma
branchial cyst
thyroglossal cyst
dermoid cyst

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11
Q

List neck lumps that are acquired…

A

carotid body tumour
inflammatory lymph node
lymphoma
thyroid disease

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12
Q

What cyst is in the midline and moves on tongue protrusion?

A

thyroglossal cyst

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13
Q

What mass will present on the lateral aspect of the neck, anterior to the SCM. It is quite large in size and is somewhat painful.

A

Branchial cyst

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14
Q

Tx for glandular fever…

A

self limiting
hydrate
analgesia
avoid contact sports for 6 weeks

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15
Q

What is the most common head and neck cancer?

A

SCC

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16
Q

What is the causative organism of SCC?

A

HPV 18+21

17
Q

Sx of epiglotitis…

A 
quick progressing coryzal symptoms
drooling 
fever
no cough
children
18
Q

What virus causes epiglotitis?

A

RPV

19
Q

What is Kawasaki disease?

A

affects children

form of vasculitits that results in rash, red eyes, dry lips and swollen neck glands

20
Q

What is the majority of hoarseness due to?

A

laryngeal pathology

21
Q

what is another name for quinsy?

A

peritonsillar abscess

22
Q

What is a pharyngeal pouch?

A

herniation of mucosa through fibres of inferioir pharyngeal constrictor muscle

23
Q

Sx of pharyngeal pouch…

A

neck swelling
failure to swallow
gurgling sound when swallowing

24
Q

Ix for pharyngeal pouch…

A

barium swallow

25
Q

What virus causes glandular fever?

A

EBV

26
Q

What can cause laryngeal polyps?

A

vocal abuse
infection
smoking

27
Q

Are laryngeal polyps usually unilateral or bilateral?

A

unilateral

28
Q

What is the most common salivary gland tumour?

A

pleomorphic adenoma

ENT (7 decks)

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