Tonsilitis

Question 1

list 3 causes for a tonsillectomy

Answer 1

recurrent tonsillitis
e.g. 7 or more in 1 yr

recurrent abscess

enlarged tonsils = difficulty breathing

Question 2

what criteria i used for tonsillitis

Answer 2

feverpain

Question 3

what is tonsillitis

Answer 3

inflammation of the tonsils

Question 4

what is the name of the condition

inflammation of the back of the throat behind the soft pallet

Answer 4

acute pharyngitis

Question 5

what is the most common cause for tonsillitis

Answer 5

viral infection

Question 6

what % of acute pharyngitis is a result of bacterial infections

Answer 6

2%

Question 7

list 1 drug that can cause an acute infection of the throat

Answer 7

carbimazole
sulfalazine
cytotoxic drugs
clozapine

Question 8

what time of the year is bacterial pharyngitis more common

Answer 8

winter

Question 9

what is the most common complication associated with pharyngitis/tonsillitis

Answer 9

otitis media

Question 10

how long might it tae for tonsillitis to resolve according to NICE

Answer 10

3 days

Question 11

how might the tonsils appear on examination in a patient suspected of tonsillitis

Answer 11

enlargement

erythema of the tonsils

tonsillar exudate

Question 12

how might the pharynx appear in a patient suspected of acute pharyngitis

Answer 12

pharyngeal exudate

cervical lymphadenopathy

Question 13

true/false

patients with acute tonsillitis a fever >38C is common

Answer 13

true

Question 14

when should you consider hospital admission with tonsillitis/acute pharyngitis

Answer 14

difficulty breathing

clinical dehydration

peri-tonsilular abscess/cellulitis

systemically unwell/sepsis

Question 15

when might you consider delayed antibiotic stratergy

Answer 15

vulnerable patients

Question 16

what abx would you prescribe in vulnerable patients with acute tonsillitis

Answer 16

phenoxymethylpenicillin

Question 17

list 2 ways temporary pain relief can be achieved

Answer 17

pain killers

gargling salt water

Question 18

what should be avoided in tonsillitis as it can worsen pain

Answer 18

hot drinks

Question 19

when can children with tonsillitis return to school

Answer 19

24hrs after symptoms have resolved

Question 20

safety netting:

list 3 reasons

Answer 20

symptoms not improved after 3-4 days post abx

difficulty breathing and swallowing

pain not improved after 3 days

Question 21

what feverpain score indicates prescription of abx according to NICE

Answer 21

4/5

Question 22

how many days are abx prescribed for

Answer 22

5-10 days

Question 23

what is the most common cause of tonsilitis

Answer 23

rhinovirus