Upper Respiratory Tract Infections

Question 1

Rhinitis

Answer 1

Runny nose etc. Very common, 5-10 per year in the winter months. Is self limiting but can be a prodrome to other illnesses.

Question 2

Otitis media

Answer 2

Red, swollen ear drum. Common and self limiting. Caused by a primary viral infection and then secondary infection with pneumococcus/H.flu when mucous barrier lost. Can cause spontaneous rupture of ear drum, antibiotics don’t help

Question 3

American academy paediatrics 2013 when to treat otitis media

Answer 3

Severe uni and bilateral, severe pain for over 48 hours

Non severe bilateral 6-23 months

Question 4

Tonsillitis/pharnygitis

Answer 4

Common, can be viral or bacterial so can do throat swab and decide whether to give penicillin (not amoxicillin)

Question 5

What causes epiglottitis

Answer 5

H. Influenzae type B

Question 6

How to treat epiglottitis

Answer 6

Intubation and antibiotics

Question 7

How to treat croup

Answer 7

Oral dexamethasone

Question 8

What causes croup

Answer 8

Para influenzae 1

Question 9

oral Steroid used for asthma

Answer 9

Prednisolone