URTI

Question 1

Score to determine need for ABx in tonsillitis

Answer 1

Fever PAIN score:
Fever in last 24 hours
Purulence 
Attending rapidly - within 3 days
Inflamed tonsils
No cough

Question 2

Action for each score in Fever PAIN

Answer 2

4 or 5 = phenoxymethylpenicillin

3 or less = watch and wait. Safety net!

Question 3

Which URTI can antibiotics be given for

Answer 3

Bilateral otitis media in <2 year olds
Otitis media with otorrhoea in children
Acute tonsillitis/pharyngitis with centor score 3 or above
Signs of complications
High risk comorbidities
Acute cough with 2 risk factors for developing complications >65 or with 1 risk factor >80

Question 4

What are the risk factors for developing complications

Answer 4

Hospitalisation in previous year
Diabetes mellitus
Congestive heart failure
On oral glucocorticoids