Upper Respiratory Tract Infection

Question 1

Signs and symptoms of group A beta-haemolytic strep pyogenes pharyngitis (3)

Answer 1

1. Sore throat / pain with swallowing
2. Red, exudative throat
3. Tender anterior cervical lymphadenopathy

NO runny nose, voice changes, cough

Question 2

Test for influenza

Answer 2

Nasopharyngeal swab with PCR/RADT

Question 3

Test for epiglottitis

Answer 3

Laryngoscopy

Question 4

Test for EBV

Answer 4

Monospot

Question 5

Management of URTIs (except epiglottitis)

Answer 5

Most things - asymptomatic and amoxicillin if complicated/bacterial

Question 6

Management of epiglottitis

Answer 6

Admit hospital with IV ceftriaxone

Question 7

Complications of strep. pyogenes infection

ACROSTIC BG

Answer 7

1. Abscess (peritonsillar)
2. Cellulitis
3. Rheumatic fever
4. Otitis
5. Sinusitis
6. Toxic shock syndrome
7. Impetigo
8. Conjunctivitis
9. Glomerulonephritis
10. Bronchitis

Question 8

Complications of epiglottitis

Answer 8

1. Sudden airway obstruction
2. Septic arthritis
3. Meningitis
4. Empyema
5. Mediastinitis
6. 1% fatality rate