Sore throat

Question 1

what are the diagnostic criteria for tonsilitis

Answer 1

fever
tonsillar exudates
tender anterior cervical andeopathy

<2 no antibiotic
2-3 throat culture and antibiotic
>3 antibiotic (risk of strep)
under 15 add a point 
over 44 take away a point

Question 2

what causes mononucleosis

Answer 2

epstein barr virus

Question 3

what signs is mononucleosis associated with

Answer 3

cervical lymphadenopathy
hepatosplenomegaly
jaundice

Question 4

how do you diagnose mononucleosis

Answer 4

FBC shows lymphocytosis and atypical lymphocytosis
deranged LFTs
EBV serology shows acute infection
monospot shows positive heterophile antibodies
paul bunnel test

Question 5

what is the treatment for mononucleosis

Answer 5

supportive
systemic steroids if failing to improve
side effect in amoxicillin/ampicillin in EBV

Question 6

how does epiglottitis present

Answer 6

severe sore throat, drooling saliva, pyrexia

may have stridor

Question 7

what is seen on oral exam in epiglottitis

Answer 7

nothing - no inflammation of the tonsils

Question 8

is epiglottitis serious

Answer 8

life threatening if not treated

Question 9

what usually causes epiglottitis

Answer 9

haemophilus influenza type B

Question 10

what is the treatment for epiglottitis

Answer 10

mild:
- supportive
- antibiotics
- nebulisers (adrenaline/saline)
- corticosteroids

more severe

• antibiotics
• intubation and ventilation
• tracheostomy