Head And Neck

Question 1

Otitis media findings

Answer 1

Redness, immobility (most sensitive), bulging, pain, fever

Question 2

Best initial treatments for OM

Answer 2

Amoxicillin first

Then: bactrim, azithromycin, quinolones

Question 3

What is GENERALLY the moat accurate test in ID?

Answer 3

Culture (proof is in the pudding!)

Question 4

Strep Pharyngitis best initial test

Answer 4

“Rapid strep”
Remember CENTOR
Treat with Amoxicilin to prevent rheumatic fever

Question 5

Influenza presentation and treatment

Answer 5

Fever/cough/arthralgia/headache/pharyngitis/NVD(children)
Treat with ossltamivir/zanamivir under 48h
Symptomatic tx after 48h