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Clinical Med B > oropharynx triggers > Flashcards

oropharynx triggers Flashcards

1
Q

white/purple exudates in oropharynx with fever, HA and posterior cervical LAD

A

Mono/EBV

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2
Q

posterior cervical LAD

A

mono/EBV

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3
Q

splenomegaly

A

mono/EBV

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4
Q

rash caused by ampicillin or amoxicillin

A

Mono/EBV

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5
Q

small vesicles on soft palate and uvula that rupture to form shallow white ulcers

A

coxasackievirus

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6
Q

vesicles on hard palate and tongue

A

HSV infection

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7
Q

sore throat, fever, conjunctivitis, post auricular adenopathy

A

adenovirus

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8
Q

sore throat, fever, myalgias, headache, cough

A

influenza

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9
Q

any chief complaint of sore throat should always recieve

A

rapid antigen detection test (strep)

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10
Q

what does monospot look for

A

heterophile antibodies

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11
Q

what population shows high false negatives with the monospot test

A

children less than 4 years of age

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12
Q

what lab values are seen in mono

A

lymphocytosis
elevated LFTs

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13
Q

oral prednisone for significant tonsilar swelling, advised to avoid contact sports for 4 weeks. antivirals not reccomended

A

EBV/mono

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14
Q

No cough

A

strep

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15
Q

tonsillar exudates, anterior cervical LAD, fever, sore throat

A

strep throat (GABHS)

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16
Q

rash looking like sunburn with sandpaper consitiency

A

scarlet fever (GABHS)

also presents with strawberry tongue and palatal petechiae

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17
Q

PCN VK, PCN G, Amox.

keflex if allergy

azithro/clinda last resort

A

strep throat

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18
Q

otitis media is seen as a complication to which diagnosis

A

strep throat

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19
Q

complications of this diagnosis include:
glomerulonephritis
vlavular heart disease
rheumatic fever

A

strep throat

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20
Q

what lab finding is elevate after a recent strep infection

A

Antistreptolysin O titer

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21
Q

MC microbes are strep pyogenes and staph aureus

A

peritonsillar abscess

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22
Q

presents with unilateral sore throat with referred ear pain, fatigue, irritability and neck swelling

A

peritonsilar abscess

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23
Q

presents with muffled voice, trouble swallowing and drooling.
also with unilateral sore throat

A

peritonsillar abscess

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24
Q

deviation of the uvula to the right side suggests what diagnosis? what side is the affected side?

A

peritonsillar abscess to the left tonsil

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25
Q

CT v IV contrast

A

peritonsillar abscess -
not necessary for DX but checks for complications!

also retropharyngeal abscess -
ring enhancing lesion

Ludwigs angina - assess extent

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26
Q

lateral neck radiograph, what is it used for??

A

used in peritonsillar abscess to r/o epiglottitis or retropharyngeal abscesses

27
Q

IV Unasyn or clindamycin. if patient does not respond promptly, add Vanc.

A

Peritonsillar abscess

after IV is done, do 14 days of oral such as Augmentin or clinda.

if MRSA use oral clinda or linezolid

28
Q

patient presents with trouble and pain with swallowing with associated neck swelling, stiffness and LAD

A

Retropharyngeal abscess

29
Q

IV:
Unasyn
rocephin + metro
Clinda + levo

A

retropharyngeal abscess
continue IV until afebrile then transfer to PO metro or levo

Also exact formulas used to treat ludwigs angina

30
Q

exudative tonillopharyngitis with fever and cervical LAD

A

bacterial Laryngitis

31
Q

MCC is GABHS, Diptheria, M Cat

A

acute laryngitis

32
Q

can be given oral steroids or erythromycin to aid in speedy recover

A

actors/singers with acute laryngitis

33
Q

PCN, eryththromycin

A

bacterial laryngitis

34
Q

how do you treat GERD as a cause of laryngitis

A

Proton pump inhibitor

35
Q

acute laryngeal and subglottic swelling

A

croup

36
Q

MCC is parainfluenza 1 & 3

A

croup

37
Q

barking, seal like cough

A

croup

38
Q

inspiratory stridor

A

croup

39
Q

use of accessory respiratory muscles (retractions)

A

croup

40
Q

Xray shows steeple sign (subglottic narrowing)

A

croup

41
Q

if a patient has a barky cough and a hoarse cry, but lacks chest wall retractions and stridor, what is their diagnosis

A

MILD croup

42
Q

treated with dexamethasone shot and oral prednisone

A

treatment for outpatient croup

43
Q

dexamethasone and nebulized epi

A

moderate to severe croup

44
Q

stridor at rest with mild-moderate retractions

A

moderate croup

45
Q

stridor at rest, marked retractions with agitations, lethargy and cyanosis

A

severe croup

46
Q

complication of bacterial tracheitis

A

croup

47
Q

cellulitis of supraglottitis and surrounding structures

A

epiglottitis

48
Q

MC caused by H flu type B

A

epiglottitis

49
Q

tripod position

A

epiglottitis

50
Q

dysphagia, drooling, distress and odynophagia out of proportion to PE findings

A

epiglottitis

51
Q

confirmed diagnosis with laryngoscopy

A

epiglottitis

52
Q

Xray showing thumbprint sign

A

epiglottitis

note: Xray is only obtained if pt is stable and you are trying to differentiate from croup which shows the CHURCH steeple sign (Church-Croup)

53
Q

rocephin + van
Rocephin + clinda

PCN allergy = van + flouroquinolone

A

epiglottitis

54
Q

arises from infected or recently extracted tooth 2/3 of the time

A

ludwigs angina

55
Q

a patient presents with firm textured skin on the floor of his mouth that has progressively resulted in bilateral swelling in the sublingual and submaxillary area. no LAD is noted

A

ludwigs angina

56
Q

strep viridans is MCC

A

ludwigs angina after 2nd/3rd molar infection post extraction

57
Q

what is considered an emergency in ludwigs angina

A

deep neck masses

58
Q

inspiratory stridor, aside from Croup, is seen when?

A

bilateral vocal cord paralysis

59
Q

when would it be recommmeneded to remove tonsils

A
  • obstructive sleep apnea
  • recurrent throat infections (>3 episodes in each of 3 years, >5 in each of 2, >7 in 1 year)
60
Q

noted w tongue displacement

A

ludwigs angina

61
Q

damage or lesion to the recurrent laryngeal nerve results in..

A

vocal cord paralysis

62
Q

peritonsillar abscess s/s

A

D THORN “it feels like i have D THORN stuck in there”

se:
Drooling
trismus
hot potato voice
refferred ear pain
neck swelling and pain

63
Q

diptheria

A

bacterial laryngitis
treated with PAN/erythromycin cuz remeber you dip your pen in blood

Clinical Med B (22 decks)

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