Pharyngitis

Question 1

Antibiotic 1st choice treatment for GABHS Pharyngitis

Answer 1

PCN first choice

Question 2

If patient has an allergy to PCN, what is the next choice for antibiotics with GABHS pharyngitis

Answer 2

Erythromycin, 2nd generation macrolides (Azithromycin), Keflex

Question 3

If patient gets recurrent GABHS Pharyngitis how do you treat?

Answer 3

PCN G injection

Question 4

when would you treat a recurrent chronic pharyngeal carrier?

Answer 4

recurrent GABHS infection with in the family, personal hx of close contact with acute rheumatic fever or acute poststreptococcal glomerulonephritis

Question 5

complications of GABHS

Answer 5

Acute Glomerulonephritis, Rheumatic fever, Peritonsilar Abscess, Retropharyngeal Abscesses

Question 6

Acute Glomerulonephritis occurs when? primary symptom?

Answer 6

1-3 weeks following strep throat regardless of antibiotic treatment, hematuria

Question 7

Acute Glomerulonephritis usually affects which age group?

Answer 7

5-15 years

Question 8

Rheumatic fever complication of GABHS usually begins when?

Answer 8

2-3 weeks after infection which can lead to a slow progressive valve deformity

Question 9

What do you do if patient develops peritonsillar abscess?

Answer 9

send to ER, CT of neck if lump on one side

Question 10

when is peritonsillar abscess most commonly found? which months?

Answer 10

Nov-Dec and Apr-May

Question 11

peritonsillar abscess s/s

Answer 11

fever, malaise, ST, dysphagia, otalgia (earache), throat pain more severe on one side, tender lymph nodes

Question 12

Infectious Mononucleosis incubation period

Answer 12

4-7 weeks

Question 13

Lab testing for mono

Answer 13

mono spot (positive 1-3 weeks after infection and can stay positive for months/years afterward), EBV titer, LFTs may be elevated