MSRA: Throat Problems

Question 1

What are the Centor Criteria?

Answer 1

likelihood being due to GABHS. 3 or 4 = highly likely
Tonsillar exudate
Tender anterior cervical lymphadenopathy
Fever above 38
Absence of cough/coryza

Question 2

What is the FeverPAIN score?

Answer 2

Likelihood of any strep infection
Fever in previous 24 hours
Purulence
Acute onset (three days or less)
Inflamed tonsils (very)
No cough or coryza

0-1 no Abx
2-3 delayed prescription
4-5 Abx

Question 3

What are the key features of glandular fever?

Answer 3

Classic triad of fever, sore throat, lymphadenopathy
Headache, malaise
Palatal petechiae
Potentially abdo pain - query hepatosplenomegaly

Question 4

Which antibiotic is used in the management of bacterial tonsilitis?

Answer 4

Pen V for 7-10 days

Phenoxymethylpenicillin

Question 5

Which antibiotic causes a pruritic maculopapular rash in those with mono?

Answer 5

Amoxicillin

Question 6

Name three malignancies associated with EBV

Answer 6

Burkitt’s lymphoma
Hodgkin’s
Nasopharnygeal carcinoma

Question 7

Name two drug causes of gingival hyperplasia

Answer 7

Phenytoin
Ciclosporin

Question 8

What is the most appropriate step in the management of post-tonsillectomy haemorrhage?

Answer 8

All patients should be assessed by ENT

Question 9

What are the FBC results in EBV?

Answer 9

Neutropenia

Question 10

What is meant by leukoplakia?

Answer 10

Diagnosis of exclusion (not lichen planus or SCC)
White patches which can not be rubbed off