Tonsils

Question 1

What is the management for bleeding
post-tonsillectomy?

Answer 1

➔ 1° (<24hr) → Return to the theatre
➔ 2° or reactionary (24hr+)
→ Admit + IV ATB

Question 2

Management of bacterial tonsillitis

Answer 2

Phenoxymethylpenicillin (1st line)
(Penicillin V)

Question 3

Indications of tonsillectomy

Answer 3

○ > 7 episodes/year for 1 year
○ > 5 episodes/year for 2 years
○ > 3 episodes/year for 3 years

Question 4

Management of peritonsillar abscess (quinsy)

Answer 4

IV benzylpenicillin)

Question 5

A 70 year old man presents with progressive
dysphagia and right sided ear pain. His right
palatine tonsil is enlarged. He is a heavy smoker
and drinker. What is the likely diagnosis?

Answer 5

Tonsillar cancer

Question 6

Tonsillar cancer spreads to…

Answer 6

Mandible

Question 7

Initial step for peritonsillar abscess

Answer 7

IV antibiotics

Question 8

Most appropriate step for peritonsillar abscess

Answer 8

Incision & drainage