Upper resp tract infection URTI

Question 1

URTI conditions

Answer 1

common cold
tonsilitis
sore throat
laryngitis
croup

Question 2

Average length of sore throat

Answer 2

1 wk

Question 3

Average length of acute pharyngitis

Answer 3

1 wk

Question 4

Average length of acute tonsilitis

Answer 4

1 wk

Question 5

Average length of common cold

Answer 5

1.5 wk

Question 6

Average length of acute rhinosinositis

Answer 6

2.5 wk

Question 7

Average length of acute cough/ bronchitis

Answer 7

3 wk

Question 8

Causes of sore throat

Answer 8

rhinovirus
Group A beta haemolytics
influenza
hsv
epv

Question 9

Centor criteria for dx of bacterial sore throat

Answer 9

tonsillar exudate
tendor anterior cervial nodes
absence of cough
hx of fever

Question 10

centor criteria interpretation

Answer 10

if 3 or more, 40-60% chance of benefit from abx

Question 11

FeverPAIN criteria

Answer 11

fever
pus
attends rapidly (<3 days)
inflamed tonsils
no cough/coryza

Question 12

FeverPAIN criteria interpretation

Answer 12

0-1 no abx
2-3 delayed abx
4-5 immediate abx

Question 13

Tonsillectomy

Answer 13

if 5 or more episodes per yr for at least 1 yr

Question 14

Infectious mononucleosis

Answer 14

triad of
fever,
acute pharyngitis
and lymphadenopathy

Question 15

Mx of infectious mononucleosis

Answer 15

hydration

avoid contact sport as half will develop splenomegaly

Question 16

Penicillin with infectious mononucleosis

Answer 16

terrible rash

Question 17

Influenza incubation

Answer 17

2 days

Question 18

influenza course

Answer 18

10 days

Question 19

influenza infectious period in adults

Answer 19

2-3 days

Question 20

influenza infectious period in children

Answer 20

3-6 days

Question 21

influenza epidemic

Answer 21

1 in 500 pts going to gp with influenza like sx in a wk

Question 22

common complications of influenza

Answer 22

otitis media and bronchitis

Question 23

pandemic

Answer 23

epidemic in multiple areas

Question 24

Anti-virals for influenza

Answer 24

Neuraminidase inhibitors:
Oseltamavir (tamiflu)
Zanamavir (Relenza)

Question 25

Oseltamavir course

Answer 25

PO 75mg BD 5/7

Question 26

Zanamavir course

Answer 26

inhaled 5mg BD 5/7

Question 27

Oseltamavir CI

Answer 27

pregnancy

Question 28

Effect of Neuraminidase inhibitors

Answer 28

reduce the duration by 1-1.5 days if given in first 24hrs

Question 29

CI to flu jab

Answer 29

egg allergy
guillian barre
prvs hypersensitivity to jab

Question 30

Disadvantages of prescribing abx

Answer 30

SEs
anaphylaxis
c difficile