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18 Cards in this Set
- Front
- Back
What is Pharynotonsillitis ? |
An acute infection of the throat (oropharynx +/- tonsils) |
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"In Pharyngitis, Tonsils are enlarged and hidden behind the anterior faucial pilar" True or False?
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TRUE |
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What is the Etiology of Pharyngitis? |
80% are Viral, 20% are Bacterial |
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What are the risk factors of Group A Strep Pharyngitis? |
1) Children between 5-15 years old 2) Occurs in Temperate climate during winters and early spring 3) Person to Person transmission (Need droplet contact, coughing or sneezing) |
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What are the signs of Viral Pharyngitis?
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1) Hoarsness 2) Rhinits 3) Cough 4) Gradual onset of throat symptoms 5) Discrete mouth ulcers 6) Conjunctivitis 7) Coryza (nasal congestion) |
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What are the signs of Bacterial Pharyngitis (Group A)? |
1) Fever over 38 2) Headaches 3) Absence of Cough 4) Sudden onset of throat sore 5) Nausea/Vomitting and abdominal pain 6) Tonsiller exudates 7) Swollen, tender anterior cervical lymph node 8) Scarlatin from Rash 9) Winter/Early Spring presentation 10) Age 5-15 yrs |
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"Negative RADT tests needs to be backed up by a throat culture and sensitivity tests in Children and Adolescents" True or False?
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TRUE
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Typically how long does a Fever last with Pharyngitis?
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3-5 days
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Typically how long before all the symptoms resolve for Pharyngitis?
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7-10 days |
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Within _____ tonsil and lymph nodes decrease in size bact to normal?
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6 weeks
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What are the complications of Pharyngitis?
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1) Peritonsillor Cellulitis (Quinsy) 2) Cervical Lymphadenitis 3) Otitis Media 4) Sinusitis 5) Glomerulonephritis 6) Rhematic Fever |
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What are the treatment goals of Group A Strep Pharyngitis? |
1) Prevent Rheumatic Fever 2) Prevent other supportive complications 3)Shortens duration of symptoms 4) Reduce transmission 5) Minimize potential ADR due to antibiotics |
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When would you give immediate antibiotic treatment for Pharyngitis? |
1) Patient is very ill 2) Delayed culture results >72 hrs 3) If its diffiuclt to follow up with patient |
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"Patients with Epstein Barr Virus infection who are treated with Amoxcillin will develop a rash" True or False? |
TRUE
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"There is no correlation between NSAID use and Bad Cellulits/Gangrene" True or False?
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FALSE
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Which antibiotics are not acceptable for Strep Throat?
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Sulfonamides, Trimethoprim, Tetracyclines, Chloramphenicol, Ciprofloxacin, Levofloxacin, Moxifloxacin |
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When do we treat Chronic Carriers of Group A strep?
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1) Acute Rhematoid Fever, Glomerulonephritis, invasive CNS infections 2) Outbreak of Group A strep pharyngitis in closed community 3) Presence of family or personal history of acute rheumatoid fever 4) Family with excessive anxiety about GAS infections 5)When tonsillectomy being considered |
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"Continous Prophylaxis is recommended to avoid recurrence of Rhematic Fever" True or False?
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FALSE, only for well documented histories of Rheumatic fever |