Peritonsillar Abscess Identification Quiz
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Questions and Answers

Which of the following is the most common cause of sore throat?

  • Coronavirus
  • Group A beta-hemolytic streptococci
  • Influenza A
  • Rhinovirus (correct)
  • What is the duration that defines chronic pharyngitis?

  • More than 2 weeks (correct)
  • Less than 2 weeks
  • Less than 1 week
  • More than 1 week
  • Which virus is NOT listed as a common cause of viral pharyngitis?

  • Epstein-Barr virus (EBV)
  • Rhinovirus
  • Neisseria gonorrhoeae (correct)
  • HIV
  • In adults, what percentage of sore throats are caused by Group A beta-hemolytic streptococci (GABHS)?

    <p>5-15%</p> Signup and view all the answers

    Which bacteria is associated with Lemierre syndrome, a rare complication of pharyngitis?

    <p>Fusobacterium necrophorum</p> Signup and view all the answers

    What is the estimated percentage of cases of sore throat caused by Rhinovirus and Coronavirus combined?

    <p>&lt; 25%</p> Signup and view all the answers

    Which bacterial infection causes diphtheria?

    <p>Corynebacterium diphtheriae</p> Signup and view all the answers

    Which virus causes Primary HIV infection?

    <p>&lt; 1%</p> Signup and view all the answers

    Which complication of GABHS infection can lead to injury in the glomerulus?

    <p>Poststreptococcal glomerulonephritis</p> Signup and view all the answers

    In which population is Acute Rheumatic Fever more common in Canada?

    <p>Children</p> Signup and view all the answers

    What is the most common complication associated with GABHS infection that affects the heart and joints?

    <p>Sydenham’s chorea</p> Signup and view all the answers

    Which of the following conditions is thought to be due to antibodies cross-reacting with regions in the basal ganglia following GABHS infection?

    <p>Pediatric autoimmune neuropsychiatric disorder</p> Signup and view all the answers

    What is the approximate number of cases of GABHS pharyngitis that need to be treated in the USA to prevent 1 case of Acute Rheumatic Fever?

    <p>3000-4000 cases</p> Signup and view all the answers

    Which of the following is NOT a suppurative complication of GABHS infection?

    <p>Poststreptococcal glomerulonephritis</p> Signup and view all the answers

    Where are the cross-reactive antibodies produced that can lead to complications like fever, arthralgia, and carditis following GABHS infection?

    <p><strong>Throat</strong></p> Signup and view all the answers

    Which region in North America has a significantly higher rate of Acute Rheumatic Fever cases compared to other areas?

    <p>Northern Ontario</p> Signup and view all the answers

    Which of the following symptoms is NOT more likely to present with a viral illness according to the text?

    <p>Dysphagia</p> Signup and view all the answers

    What is the most common viral cause of pharyngitis in children as mentioned in the text?

    <p>Rhinovirus</p> Signup and view all the answers

    What are the two viruses most commonly responsible for causing Mononucleosis?

    <p>Epstein-Barr Virus and cytomegalovirus</p> Signup and view all the answers

    What is the primary infectious cause suggested by a febrile presentation of a sore throat, as per the text?

    <p>Viral illness</p> Signup and view all the answers

    Which of the following symptoms is NOT part of the typical presentation of streptococcal pharyngitis as described in the text?

    <p>Cough and rhinorrhea</p> Signup and view all the answers

    What may occur in 1 in 10 cases of streptococcal pharyngitis evolving into scarlet fever?

    <p>Strawberry tongue</p> Signup and view all the answers

    What type of bacterial infection is Streptococcal Pharyngitis caused by?

    <p>Group A beta-hemolytic streptococci</p> Signup and view all the answers

    Which of the following symptoms is NOT considered a red flag for possible serious underlying pathology based on the text?

    <p>Hoarseness of voice</p> Signup and view all the answers

    What is a potential serious diagnosis associated with an inability to open the mouth fully (trismus) as highlighted in the text?

    <p>Acute epiglottitis</p> Signup and view all the answers

    Which of the following is NOT listed as a symptom that prompts further investigation or referral when found in a patient's history?

    <p>History of recurrent headaches</p> Signup and view all the answers

    What type of infection is associated with a history of recent foreign body impaction or oropharyngeal procedure according to the text?

    <p>Parapharyngeal space infection</p> Signup and view all the answers

    Which symptom is indicative of serious respiratory distress as highlighted in the text?

    <p>Drooling</p> Signup and view all the answers

    What condition can be associated with lock jaw according to the provided information?

    <p>Submandibular space infection (Ludwig's angina)</p> Signup and view all the answers

    Which symptom may indicate a superficial jugular thrombophlebitis, as mentioned in the text?

    <p>Erythema of the neck</p> Signup and view all the answers

    What condition is a possibility when a patient presents with sore throat, dysphagia, and respiratory distress together?

    <p>Peritonsillar abscess</p> Signup and view all the answers

    What is the most likely diagnosis for a patient presenting with edema and marked erythema of the left tonsillar pillar?

    <p>Peritonsillar abscess</p> Signup and view all the answers

    Which anatomical structures are medially displaced in a peritonsillar abscess?

    <p>Uvula, palatine tonsil, and anterior pillar</p> Signup and view all the answers

    What is a common complication associated with untreated peritonsillar abscess?

    <p>Retropharyngeal abscess</p> Signup and view all the answers

    Which characteristic differentiates peritonsillar abscess from simple tonsillitis?

    <p>Swollen lymph nodes in the neck</p> Signup and view all the answers

    Which of the following symptoms is typically seen in peritonsillar abscess but not in strep throat?

    <p>Muffled or 'hot potato' voice</p> Signup and view all the answers

    What is the main reason to differentiate peritonsillar abscess from retropharyngeal abscess?

    <p>'Thumbprint sign' on lateral neck X-ray in peritonsillar abscess</p> Signup and view all the answers

    Which imaging modality may be helpful in confirming the diagnosis of a peritonsillar abscess?

    <p>'Thumbprint sign' on lateral neck X-ray</p> Signup and view all the answers

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