Sore Throat Causes and Symptoms
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Questions and Answers

What is the primary cause of sore throat in the majority of cases?

  • Bacterial infections
  • Environmental irritants
  • Viral infections (correct)
  • Allergic reactions
  • Which condition is NOT a known risk factor for oral thrush?

  • Cancer (correct)
  • HIV
  • Dry mouth
  • Inhaled corticosteroids
  • Which treatment is considered first-line for oropharyngeal candidiasis in adults and children over 2 years?

  • Miconazole gel (correct)
  • Ibuprofen
  • Paracetamol
  • Nystatin
  • What is a common symptom associated with Epstein-Barr virus infection?

    <p>Swollen glands</p> Signup and view all the answers

    Which symptom indicates a potential need for referral in a patient with a sore throat?

    <p>Symptoms lasting more than 3 weeks</p> Signup and view all the answers

    Which of the following is considered a non-pharmacological treatment for sore throat?

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

    What type of communication approach should be used to ensure effective patient interaction?

    <p>Open-ended questions and active listening</p> Signup and view all the answers

    Which symptom is NOT typically associated with bacterial sore throat infections?

    <p>Nasal congestion</p> Signup and view all the answers

    Which type of pain lasts longer than 3-6 months and can be associated with arthritis or neuropathy?

    <p>Chronic Pain</p> Signup and view all the answers

    In the PQRST framework, which component assesses the rating of pain on a scale of 1-10?

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

    Which symptom is least likely to indicate an allergic response?

    <p>Pain or purulent discharge</p> Signup and view all the answers

    Which of the following is a red flag that indicates a need for referral in pain assessment?

    <p>Severe pain with systemic symptoms</p> Signup and view all the answers

    What is the first-line pharmacological treatment for mild pain?

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

    What is a primary characteristic of the late-phase reaction in allergic rhinitis?

    <p>Nasal congestion occurring 4-12 hours later</p> Signup and view all the answers

    What is the maximum daily dosage of paracetamol for an adult?

    <p>4000 mg</p> Signup and view all the answers

    Which type of rhinitis is an IgE-mediated immune response to allergens?

    <p>Allergic Rhinitis</p> Signup and view all the answers

    Which of the following is most effective as a first-line therapy for allergic rhinitis?

    <p>Intranasal corticosteroids</p> Signup and view all the answers

    Which of the following statements is NOT an appropriate use of body language during communication?

    <p>Crossing arms to signify thoughtfulness</p> Signup and view all the answers

    Which diagnostic feature might suggest rhinosinusitis rather than allergic rhinitis?

    <p>Unilateral tenderness and purulent discharge</p> Signup and view all the answers

    How does pregnancy-related rhinitis typically present during pregnancy?

    <p>Nasal congestion due to hormonal changes</p> Signup and view all the answers

    Which question would least likely help in determining the type of allergic rhinitis?

    <p>Have you traveled abroad recently?</p> Signup and view all the answers

    What is a common side effect of NSAIDs that patients should be warned about?

    <p>Stomach upset and potential kidney effects</p> Signup and view all the answers

    What should be done if a patient presents with a fever greater than 38°C persisting for more than 3 days?

    <p>Refer for further evaluation</p> Signup and view all the answers

    What is a potential red flag that would require referral in the context of allergic rhinitis?

    <p>Signs of respiratory distress such as cyanosis</p> Signup and view all the answers

    Which non-pharmacological strategy is recommended for managing chronic pain?

    <p>Cognitive-behavioral therapy (CBT)</p> Signup and view all the answers

    What is the recommended pediatric dose of ibuprofen for a child weighing 20 kg?

    <p>100 mg every 6-8 hours</p> Signup and view all the answers

    What does nasal priming refer to in the context of allergic rhinitis?

    <p>Repeated exposure to allergens reducing symptom threshold</p> Signup and view all the answers

    Which of the following is an example of an empathy statement when discussing sensitive topics?

    <p>That sounds very challenging.</p> Signup and view all the answers

    Which of the following is a second-line therapy for allergic rhinitis?

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

    In the case of language differences, what is the most effective approach to ensure clear communication?

    <p>Use interpreters or translated materials</p> Signup and view all the answers

    What is the primary concern when dealing with a child who has a fever and exhibits lethargy?

    <p>It may indicate a systemic infection</p> Signup and view all the answers

    When counseling a patient about their medication, which of the following aspects should be included?

    <p>How to take the medication</p> Signup and view all the answers

    What symptom is NOT typically associated with allergic conjunctivitis?

    <p>Severe eye pain</p> Signup and view all the answers

    Which of the following is a key reason to refer a patient with suspected allergic conjunctivitis?

    <p>Persistent symptoms despite treatment</p> Signup and view all the answers

    Which treatment is appropriate for managing acute eye conditions presenting with severe symptoms?

    <p>Immediate referral to an ophthalmologist</p> Signup and view all the answers

    What is the expected duration for self-resolution of subconjunctival hemorrhage?

    <p>1-2 weeks</p> Signup and view all the answers

    What symptom is a red flag indicating the need for immediate referral in red eye cases?

    <p>Blurred vision with haloes</p> Signup and view all the answers

    Which of the following treatments is NOT used for managing allergic conjunctivitis?

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

    When should a patient with an eye condition be referred for further evaluation?

    <p>If there is severe eye pain with light sensitivity</p> Signup and view all the answers

    Which of the following is a common cause of subconjunctival hemorrhage?

    <p>Trauma or sneezing</p> Signup and view all the answers

    Which of the following groups is not considered high-risk for earwax impaction?

    <p>Individuals with healthy hearing</p> Signup and view all the answers

    Which treatment option is not recommended for self-use in the case of earwax impaction?

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

    Which symptom is not typically associated with earwax impaction?

    <p>Sudden severe pain</p> Signup and view all the answers

    What is a common cause of acute otitis externa?

    <p>Inflammation following water exposure</p> Signup and view all the answers

    Which of the following is considered a red flag for referring a patient for potential ear issues?

    <p>Pre-existing ear pathology</p> Signup and view all the answers

    What is the recommended action after swimming to prevent acute otitis externa?

    <p>Gently clear water from the ear</p> Signup and view all the answers

    Which method is not effective in treating earwax impaction?

    <p>Using a cotton bud for cleaning</p> Signup and view all the answers

    Which statement about acute otitis media is incorrect?

    <p>It can occur in individuals of all ages equally.</p> Signup and view all the answers

    Study Notes

    Sore Throat

    • Commonly caused by viral infections (70-80%) including common cold symptoms like low-grade fever, headache, hoarse voice, cough, nasal congestion, and inflammation.
    • 20% are bacterial, such as Streptococcus pyogenes (Strep throat).
    • Resolves in 3-7 days.

    Less Common Causes

    • Airway obstruction or deep neck infections (e.g., cancer).
    • Epstein-Barr virus (glandular fever) causing sore throat, fever, swollen glands, splenomegaly, and rash.
    • Oral herpes (in children under 5) with lesions and tonsil ulcers.
    • Hand, foot, and mouth disease caused by coxsackieviruses.
    • Sexually transmitted infections (e.g., gonorrhea, syphilis).
    • Trauma, smoking, and acid reflux.
    • Rare causes such as agranulocytosis (medication-induced).

    Red Flags for Referral (Airway Compromise)

    • Muffled voice, stertor (snoring sound), stridor (wheezing noise), trismus (difficulty opening the mouth), drooling, and neck swelling.
    • Respiratory distress (cyanosis, shortness of breath).
    • Dysphagia (difficulty swallowing), severe neck pain, unilateral throat pain, or tonsillar exudate.
    • Persistent symptoms longer than two weeks or systemic infection symptoms.

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    Description

    This quiz covers the various causes of sore throat, including common viral and bacterial infections. You will learn about less common causes, red flags for referral, and associated symptoms. Test your knowledge on the key aspects of sore throat management.

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