Chapter 34. Sore throat
A 6-year-old child presents with complaints of unilateral ear pain, fever, and sore throat. The clinician should recognize
that this is most commonly due to:
A. Otitis externa
B. Inner ear infection
C. Sinusitis
D. Otitis media
A patient complains of fever, fatigue, and pharyngitis. On physical examination there is pronounced cervical
2.
lymphadenopathy. Which of the following diagnostic tests should be considered?
A. Mono spot
B. Strep test
C. Throat culture
D. All of the above
Which microorganism is the most common cause of peritonsillar abscess?
3.
A. Epstein-Barr virus
B. Streptococcus pneumoniae
C. Mycoplasma
D. Grp A beta hemolytic streptococcus
Which of the following conditions can cause upper airway obstruction?
4.
A. Behcet’s syndrome
B. Influenza
C. Epiglottitis
D. Thrush
Your patient is a 78-year-old female with a smoking history of 120-pack years. She complains of hoarseness that has
5.
developed over the last few months. It is important to exclude the possibility of:
A. Thrush
B. Laryngeal cancer
C. Carotidynia
D. Thyroiditis
A 26-year-old female who gave birth 1 month ago presents with sudden development of fever, neck pain, sore throat
6.
with dysphagia, and radiation of pain to the ear. Which of the following conditions is most important to consider?
A. Diptheria
B. Epiglottitis
C. Thyroiditis
D. Otitis media
Answer Section
MULTIPLE CHOICE
1. ANS: D
Acute otitis media (AOM) involves infection of the fluid in the middle ear space. The three bacterial organisms most often associated with
AOM include streptococcal pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. The patient often complains of unilateral ear
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