Acute Sore Throat

Exam Summary

0 of 10 Questions completed

Questions:

You have already completed the exam before. Hence you can not start it again.

Exam is loading…

You must sign in or sign up to start the exam.

You must first complete the following:

Results

Exam complete. Results are being recorded.

Results

You will need to meet or exceed the 80% pass mark to obtain a certificate. Save the module to log it in your CPD Diary.

Enter your course reflection:

Enter your course outcomes:

Question 1 of 10

1. Question

When considering the presentation of patients with a sore throat to health care professionals, which one of the following statements is correct?

Most patients going to their GP in the UK will be managed without an antibiotic prescription
Correct Incorrect Correct answer

Group A β haemolytic streptococcus (GABHS) is the most common organism responsible
Correct Incorrect Correct answer

Tonsillitis and pharyngitis are completely different disease processes
Correct Incorrect Correct answer

Most patients seek medical care for their sore throat
Correct Incorrect Correct answer

Patients with a sore throat account for approximately 2% of all visits to an emergency department (ED)
Correct Incorrect Correct answer
Question 2 of 10

2. Question

GABHS infection is one of the causes of a sore throat. Which one of the following statements is true regarding this organism?

Exotoxin release is the main pathological process responsible for the development of rheumatic fever
Correct Incorrect Correct answer

Antistreptolysin O titre (ASOT) is a reliable method of identifying recent GABHS infection
Correct Incorrect Correct answer

Up to 20% of adults are asymptomatic carriers of GABHS
Correct Incorrect Correct answer

Peritonsillar abscess is a non-suppurative complication of GABHS infection
Correct Incorrect Correct answer

Rheumatic fever is a far rarer problem in the developing world than in the western world
Correct Incorrect Correct answer
Question 3 of 10

3. Question

An 11-year-old boy is brought to the ED by his parents. He is complaining of a sore throat. You start your assessment – which one of the following statements is correct with regards to the history?

A reported inability to swallow should be assessed after adequate analgesia
Correct Incorrect Correct answer

Abdominal symptoms are common in children and indicate a high chance of GABHS infection
Correct Incorrect Correct answer

A history of a previous episode of post-streptococcal glomerulonephritis will not alter your management of this patient
Correct Incorrect Correct answer

Stridor is common in tonsillopharyngitis in childhood
Correct Incorrect Correct answer

Neck stiffness is a common complaint and is always due to enlarged lymph nodes in the neck
Correct Incorrect Correct answer
Question 4 of 10

4. Question

You start to examine the boy and after ensuring his ABC assessment is normal, you begin by conducting a general examination. Which one of the following statements is true regarding this assessment?

A general examination is usually not needed as positive findings are rare
Correct Incorrect Correct answer

The presence of a macular rash with confluence in the skin folds is characteristic of rheumatic fever
Correct Incorrect Correct answer

Hepatosplenomegaly may be found in infectious mononucleosis
Correct Incorrect Correct answer

Erythema migrans is the characteristic rash found in rheumatic fever
Correct Incorrect Correct answer

New heart murmurs may be found as a complication of scarlet fever
Correct Incorrect Correct answer
Question 5 of 10

5. Question

You move on to examine the boy’s mouth and throat. Which one of the following statements is true regarding this examination?

Unilateral peri-tonsillar swelling with uvular deviation is a classic finding in quinsy
Correct Incorrect Correct answer

Diphtheria typically causes a petechial rash on the pharynx and palate
Correct Incorrect Correct answer

A strawberry tongue is only found in scarlet fever
Correct Incorrect Correct answer

Retropharyngeal abscess is diagnosed by finding a pseudomembrane on the posterior pharyngeal wall
Correct Incorrect Correct answer

It is important to view the pharynx clearly, so use of a tongue depressor is mandatory
Correct Incorrect Correct answer
Question 6 of 10

6. Question

To help in your decision whether to treat your patient with a course of antibiotics, you decide to calculate a FeverPAIN score. Which one of these statements is accurate regarding this calculation?

The presence or absence of a cough has no bearing on the score
Correct Incorrect Correct answer

The age of the patient has no bearing on the score
Correct Incorrect Correct answer

The presence of exudate on the tonsils means that antibiotics should always be given
Correct Incorrect Correct answer

A score of 3 or more means that antibiotics should always be given
Correct Incorrect Correct answer

The use of a sore throat score may reduce unnecessary antibiotic prescriptions by 10%
Correct Incorrect Correct answer
Question 7 of 10

7. Question

The parents are concerned that you are not going to do any tests to confirm your diagnosis. Which one of the following statements is correct?

The rapid streptococcal antigen test is well validated and widely used in the UK
Correct Incorrect Correct answer

Blood tests should be performed for all patients attending ED with a sore throat as they are more likely to represent severe disease
Correct Incorrect Correct answer

A rapid streptococcal antigen test is highly specific and a negative test effectively rules out GABHS infection
Correct Incorrect Correct answer

Throat swabs are of limited use due to operator-dependent technique and the presence of asymptomatic carriers of GABHS
Correct Incorrect Correct answer

A lateral soft tissue neck x-ray shows characteristic abnormalities in peritonsillar abscess
Correct Incorrect Correct answer
Question 8 of 10

8. Question

You diagnose tonsillopharyngitis in your patient. In making your decision how to treat him, you take a number of factors into consideration. Which one of these statements is true regarding this decision?

A course of antibiotics is likely to significantly shorten the course of his illness
Correct Incorrect Correct answer

Antibiotics should not be withheld if the person has very severe symptoms and there is concern about their clinical condition
Correct Incorrect Correct answer

If you don’t prescribe antibiotics, it is likely that he and his parents will be very unhappy with his management
Correct Incorrect Correct answer

Prescribing a course of antibiotics will have no effect on his decision to seek medical help for future sore throat illnesses
Correct Incorrect Correct answer

If an expectant policy for antibiotic treatment is used, the risk of him developing complications is much greater
Correct Incorrect Correct answer
Question 9 of 10

9. Question

When considering how to treat a patient with tonsillopharyngitis, which one of the following statements is correct?

The standard antibiotic regime used for GABHS infection is a five day course of phenoxymethylpenicillin
Correct Incorrect Correct answer

There is no evidence that either paracetamol or non-steroidal anti-inflammatory drugs have a positive effect on a sore throat illness
Correct Incorrect Correct answer

Erythromycin is as effective as phenoxymethylpenicillin when treating GABHS infection in penicillin allergic individuals
Correct Incorrect Correct answer

Patients with more than three episodes of tonsillopharyngitis should be referred to ENT for consideration of tonsillectomy
Correct Incorrect Correct answer

Erythromycin is the antibiotic of choice for pregnant women with tonsillopharyngitis who are penicillin allergic
Correct Incorrect Correct answer
Question 10 of 10

10. Question

There are a number of illnesses other than tonsillopharyngitis which may present as a sore throat. Which one of the following is true regarding these problems?

Scarlet fever may be complicated by Lemierre’s syndrome
Correct Incorrect Correct answer

Having made a diagnosis of epiglottitis, this mandates early intubation of the patient
Correct Incorrect Correct answer

Incision and drainage is the only effective way of managing peritonsillar abscess
Correct Incorrect Correct answer

Retropharyngeal abscess may be complicated by the development of mediastinitis
Correct Incorrect Correct answer

The presence of stridor in epiglottitis is common and is not predictive of the development of airway obstruction
Correct Incorrect Correct answer

Exam Summary

Information

Results

Results

Categories

1. Question

2. Question

3. Question

4. Question

5. Question

6. Question

7. Question

8. Question

9. Question

10. Question

Leave a Comment Cancel reply