ENT

Question 1

What are the common responsible organisms for tonsillitis?

Answer 1

1. Group A B-haemolytic strep

2. EBV

Question 2

What are the Centor criteria for tonsillitis?

Answer 2

1. Tonsillar exudate
2. Tender anterior cervical lymphadenopathy
3. History of fever
4. Absence of cough

Question 3

If decided to prescribe, what is the Abx of choice for tonsillitis?

Answer 3

Phenoxymethylpenicillin for 10 days

Question 4

What Abx do you give in tonsillitis if allergic to penicillin?

Answer 4

Erythromycin or clarithromycin for 5 days

Question 5

What are the criteria for tonsillectomy?

Answer 5

7 episodes in 1 year; 5 episodes each year for 2 years; 3 episodes each year for 3 years

Question 6

Why are children predisposed to otitis media?

Answer 6

Their Eustachian tubes are:

1. Short
2. Horizontal
3. Function poorly

Question 7

What are the common causative organisms of otitis media?

Answer 7

Viral causes:
1. Rhinovirus
2. RSV
Bacterial causes:
1. Pneumococcus
2. H. influenzae
3. Moraxella catarrhalis