Quiz
Clin Med - Mouth and Throat Conditions
Questions in this quiz (42)
1A 15-year-old boy presents with an exudative tonsillitis. Anterior and posterior cervical lymph nodes are enlarged and tender. The rapid antigen test for strep is negative for group A β-hemolytic streptococcus. What is the most appropriate step in treating this disease?
- Atreat presumptively with penicillin
- Bcheck for a history of recurrent tonsillitis
- Cwait for confirmation of the disease with a formal culture
- Dassume it is viral, and therefore, self-limited
- Eperform a serum assay for mononucleosis
2A febrile, 18-year-old boy presents with a 4-day history of sore throat that has suddenly become much worse. He complains of pain when attempting to eat or drink and has difficulty opening his mouth. He has a “hot potato” voice. On the basis of this clinical presentation, what is your diagnosis?
- Aepiglotitis
- Bretropharyngeal abscess
- Ccroup
- Dtonsillitis
- Eperitonsilar abscess
3A 19 year old patient presents with a sore throat, low grade fever, fatigue, and cervical lymphadenopathy. When you do a blood smear you would find an increase in which of the following?
- Ahypersegmented neutrophils
- Batypical lymphocytes
- Ceosinophils
- Dmonocytes
4After reviewing your patient's blood smear you find an increase of atypical lymphocytes. Which of the following diagnostic tests would be the most appropriate next step?
- ACBC with differential
- Bheterophile antibody test
- Crapid antigen testing for GABHS
- DNone of the above
5Your patient has tested positive for group A beta-hemolytic streptococcus infection, and also tested positive for heterophile agglutination test. Which of the following is the best treatment option?
- AAmpicillin
- BAzithryomycin
- CSymptomatic OTC treatment
- DAmoxicillin
6A rapid strep test is 97% sensitive and if your patient tests positive for strep, you should prescribe antibiotics.
- ATrue
- BFalse
7Which of the following is a complication of streptococcal pharyngitis?
- Ascarlet fever
- Bglomerulonephritis
- Crheumatic myocarditis
- Dlocal abscess formation
- Eall of the above
8Which of the following antibiotics would you prescribe for treatment of streptococcal pharyngitis?
- AAzithromycin
- BPenicillin V
- CCefuroxime
- DNone of the above can be used to treat streptococcal pharyngitis
- EAll of the above can be used to treat streptococcal pharyngitis
9Your patient is a 15 year old female complaining of a sore throat. P/E findings include fever, tender cervical lymphadenopathy, and pharyngotonsillar exudate. Patient denies fatigue and cough. What organism is most likely causing these symptoms.
- AGroup A beta-hemolytic streptococcus
- BEpstein Barr Virus
- CCandidiasis
- DHerpes simplex
10A 10 year old boy was playing outside for recess and was stung by a bee. He ran to a teacher nearby and expressed that he felt like he couldn’t breathe and appeared to be in a state of panic. What condition is this patient experiencing?
- Alymphocytosis
- Banaphylaxis
- Curticaria
- Dangioedema
11A patient was given penicillin and 1 hour later developed puritic, erythematous cutaneous lesions on her chest. What condition is this patient experiencing?
- Alymphocytosis
- Burticaria
- Cangioedma
- Danaphylaxis
12Your patient went out to a seafood restaurant and consumed shrimp, lobster, and crab. Her husband noticed her face begin to swell, particularly around her eyes and lips. What condition is this patient experiencing?
- Aangioedema
- Blymphocytosis
- Curticaria
- Danaphylaxis
13Your patient is a 32 year old male that you have just diagnosed with epiglotitis. What is the next appropriate course of action?
- AAdmit pt, start IV antibiotics (cefuroxime), give a steroid bolus (dexamethasone), and continuously monitory pulse oximetry
- BIntubate patient as their airway is likely to close at any moment
- CImmediately send the patient to the OR
- DAdmit this patient for observation but no treatment is necessary at this time
14Your patient complains of hoarseness following a URI. You diagnosis this as acute laryngitis. Which of the following is the most appropriate treatment option?
- AInstruct patient to avoid vigorous use of their voice until laryngitis subsides
- BPrescribe antibiotics
- CPrescribe oral corticosteroids
- DNone of the above
15Your patient is a 32 year old male who comes to the ER complaining of a rapidly developing sore throat with odynophagia. Indirect laryngoscopy shows a red, swollen, epiglottis. What is your diagnosis?
- AEpiglotitis
- BTonsillitis
- CPeritonsillar Abscess
- DStreptococcal Infection
16Your patient is a 45 year old male who comes to the ER presenting with extreme edema, erythema, and pain of the upper neck under the chin. The floor of the mouth is also edematous, erythematous and pustulent. The patient’s tongue is displaced upward and backward. Which of the following is the most appropriate course of treatment?
- ASecure the airway via intubation or tracheotomy
- BStart IV antibiotics (penicillin + metronidazole)
- CIncise and drain the abscess (send for C/S)
- DAll of the above should be conducted
1780% of salivary tumors appear in the parotid gland.
- ATrue
- BFalse
18Your patient is a 45 year old man who complains of a sore throat. He presents with a low grade fever and gray tonsillar pseudomembrane. He admits to having alcoholism. What is the most likely diagnosis?
- AViral Pharyngitis
- BStreptococcal Pharyngitis
- CCandidiasis Pharyngitis
- DPharyngeal Diptheria
19Your patient presents with a red, painful sore throat. Which of the following would be included in your differential diagnosis?
- APharyngitis, Peritonsilar Abscess, GERD
- BPharyngitis, Peritonsilar Abscess, Trench Mouth
- CPeritonsilar Abscess, Erythroplakia, GERD
- DPharyngitis, GERD, Glossitis
20Which of the following organisms may be responsible for viral pharyngitis?
- ARhinovirus
- BAdenovirus
- CEpstein-Barr Virus
- DParainfluenza
- EAll of the above
21Which of the following organisms may be responsible for bacterial pharyngitis?
- AGaba A beta-hemolytic streptococcus
- BNeisseria Ghonorrhea
- CCorneybacterium Diptheria
- DH. influenza
- EAll of the above
22Your patient presents with a red, very painful sore throat. P/E findings include erythematous, edematous tonsils with peritonsillar exudate and cervical lymphadenopathy. Rapid strep test comes back negative and you sent the other swab out for culture. You order a CBC with differential and find increased WBCs with a left shift. Which of the following would be the best treatment choice at this point?
- APenicillin V
- BAncillary treatment with OTC medications
- CFluconazole
- DOral Corticosteroids
23Your patient is complaining of a sore throat. P/E findings include an erythematous pharynx with intraoral white papules. You patient is currently using oral inhalational steroids quite frequently. Based on this information, what is the most likely diagnosis?
- ADiptheria Pharyngitis
- BViral Pharyngitis
- CCandidiasis Pharyngitis
- DStrep Pharyngitis
24Your patient is a 15 year old female complaining of extreme fatigue and sore throat. P/E findings include fever, erythematous and edematous pharynx and tonsils, palatal petechiae, lymphadenopathy, and splenomegaly. What is the most likely diagnosis?
- AInfectious Mononucleosis
- BCandidiasis Pharyngitis
- CDiphtheria Pharyngitis
- DNone of the above
25Your patient is 50 year old man who is complaining of bleeding in the mouth. Patient admits to frequent smoking and alcohol consumption. P/E findings include erythematous tongue, an ulcerative lesion under the tongue which measures at 6 mm deep and 7 mm in diameter, and marked lymphadenopathy. What is the most likely diagnosis?
- AThrush
- BErythroplakia
- CSquamous Cell Carcinoma
- DOral Lichen Planus
- ELeukoplakia
26Your patient is complaining of discoloration of his tongue. P/E findings include an erythematous lesion on the tongue that cannot be rubbed off. It is measured at 2 mm deep and 2 mm in diameter. Based on this information, what is the most likely diagnosis?
- AErythroplakia
- BOral lichen planus
- CSquamous cell carcinoma
- DThrush
- ELeukoplakia
27Your patient presents with white lesions on the lateral border of their tongue. Hx includes dentures. Using a gauze pad, you are unable to rub the lesion off of the mucosal surface. What is the most likely diagnosis?
- ALeukoplakia
- BErythroplakia
- COral Lichen Planus
- DSquamous Cell Carcinoma
- EThrush
28Your patient is in the hospital receiving chemo therapy and complains of oral discomfort. P/E findings include erythema of the oral cavity and white fluffy patches covering the tongue. With a gauze pad you are able to remove the white patches off of the mucosal surface by gentle rubbing. Below the white patches the tongue appears "beefy red." What is your diagnosis?
- AErythroplakia
- BLeukoplakia
- COral Lichen Planus
- DOral Candidiasis
29You just diagnosed your patient with oral candidiasis. Which of the following is the most appropriate course of treatment?
- AFluconazole
- BAmoxicillin
- CAzithromycin
- DAcyclovir
30You just diagnosed your patient with erythroplakia, what is the most appropriate next step in treatment?
- AIncisional biopsy and refer to oncologist
- BTell pt to come back if lesion gets larger
- CTell pt to come back if mouth begins to bleed
- DErythroplakia is usually benign and no further treatment is necessary
31Your patient has oral candida albicans. Which of the following would you use to treat this condition?
- AFluconazole
- BKetoconazole
- CNystatin mouth rinses
- DClotrimazole troches
- EAll of the above are effective treatments
32Your patient is a 30 year old male complaining of burning/tingling pain in the mouth. Patient is HIV positive. P/E findings include presence of multiple ulcers (~7) on both the buccal mucosa and tongue. What is your diagnosis?
- AHerpetic stomatitis
- BAphthous ulcer
- C Trench mouth
- DGlossitis
33Your patient presents with burning/tingling pain in the oral cavity. Your patient is HIV positive and has been diagnosed with herpetic stomatitis several times before. You suspect herpes vesicles will begin to appear soon. What is the most appropriate next course of action?
- AWait until vesicles or ulcers appear for accurate diagnosis
- BPrescribe acyclovir
- CPrescribe azithromycin
- DNone of the above
34Your patient presents with an erythematous, edematous tongue that is smooth-surfaced and lacks filiform papillae. Your patient denies having any pain. What is the most likely diagnosis?
- AGlossitis
- BGlossodynia
- CStomatitis
- DVincent's infection
35Your patient complains of burning pain of the tongue. Which of the following best represents this complaint?
- AGlossodynia
- BGlossitis
- CStomatitis
- DVincent's Infection
36Your patient is complaining of a painful sore in their mouth. P/E findings include the presence of an ulcer on the buccal mucosa that is small, round, with a yellow-gray center surrounded by a red halo. What is your diagnosis?
- AWegener’s granulomatosis
- BOral lichen planus
- CAphthous ulcer
- DHerpetic stomatitis
37Your patient complains that they frequently get apthous ulcers. What treatment would you recommend for them?
- ATopical Steroids (triamcinolone acetonide or flucinonide ointment)
- BAcyclovir
- CFluconazole
- DSystemic antibiotics
38Your patient presents with what appears to be lacy leukoplakia but after biopsy, you determine it to be oral lichen planus. Which of the following best describes the etiology and treatment plan for this condition?
- Achronic inflammatory autoimmune disease - treat with oral or systemic corticosteroids
- BSquamous cell carcinoma - refer to oncologist
- CCandida Albicans - treat with fluconazole
- DHerpes Simplex - treat with acyclovir
39Necrotizing ulcerative gingivitis is also called Trench Mouth, or Vincent's infection.
- ATrue
- BFalse
40Your patient is a 23 year old PA student that is quickly approaching a "hell week" (multiple exams) in school. She complains of painful gingiva. P/E findings include gingival inflammation and necrosis, bleeding, halitosis, fever, and cervical lymphadenopathy. What is your diagnosis?
- ATrench Mouth
- BHerpes stomatitis
- CGlossodynia
- DOral Lichen Planus
41You diagnosed your patient with Trench Mouth. Which of the following best describes the etiology and treatment plan for this condition?
- Aspirochetes and fusiform bacilli - penicillin and oral peroxide rinses
- Bcandida albicans - fluconazole
- Cherpes simplex - acyclovir
- DNone of the above
42Your patient complains of a persistently runny nose, occasional epistaxis, sinus pain, malaise, and hemoptysis. What is the most likely diagnosis and treatment?
- AWegener’s granulomatosis - corticosteroids
- BVincent’s Infection - penicillin and peroxide rinses
- COral Lichen Planus - corticosteroids
- DHerpetic Stomatitis - acyclovir
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- Practice quiz based on focused review points
- Author
- claire.p.larkin
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- English
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