General Surgery — Flashcards

Flashcard 151: Examination of the ear in otitis externa may reveal pain upon pulling _____ on the auricle

Answer: up + back

Flashcard 152: What is the management of suspected bacterial tonsillitis? 1st-line: _____ Alternative: Clarithromycin

Answer: Phenoxymethylpenicillin (penicillin V)

Flashcard 153: Malignant otitis externa may cause _____ if there is osteomyelitis of the skull base

Answer: cranial nerve palsies

Flashcard 154: Patients with acute otitis media should be given _____ if there is no improvement within 3 days

Answer: antibiotics

Flashcard 155: The Centor criteria for isolating strep throat: _____ tonsillar Exudates Nodes (anterior cervical lymphadenopathy) Temperature (>38°C)

Answer: absent Cough → "Can't Cough"

Flashcard 156: What is the management of malignant otitis externa? _____

Answer: Admission to hospital for IV antibiotics (e.g. ciprofloxacin or pip-taz - both cover for pseudomonas)

Flashcard 157: _____ is a severe, necrotising infection of the external auditory canal which can extend to the skull base

Answer: Malignant otitis externa

Flashcard 158: What is the management for bacterial tonsillitis?

Answer: Phenoxymethylpenicillin for 10 days

Extra: Treatment is indicated for suspected Group A Streptococcal (GAS) infection (e.g., based on Centor or FEVER-PAIN criteria). A 10-day course of Penicillin V remains the first-line gold standard for GAS eradication.

Flashcard 159: Consider _____ for acute otitis media if there is no-response to treatment OR the patient is severley unwell OR immunodeficiency

Answer: MC&S

Flashcard 160: Examination of the ear in malignant otitis externa may reveal _____

Answer: granulation tissue