General Surgery — Flashcards

Flashcard 171: Acute otitis media is typically _____ and lasts 3 days, but can last up to 1 week

Answer: self-limiting

Flashcard 172: Bacterial tonsillitis that presents with trismus, deviated uvula, & muffled voice & unilateral swelling should raise suspicion for _____

Answer: peritonsillar abscess (quinsy)

Flashcard 173: Which antibiotics are used for acute otitis media? 1st line: _____ Alternative 1st line: Clarithromycin/Erythromycin

Answer: Amoxicillin

Flashcard 174: Centor criteria guidance: 0-2: _____ 3-4: Antibiotics (32-56%*)

Answer: No antibiotics (3-17%*)

Flashcard 175: The FeverPAIN criteria for likelihood of strep throat: _____ Purulent tonsils Attend rapidly (within 3 days of onset) severely Inflamed tonsils No cough

Answer: Fever during previous 24hrs

Extra: Calculation: 1 point for each. Score 0-1: 13-18% chance of Strep. No antibiotic usually needed. Score 2-3: 30-40% chance of Strep. Consider backup prescription. Score 4+: 62-65% chance of Strep. Consider immediate antibiotic.

Flashcard 176: Otitis externa with signs of spreading infection may be managed with _____ in combination with topical treatment

Answer: systemic antibiotics (e.g. flucloxacillin)

Flashcard 177: Patients with acute otitis media who hav otorrhoea or are <2 years old with bilateral infection should be considered for an _____ or delayed antibiotic prescription

Answer: immediate

Flashcard 178: What can be an adverse effect of axillary node clearance in Breast Cancer surgery?

Answer: • Arm lymphedema and functional arm impairment • sensations of: heaviness, tightness, and weakness along with a limited range of motion

Flashcard 179: _____ tonsillitis presents with sudden-onset fever, severe pain on swallowing, exudative tonsils, & cervical lymphadenopathy

Answer: Bacterial

Flashcard 180: Otoscopy of acute otitis media will show an _____ tympanic membrane that is bulging with loss of the light reflex

Answer: erythematous