General Surgery — Flashcards

Flashcard 181: Otoscopy of otitis media with effusion will show a _____, retracted tympanic membrane +/- a(n) air fluid level/bubbles

Answer: dull

Flashcard 182: The _____ & Centor criteria are used in sore throat/tonsillitis to assess the likelihood of streptococcal infection and guide the need for antibiotics

Answer: FeverPAIN

Flashcard 183: FeverPAIN criteria guidance: 0-1: _____ 2-3: No antitbiotics or back-up prescription (34-40%*) 4-5: Antibiotics (62-65%*)

Answer: No antibiotics (13-18%*)

Flashcard 184: What is the management of suspected viral tonsillitis? _____

Answer: Supportive; simple analgesia (paracetamol or ibuprofen) & fluids

Flashcard 185: Otitis externa in the presence of a _____ may indicate spread of infection

Answer: fever >38 C

Flashcard 186: 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 187: Acute otitis media is a _____ diagnosis

Answer: clinical

Flashcard 188: Patients with acute otitis media who are systemically unwell or are immunocompromised should be given an _____

Answer: immediate antibiotic prescription

Flashcard 189: In penicillin-allergic patient, what is a suitable alternative to phenoxymethylpenicillin for a bacterial sore throat?

Answer: • Clarithromycin

Flashcard 190: _____ is a severe, necrotising infection of the external auditory canal which can extend to the skull base

Answer: Malignant otitis externa