Question 1

A patient diagnosed with acute suppurative parotitis has been taking amoxicillin-clavulanate for 4 days without improvement in symptoms. The provider will order an antibiotic for Methicillin-resistant S. aureus. Which other measure may be helpful?

A) Cool compresses
B) Discouraging chewing gum
C) Surgical drainage
D) Topical corticosteroids

C

Accepted Answer

Acute suppurative parotitis is commonly caused by S. aureus, which can be resistant to certain antibiotics, such as amoxicillin-clavulanate. In cases where antibiotics are not effective, surgical drainage may be necessary to remove the infected material and improve symptoms. Cool compresses may provide some relief, but they will not address the underlying infection. Discouraging chewing gum may reduce salivary gland stimulation and subsequent inflammation, but it is not a definitive treatment. Topical corticosteroids are not typically used for acute suppurative parotitis.

Question 2

Which physical examination finding suggests viral rather than bacterial parotitis?&#10;A) Clear discharge from Stensen's duct&#10;B) Enlargement and pain of affected glands&#10;C) Gradual reduction in saliva production&#10;D) Unilateral edema of parotid glands

Accepted Answer

Clear discharge from Stensen's duct suggests viral parotitis as it is the result of increased saliva flow due to inflammation, while bacterial parotitis typically causes pus-filled discharge.

Question 3

What are factors associated with acute suppurative parotitis? (Select all that apply.)&#10;A) Allergies&#10;B) Anticholinergic medications&#10;C) Diabetes mellitus&#10;D) Hypervolemia&#10;E) Radiotherapy

Accepted Answer

Factors associated with acute suppurative parotitis include anticholinergic medications, diabetes mellitus, and radiotherapy. Allergies and hypervolemia are not associated with this condition.

Deck 81: Parotitis