Question 1

Which microorganism is the most common cause of tonsillitis in adolescents?

Accepted Answer

The answer of Which microorganism is the most common cause...

Question 2

Which of the following conditions can cause upper airway obstruction?

Accepted Answer

Epiglottitis is a condition that can cause upper airway obstruction due to inflammation and swelling of the epiglottis, potentially blocking the flow of air into the lungs.

Question 3

A condition that presents as painless, raised white patches on the oral mucosa that predisposes the patient to squamous cell carcinoma is:

Accepted Answer

Leukoplakia is characterized by painless, raised white patches on the oral mucosa and is known to predispose individuals to squamous cell carcinoma.

Question 4

A patient complains of fever, fatigue, and pharyngitis. On physical examination there is pronounced cervical lymphadenopathy. Which of the following diagnostic tests should be considered?

Accepted Answer

The symptoms described are common to both mononucleosis and streptococcal pharyngitis, making Mono spot, Strep test, and Throat culture all appropriate diagnostic tests to consider.

Question 5

Your patient is a 78-year-old female with a smoking history of 120-pack years. She complains of hoarseness that has developed over the last few months. It is important to exclude the possibility of:

Accepted Answer

Laryngeal cancer is a significant concern in patients with a long history of smoking and new-onset hoarseness, especially in the elderly. Smoking is a major risk factor for laryngeal cancer.

Question 6

Your patient has been using chewing tobacco for 10 years. On physical examination, you observe a white ulceration surrounded by an erythematous base on the side of his tongue. The clinician should recognize that very often this is:

Accepted Answer

Squamous cell carcinoma is often associated with the use of tobacco products, including chewing tobacco. The description of a white ulceration with an erythematous base in a patient with a long history of chewing tobacco use raises concern for this type of cancer.

Question 7

A 26-year-old female who gave birth 1 month ago presents with sudden development of fever, neck pain, sore throat with dysphagia, and radiation of pain to the ear. Which of the following conditions is most important to consider?

Accepted Answer

Given the patient's recent postpartum status and the symptoms of fever, neck pain, sore throat with dysphagia, and radiation of pain to the ear, thyroiditis, particularly postpartum thyroiditis, is the most important condition to consider. Postpartum thyroiditis can occur in women within a year after giving birth and can present with symptoms similar to those described.

Question 8

Which microorganism is the most common cause of peritonsillar abscess?

Accepted Answer

Group A beta Hemolytic streptococcus is the most common bacterial cause of peritonsillar abscess, often following pharyngitis or tonsillitis.

Question 9

Rheumatic heart disease is a complication that can arise from which type of infection?

Accepted Answer

Rheumatic heart disease is a complication that can arise from an infection with Group A beta-hemolytic streptococcus, typically following rheumatic fever, which itself is a complication of untreated or inadequately treated streptococcal throat infections.

Quiz 6: Ear, Nose, Mouth, and Throat