TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 82: Peritonsillar Abscess Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. An adolescent presents with fever, chills, and a severe sore throat. On exam, the provider
notes foul-smelling breath and a muffled voice with marked edema and erythema of the peritonsillar tissue. What will the primary care provider do? a. Evaluate for possible epiglottitis. b. Perform a rapid strep and throat culture. c. Prescribe empirical oral antibiotics. d. Refer the patient to an otolaryngologist. ANS: D
This patient has clinical signs of peritonsillar abscess, which may be diagnosed on clinical signs alone. Patients with peritonsillar abscess should be referred to an otolaryngologist for possible I&D of the abscess and hospitalization for IV antibiotics. A rapid strep and culture are not indicated. Oral antibiotics generally do not work. 2. A patient is diagnoses with peritonsillar abscess and will be hospitalized for intravenous
antibiotics. What additional treatment will be required? a. Intubation to protect the airway b. Needle aspiration of the abscess c. Systemic corticosteroid administration d. Tonsillectomy and adenoidectomy ANS: B
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Needle aspiration, antibiotics, pain medication, and hydration can effectively treat peritonsillar abscess. Intubation is not performed unless the airway is compromised. Systemic corticosteroid administration is useful, but not required in all cases. Tonsillectomy alone is sometimes performed if recurrent tonsillitis or peritonsillar abscess is present.
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