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Chapter 82: Peritonsillar Abscess Buttaro: Primary Care: A Collaborative Practice, 6th Edition
from TEST BANK; Buttaro: Primary Care Interprofessional Collaborative Practice 6TH EDITION. All Chapters
by StudyGuide
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 a. Intubation to protect the airway b. Needle aspiration of the abscess c. Systemic corticosteroid administration d. Tonsillectomy and adenoidectomy
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?
NURSINGTB.COM
ANS: B
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.
