Anatomy
Name the 3 major salivary glands.
What is the parotid, submandibular, and sublingual
Thin, white patch/plaque on oral mucosa that can't be wiped off
What is homogenous leukoplakia
What is the treatment of a small oral squamous cell carcinoma?
What is local resection
Which lymph nodes are most commonly associated with infectious mononucleosis?
What is Posterior cervical
70 y/o male with a 1 pack/day x 50 yrs smoking hx presents to primary care for a check up. On oral exam you note an erythematous, velvety patch on the right lateral edge of his tongue. What should you be concerned for in this pt and what is or are the possible diagnosis?
What is dysplasia or carcinoma and/or erythroplakia
What are the Palatoglossal and Palatopharyngeal arches
Erythema, maceration, scaling and fissuring typically at the corners of the mouth
What is angular cheilitis
What is the treatment of choice in an immunocompetent pt with Thrush?
What is Clotrimazole troches or nystatin mouth rinse.
Name 2 indications for a tonsillectomy.
What are:
>6-7 episodes of tonsillitis in 1 yr, 5 episodes/yr x 2 yrs, 3 episodes/ur x 3 yrs
Recurrent tonsillitis w/ recurrent febrile seizures or cardiac valvular disease
Chronic tonsillitis
Obstructive disease or infectious disease
50 y/o female smoker c/o white spots on her tongue for several months. She denies pain. She states she was on abx for a "sinus infection" a few months ago which cleared her right up. On exam you note a thin, white patch on the right lateral edge of her tongue. You tried scraping the lesion and it did not budge. What is the most likely diagnosis?
What is leukoplakia
What are the Adenoid, tubal, palatine, and lingual tonsils
Sore throat, trismus, deviated uvula, asymmetric soft palate
What is peritonsillar abscess
What is the most typical 1st line treatment for strep pharyngitis?
What is PCN V
What is the Centor criteria?
What is tonsillar exudate, tender anterior cervical lymphadenopathy, fever, and absence of cough
12 y/o female c/o sore throat x 5 days progressively getting worse. This morning the pts mother noted she appears lethargic and significantly more ill. She also noted the pt was having trouble swallowing her oral secretions. On exam you note nuchal rigidity, trismus, and drooling. She is not having any trouble breathing. What do you need to be worried about and what is the next best step in the evaluation of this patient to confirm your suspicion?
What is a retropharyngeal abscess and CT
Which cranial nerve provides motor innervation to most of the tongue?
What is CN XII or hypoglossal
Firm, erythematous, swollen preauricular area, fever, may appear toxic
What is suppurative parotitis
What is the most important to manage in a patient with Ludwig's Angina?
What is airway management
A common "canker sore" with a white base and surrounded by a red halo
What is Aphthous Ulcer
A 22 y/o college student presents with fatigue, fever, and sore throat x 3 days. On exam you note a swollen, erythematous O/P with tonsillar exudate, posterior cervical lymphadenopathy and some mild LUQ ttp but no obviously palpable spleen. Rapid strep was neg and heterophile test was neg. What is the next best step in the management of this pt?
What is symptomatic treatment, restrict from strenuous physical activity or contact sports, and repeat heterophile test in a few days. Could consider throat culture.
Name the 3 areas of the pharynx.
What is the nasopharynx, oropharynx, and laryngopharynx
Unilateral pain/swelling under mandible, usually aggravated by eating
What is sialolithiasis
What is the treatment of angular cheilitis?
What is barrier cream (zinc oxide), topical azole if suspecting candida, topical mupirocin if suspect staph aureus
What would you expect to see on a Tzank smear of scrapings from a HSV lesion?
What is multinucleated giant cells
32 y/o male c/o painful swelling under his left jaw that started just after eating lunch. He denies any recent illness, sore throat, fever, or tooth pain. On exam you not swelling with mild ttp over the left submandibular gland without overlying erythema. You do not palpate a stone or get any d/c from the ductal opening. What is the best management of this patient?
What is moist heat, gland/duct massage, suck on sour candies, analgesics if needed.