FNP 2 Mouth Exam Questions with
Complete Solutions| Verified Answers
Pharyngitis/Tonsillitis - ANSWER URIs very common in children
Occur 6-10 times per year
Pharyngitis is part of most URIs
Acute pharyngitis is the condition in which the principal involvement is the throat
Disease is uncommon in children less than 1 year of age
Peaks at 4-7 years, continues throughout later childhood and adult life
What causes most acute pharyngitis episodes? - ANSWER Rhinovirus,
coronavirus, adenovirus: 30%
Epstein Barr: 1%
Influenza and parainfluenza: 4%
Group A beta-hemolytic strep: (GABHS) the most common bacterial causative agent,
accounts for 37% of cases of acute pharyngitis in children older than 5 (NIH, 2011)
Group C strep: 5%
C pneumoniae: 1%
M. pneumoniae: 1%
Anaerobes: 1%
clinical manifestations of acute viral pharyngitis - ANSWER gradual onset
,Fever, malaise, anorexia, moderate throat pain, close contact has cold. Conjunctivitis,
rhinitis, cough, hoarseness, coryza, ulcerative lesions, viral exanthems, diarrhea may
occur. Illness lasts less than 24 hours, may persist mildly for up to 5 days.
clinical manifestation of GABHS infection acute pharyngitis - ANSWER sudden onset
Fever, headache, nausea, vomiting, abdominal pain, tonsillopharyngeal
inflammation, +/- exudate
Palatal petechiae
Tender cervical adenitis
History of exposure to strep pharyngitis
Scarlatinaform rash possible
Age 5-15 years common
Acute Bacterial Pharyngitis Clinical Manifestations - ANSWER Streptococcal
pharyngitis common nonspecific findings include headache and abdominal pain with
vomiting. Then:
Fever, as high as 104 °F
Sore throat, sometimes tonsillar enlargement, exudate, pharyngeal edema
Anterior cervical lymphadenopathy
Petechial mottling of the soft palate
Uncommon in children under 2 but can occur if siblings/close contacts affected
, Strep pharyngitis occurs most often in winter and spring. Incubation is 2-5 days.
tx of pharyngitis - ANSWER Viral pharyngitis, even if it is due to mono, requires
no antibiotics
Strep pharyngitis should be treated with the first 9 days of
symptoms Penicillin, cephalosporins, macrolides
strep pharyngitis tx
Penicillin V, oral - ANSWER 250 mg po bid/tid in children.
250 mg po qid in adolescents or 500 mg po bid 10 days
strep pharyngitis tx
Amoxicillin - ANSWER 50 mg per kg once daily
(maximum = 1,000 mg) 10 days
strep pharyngitis tx
penicillin G benzathine, IM - ANSWER ≥60 lb: 1,200,000 U One dose
strep pharyngitis tx
cephalexin (Keflex), oral - ANSWER 20 mg per kg per dose twice daily
(maximum = 500 mg per dose) 10 days
strep pharyngitis tx
clindamycin, oral - ANSWER 7 mg per kg per dose three times daily
(maximum = 300 mg per dose) 10 days
Complete Solutions| Verified Answers
Pharyngitis/Tonsillitis - ANSWER URIs very common in children
Occur 6-10 times per year
Pharyngitis is part of most URIs
Acute pharyngitis is the condition in which the principal involvement is the throat
Disease is uncommon in children less than 1 year of age
Peaks at 4-7 years, continues throughout later childhood and adult life
What causes most acute pharyngitis episodes? - ANSWER Rhinovirus,
coronavirus, adenovirus: 30%
Epstein Barr: 1%
Influenza and parainfluenza: 4%
Group A beta-hemolytic strep: (GABHS) the most common bacterial causative agent,
accounts for 37% of cases of acute pharyngitis in children older than 5 (NIH, 2011)
Group C strep: 5%
C pneumoniae: 1%
M. pneumoniae: 1%
Anaerobes: 1%
clinical manifestations of acute viral pharyngitis - ANSWER gradual onset
,Fever, malaise, anorexia, moderate throat pain, close contact has cold. Conjunctivitis,
rhinitis, cough, hoarseness, coryza, ulcerative lesions, viral exanthems, diarrhea may
occur. Illness lasts less than 24 hours, may persist mildly for up to 5 days.
clinical manifestation of GABHS infection acute pharyngitis - ANSWER sudden onset
Fever, headache, nausea, vomiting, abdominal pain, tonsillopharyngeal
inflammation, +/- exudate
Palatal petechiae
Tender cervical adenitis
History of exposure to strep pharyngitis
Scarlatinaform rash possible
Age 5-15 years common
Acute Bacterial Pharyngitis Clinical Manifestations - ANSWER Streptococcal
pharyngitis common nonspecific findings include headache and abdominal pain with
vomiting. Then:
Fever, as high as 104 °F
Sore throat, sometimes tonsillar enlargement, exudate, pharyngeal edema
Anterior cervical lymphadenopathy
Petechial mottling of the soft palate
Uncommon in children under 2 but can occur if siblings/close contacts affected
, Strep pharyngitis occurs most often in winter and spring. Incubation is 2-5 days.
tx of pharyngitis - ANSWER Viral pharyngitis, even if it is due to mono, requires
no antibiotics
Strep pharyngitis should be treated with the first 9 days of
symptoms Penicillin, cephalosporins, macrolides
strep pharyngitis tx
Penicillin V, oral - ANSWER 250 mg po bid/tid in children.
250 mg po qid in adolescents or 500 mg po bid 10 days
strep pharyngitis tx
Amoxicillin - ANSWER 50 mg per kg once daily
(maximum = 1,000 mg) 10 days
strep pharyngitis tx
penicillin G benzathine, IM - ANSWER ≥60 lb: 1,200,000 U One dose
strep pharyngitis tx
cephalexin (Keflex), oral - ANSWER 20 mg per kg per dose twice daily
(maximum = 500 mg per dose) 10 days
strep pharyngitis tx
clindamycin, oral - ANSWER 7 mg per kg per dose three times daily
(maximum = 300 mg per dose) 10 days
