Pharyngeal Abscesses

• Q1.In which of the following locations, there is collection of pus in the quinsy:

  • APeritonsillar space
  • BParapharyngeal space
  • CRetropharyngeal space
  • DWithin the tonsil
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• Q2.In Peritonsillar abscess pain is referred to the ear by:-

  • AV Nerve
  • BIX Nerve
  • CX Nerve
  • DVII Nerve
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• Q3.Which of the following is not true about Acute Retropharyngeal abscess?

  • ADysphonia is common symptom
  • BUsually swelling is seen on posterolateral wall of pharynx
  • CTorticollis is not uncommon
  • DCaries of cervical spine is usually a common cause
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• Q4.A 15 years old Male presented with history of fever since 2 days, unable to swallow the food with muffled voice. On examination it is noted right tonsil is shifted to midline. What is the diagnosis:

  • AQuinsy
  • BAcute tonsillitis
  • CParapharyngeal abscess
  • DAcute retropharyngeal abscess
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• Q5.A patient presented with 2 days history of fever. On examination there was a swelling in the neck and one side tonsil was pushed to midline. What is the most likely diagnosis:-

  • AQuinsy
  • BParapharyngeal abscess
  • CRetropharyngeal abscess
  • DTonsillitis
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• Q6.A 6-year-old boy came to hospital with complaints of sore throat and difficulty in swallowing, his left tonsil was pushed medially and had swelling over left side upper part of neck. What will be the diagnosis?

  • APeritonsillar abscess
  • BRetropharyngeal abscess
  • CLudwig's angina
  • DParapharyngeal abscess
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• Q7.Trismus in parapharyngeal abscess is caused by spasm of which of the following muscle?

  • AMedial pterygoid
  • BLateral pterygoid
  • CMasseter
  • DTemporalis
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• Q8.Ludwig's angina occurs due to infection of:

  • ASubmandibular space
  • BRetropharyngeal space
  • CPharyngomaxillary space
  • DPeritonsillar space
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• Q9.Ludwig's angina is characterized by

  • ARaised tongue
  • BElevation of ear lobe
  • CTrismus
  • DUnilateral swelling
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• Q10.In Ludwig's angina, the 1st step when patient report to emergency room

  • AIncision & drainage under local anaesthesia
  • BTracheostomy under general anaesthesia
  • CTracheostomy under local anaesthesia
  • DI/V antibiotics and fluids
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Answer key

Q1: A. Peritonsillar space; Q2: B. IX Nerve; Q3: D. Caries of cervical spine is usually a common cause; Q4: C. Parapharyngeal abscess; Q5: B. Parapharyngeal abscess; Q6: D. Parapharyngeal abscess; Q7: A. Medial pterygoid; Q8: A. Submandibular space; Q9: A. Raised tongue; Q10: C. Tracheostomy under local anaesthesia.

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• Pharyngeal Anatomy and Physiology
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