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Exam questionKROK 2Medicine · 2019

A 16-year-old patient has made an appointment with an otolaryngologist. He complains of elevated body temperature and sore throat. Disease onset was 2 days ago after the patient ate two portions of ice-cream. Pharyngoscopy shows hyperemic mucosa of the palatine tonsils, with purulent exudate in the lacunae. Make the provisional diagnosis:

Answer options

  1. Lacunar tonsillitis
  2. Pseudomembranous (Vincent’s) tonsillitis
  3. Acute pharyngitis
  4. Follicular tonsillitis
  5. Diphtheria
Correct answer

Lacunar tonsillitis

Explanation

A 16-year-old patient has made an appointment with an otolaryngologist. He complains of elevated body temperature and sore throat. Disease onset was 2 days ago after the patient ate two portions of ice-cream. Pharyngoscopy shows hyperemic mucosa of the palatine tonsils, with purulent exudate in the lacunae. Make the provisional diagnosis A. Pseudomembranous (Vincent’s) tonsillitis B. Acute pharyngitis C. Diphtheria → NO gray unremovable exudate D. *Lacunar tonsillitis → Membranous Tonsillitis E. Follicular tonsillitis

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