Quick quiz: Managing acute sore throat in children

Our quick quizzes aim to test your knowledge through a series of illustrative cases and scenarios. Work your way through the questions to enhance your understanding of the management of key conditions. Press ‘start’ below to begin the quiz on the management of acute sore throat in children.

<section data-block="SingleChoice"> <h3>You are seeing an 8-year-old girl with a sore throat. Which of the following symptoms or signs, if present, would make you more likely to prescribe antibiotics?</h3> <ul> <li>The fact that they also have a cough</li> <li>A temperature of 37.2°C</li> <li>Tender cervical lymph nodes</li> <li>Redness of the throat</li> </ul> </section> <section data-block="SingleChoice"> <h3>The child has a temperature of 38.2°C, no cough, tender cervical lymphadenopathy and no pus on her tonsils, so a Centor score of 3. What is the probability that she has a bacterial cause for her sore throat?</h3> <ul> <li>32-56%</li> <li>80-90%</li> <li>20-30%</li> <li>62-65%</li> </ul> </section> <section data-block="MultipleChoice"> <h3>The patient has a Centor score of 3 – which of the following two options for her management fit with the NICE guidance on sore throat? Select all that apply</h3> <ul> <li>No antibiotics, review if her Centor score rises to 4</li> <li>Consider an immediate antibiotic prescription, for 5-10 days</li> <li>Consider immediate antibiotics for 3 days</li> <li>Consider a back-up antibiotic prescription for 5-10 days</li> </ul> </section> <section data-block="SingleChoice"> <h3>Your next patient is a 10-year-old boy with a sore throat and a Centor score of 2. You explain that he doesn’t need antibiotics, and his mother says that she’d rather he has them, because she’s worried about future complications of the sore throat, particularly rheumatic fever. Her grandfather had heart valve disease which was attributed to rheumatic fever following an untreated sore throat in his youth. Which of the following NNTs to prevent complications from a sore throat is correct?</h3> <ul> <li>Otitis media ≈ 200</li> <li>Rheumatic fever ≈ 2,000</li> <li>Quinsy (peritonsillar abscess) ≈ 1,000</li> <li>Rheumatic heart disease ≈ 1,000</li> </ul> </section> <section data-block="SingleChoice"> <h3>You are seeing a four-year-old girl with a sore throat – you notice that she has not had any of her routine childhood vaccinations and make a mental note to discuss this again with the parents. Parental concern is raised because the child doesn’t want to eat or drink anything, and you notice that she has a markedly hoarse voice and that when she breathes in, you can hear a high-pitched noise. What serious diagnosis is most likely from this history?</h3> <ul> <li>Quinsy</li> <li>Epiglottitis</li> <li>Tonsillitis</li> <li>Glandular fever</li> </ul> </section> <p>  <div id="article_leaderboard2" class="article-lb mb-4 widget_text widget adbanner mpu d-none d-md-none d-lg-block "> <div class="textwidget custom-html-widget">  <div id="article-lb"><script> googletag.cmd.push(function() { googletag.display("article_leaderboard2"); }); </script></div> </div> </div> <p>  <p>  <p>  <p>  <p>

Quick quiz: Managing acute sore throat in children

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