Deep Neck Space Infections

10 Questions | By Pascolini | Last updated: Jul 30, 2011 | Total Attempts: 123

Questions

Settings

Baileys 47 answer appropriately

Questions and Answers

1.

What is the predominant organism in children younger than 9 months of age according to the studies provided?
- A.
  
  Streptococcus viridans
- B.
  
  β-hemolytic streptococci
- C.
  
  Bacteroides sp.
- D.
  
  Staphylococcus aureus
2.

A patient presents with ipsilateral ptosis, facial anhydrosis, and miosis, what space could be involved?
- A.
  
  Prevertebral space
- B.
  
  Visceral vascular space
- C.
  
  Parotid space
- D.
  
  Temporal space
3.

What is a possible complication with the use of steroid in a especially in a child with an evolving neck abcess?

Discuss
- A.
  
  Masking of fever
- B.
  
  Progression of edema
- C.
  
  Adrenal suppression
- D.
  
  Masking of WBC
4.

What is the recommended time to take a patient to the OR for I&D of a neck abcess if there is failure to progress?
- A.
  
  24 hrs
- B.
  
  48 hrs
- C.
  
  72 hrs
- D.
  
  96 hrs
5.

A patient presents with spiking fevers, tenderness along the sternocleidomastoid muscle, neck stiffness, and septic arthritis. CT scan shows ring enhancement with a central area of lucency of the IJV, what is the diagnosis?
- A.
  
  Cavernous sinus syndrome
- B.
  
  Carotid artery erosion
- C.
  
  Lemierre syndrome
- D.
  
  Branchial cleft cyst
6.

A 4y/o child with a Hx of previous URI, present with fever, dysphagia, odynophagia, nuchal rigidity, and mild airway compromise. What is the first space that may be affected with abcess?
- A.
  
  Retropharyngeal
- B.
  
  Prevertebral
- C.
  
  Submandibular
- D.
  
  Parapharyngeal
7.

Dental infections occurring anterior to the second molar involve which space?
- A.
  
  Submandibular
- B.
  
  Masseteric
- C.
  
  Sublingual
- D.
  
  Parapharyngeal
8.

Dental infections occurring posterior to the second molar involve which space?
- A.
  
  Submandibular
- B.
  
  Masseteric
- C.
  
  Sublingual
- D.
  
  Parapharyngeal
9.

What complication still has a high rate of mortality despite antibiotic therapy?
- A.
  
  Carotid artery erosion and hemorrhage
- B.
  
  Osteomyelitis of the spine
- C.
  
  Pulmonary edema
- D.
  
  Mediastinitis
10.

A patient has a supperative thyroiditis infection, what space would most likely be involved?
- A.
  
  Temporal space
- B.
  
  Anterior visceral space
- C.
  
  Suprasternal space
- D.
  
  Visceral vascular space