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ENT · Pharyngeal infections
Sample itemWhich finding is most concerning for a peritonsillar abscess?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Muffled voice with uvular deviation and trismus
Peritonsillar abscess can produce severe unilateral throat pain, trismus, a muffled hot-potato voice, drooling, and uvular deviation; it requires urgent airway-aware assessment and drainage or antimicrobial management.
Option by option
A. Muffled voice with uvular deviation and trismus (correct)
Correct: trismus, muffled voice, and uvular shift are classic warning features.
B. Gradual ankle swelling
Ankle swelling is not a feature of this upper-airway emergency.
C. Bilateral painless cataracts
Cataracts are lens opacities unrelated to throat infection.
D. Isolated itchy scalp
Itchy scalp does not indicate deep peritonsillar infection.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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