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ENT · Throat
Sample itemA patient has a severe sore throat, trismus, a 'hot potato' voice and deviation of the uvula to the opposite side. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Peritonsillar abscess (quinsy)
Peritonsillar abscess is a collection between the tonsil capsule and the superior constrictor. Trismus, muffled voice and a bulging soft palate with uvular deviation are the clues. Treatment is drainage and antibiotics.
Option by option
A. Peritonsillar abscess (quinsy) (correct)
Correct.
B. Retropharyngeal abscess
A retropharyngeal abscess causes neck stiffness and difficulty swallowing, mainly in children.
C. Acute epiglottitis
Epiglottitis causes stridor and drooling without trismus.
D. Ludwig's angina
Ludwig's angina is bilateral submandibular space cellulitis.
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.