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ENT · Throat
Sample itemHow is a peritonsillar abscess (quinsy) typically treated?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Drainage (needle aspiration or incision) with antibiotics
Quinsy shows trismus, a muffled 'hot potato' voice, uvular deviation and a bulging soft palate. Pus is drained by needle aspiration or incision, with intravenous antibiotics and analgesia. Interval tonsillectomy is considered after recurrent episodes.
Option by option
A. Antihistamines
Antihistamines do not treat a bacterial abscess.
B. Observation alone
Untreated abscesses can spread to the deep neck spaces.
C. Drainage (needle aspiration or incision) with antibiotics (correct)
Correct. Pus must be drained and covered with antibiotics.
D. Immediate tonsillectomy in every case
Immediate tonsillectomy is not routine; interval tonsillectomy may follow.
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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