A 19-year-old with severe unilateral sore throat has trismus, a muffled “hot-potato” voice, drooling and displacement of the uvula away from a

Question

A 19-year-old with severe unilateral sore throat has trismus, a muffled “hot-potato” voice, drooling and displacement of the uvula away from a swollen tonsil. They are febrile but maintaining oxygen saturation. What is the correct disposition?

Accepted Answer

Transfer urgently to hospital for ENT assessment of suspected peritonsillar abscess

Answer

Offer topical benzydamine and routine GP review within one week

Answer

Calculate FeverPAIN and offer self-care if the score is below 4

Answer

Supply a delayed oral antibiotic for collection if symptoms persist for 3 days

Answer

Use throat culture to determine whether secondary-care treatment is required

Sore throat self-care — GPhC CRA MCQ

A 19-year-old with severe unilateral sore throat has trismus, a muffled “hot-potato” voice, drooling and displacement of the uvula away from a swollen tonsil. They are febrile but maintaining oxygen saturation. What is the correct disposition?