GP Vivas · ear-nose-throat-and-oral-health
Sore throat and tonsillitis — structured viva
Structured oral on sore throat: defending score-based antibiotic restraint with Cochrane numbers, the glandular fever trap, quinsy recognition, delayed prescribing, and the recurrent tonsillitis conversation.
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Study tools
Target exams
RACGP CCEFRACGP oralsMRCGP SCA
Prompt
The examiner opens: 'Your antibiotic prescribing for sore throat is 60%, double the guideline target. Defend or change it — and tell me what you say to the patient who insists.' The viva branches through scoring, evidence, delayed prescribing, glandular fever and complications.
Stem
You are the GP. The practice prescribing audit flags sore throat as the top antibiotic target. [1]
References4ShowHide
- [1]Spinks A, Glasziou PP, Del Mar CB Antibiotics for treatment of sore throat in children and adults. Cochrane Database of Systematic Reviews, 2021.PMID 34881426
- [2]Little P, Hobbs FDR, Moore M, et al. Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM. BMJ, 2013.PMID 24114306
- [3]Paradise JL, Bluestone CD, Colborn DK, et al. Tonsillectomy and adenotonsillectomy for recurrent throat infection in moderately affected children. Pediatrics, 2002.PMID 12093941
- [4]Chovel-Sella A, Ben Tov A, Lahav E, et al. Incidence of rash after amoxicillin treatment in children with infectious mononucleosis. Pediatrics, 2013.PMID 23589810