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Chapter 37. Neck Spaces and Fascial Planes
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The prestyloid parapharyngeal space contains all of the following except
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C. Glossopharyngeal nerve
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E. Medial and lateral pterygoid muscles
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Masticator space infections can spread directly to all the following spaces except
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C. Pterygomaxillary space
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An 18-month-old child presents with fever, dysphagia, drooling, and neck tenderness. The most likely organism is
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D. Haemophilus influenzae
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A patient presents with fever, dysphagia, and odynophagia. Transoral examination is within normal limits. Pulse oximetry is 100%. The most appropriate next step in management is
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A. Modified barium swallow
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C. Antifungal therapy for likely esophageal thrush
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D. Fiberoptic laryngoscopy
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An emergency room physician calls you concerning a 48-year-old man with poor dentition, unilateral neck swelling, sore throat, odynophagia, and asymmetric tonsils. The neck CT shows a large level II lymph node with rim enhancement just deep to the skin. The next most appropriate step includes
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A. Surgical I&D of the neck abscess
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B. Transoral I&D of presumed peritonsillar abscess
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C. Repeat oral antibiotics with follow-up in 2 to 3 weeks
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D. Dental referral for likely odontogenic infection
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E. Full head and neck examination with FRNA of neck mass for cytopathology