Return to course: NICE CKS Question Banks
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Sore Throat – Acute (ALL)
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1. Which of the following is NOT a recognised complication of streptococcal sore throat?
*
Scarlet fever
Peritonsillar abscess
Otitis media
Conjunctivitis
2. How should a FeverPAIN score of 2–3 be managed according to NICE NG84?
*
Back-up prescription or no antibiotics
Routine blood tests
Intravenous antivirals
Immediate antibiotics and referral
3. Which patient factor should prompt same-day referral in acute sore throat?
*
Presence of mild cough
Severe systemic symptoms
History of hay fever
FeverPAIN score of 5
4. Which antibiotic is recommended for a patient with a sore throat and a penicillin allergy?
*
Ciprofloxacin
Trimethoprim
Clarithromycin
Doxycycline
5. What is the main goal of antibiotic prescribing in sore throat?
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Reduce risk of complications
Eliminate viral pathogens
Provide rapid symptom relief
Improve oral intake
6. In what scenario might immediate antibiotics be considered appropriate?
*
History of seasonal allergy
Any patient with a sore throat
High FeverPAIN score
Presence of mild cough
7. Which of the following is considered a red flag in sore throat?
*
Dry cough
Geographic tongue
Drooling
Post-nasal drip
8. What is the recommended first-line approach for managing most cases of acute sore throat according to NICE NG84?
*
Self-care and safety netting
Referral to ENT
Immediate antibiotics
Throat swab and bloods
9. What is the recommended duration of Pen-V for acute sore throat?
*
3 days
5 days
10 days
14 days
10. Which of the following does NOT indicate the need for an immediate or back-up antibiotic prescription?
*
Mild symptoms resolving within 48 hours
Symptoms worsening after 3–5 days
FeverPAIN score of 4 or 5
Severe symptoms
11. Which of the following is an appropriate safety netting instruction for sore throat patients managed without antibiotics?
*
Take antibiotics purchased online
Seek review if symptoms worsen rapidly or persist beyond 1 week
Use decongestants regularly
Fast for 24 hours
12. Which of the following is NOT typically advised in the self-care of sore throat?
*
Analgesics like paracetamol or ibuprofen
Routine use of oral corticosteroids
Adequate fluid intake
Rest and self-monitoring
13. What is the role of back-up prescriptions in sore throat management?
*
To encourage antibiotic sharing
To allow patients to start treatment immediately
To provide pain relief
To reduce unnecessary antibiotic use while providing safety net
14. What does a FeverPAIN score of 0–1 indicate?
*
Low likelihood of streptococcal infection
High risk of peritonsillar abscess
Urgent need for ENT referral
Likely viral mononucleosis
15. When should patients with sore throat be advised to seek urgent care?
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If hoarseness lasts one day
If white patches on tongue appear
If sleep is disturbed
If severe systemic symptoms develop
16. When should throat swabs be used in acute sore throat?
*
Part of FeverPAIN score
Essential for diagnosis
Needed in all school children
Not routinely recommended
17. Which of the following best describes when a back-up antibiotic should be used?
*
Before travelling abroad
All patients <5 years
At first sign of fever
If symptoms worsen or do not improve in 3–5 days
18. Why does NICE NG84 discourage immediate antibiotics in most sore throat cases?
*
Sore throat usually indicates cancer
Most young children cannot tolerate tablets
Most are self-limiting and viral in origin
Due to course duration
19. Which alternative clinical prediction tool may be used in acute sore throat?
*
PERC
CENTOR
WELLS
GAD7
20. Why is self-care advice important in sore throat management?
*
Removes the need for all follow-up
Eliminates the need for scoring tools
Reduces the incidence of strep throat
Empowers patient and reduces antibiotic expectations