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MCQ – 87604

Question

All of the following may cause tonsillar ulceration except: 
A.

Diphtheria. 

B.

Behcet’s syndrome.

C.

Vincent’s angina.

D.

Papilloma.

Show Answer

Correct Answer � D

Explanation

Differential diagnosis of ulceration of the tonsil

  • A working diagnosis can usually be determined from the history & clinical examination.
  • Investigations include a full blood count, chest radiograph, serological tests & biopsy.
  • Possible causes include:

 1. Infection.

• Acute streptococcal tonsillitis.

• Diphtheria.

• Infectious mononucleosis.

• Vincent’s angina.

 

2. Neoplasm.

• Squamous cell carcinoma.

• Lymphoma.

• Salivary gland tumours (adenoid cystic carcinoma).

 

3. Blood diseases.

• Agranulocytosis.

• Leukaemia.

 

4. Other causes.

• Aphthous ulceration.

• Behcet’s syndrome.

• Acquired immunodeficiency syndrome (AIDS).

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