Pharynx: Vincent's angina: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Pharynx: Vincent's angina

Sample item

A young adult with poor oral hygiene has a unilateral painful grey sloughing ulcer of the tonsil and foul breath. Smear shows fusiform bacilli and spirochaetes. What is the treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Penicillin with metronidazole

Vincent's angina (ulcerative membranous tonsillitis) is a fusospirochaetal infection. It responds to penicillin and metronidazole plus oral hygiene. Malignancy and syphilis should be considered if the ulcer persists.

Option by option

  • A. Antitubercular therapy

    Antitubercular therapy is for TB.

  • B. Antifungals

    Antifungals treat candidiasis.

  • C. Penicillin with metronidazole (correct)

    Correct. Penicillin and metronidazole cover the anaerobes.

  • D. Acyclovir

    Acyclovir treats herpetic infection.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is C, Penicillin with metronidazole. Vincent's angina (ulcerative membranous tonsillitis) is a fusospirochaetal infection.

Why is "Antitubercular therapy" not the answer?

Antitubercular therapy is for TB.

Why is "Antifungals" not the answer?

Antifungals treat candidiasis.

Why is "Acyclovir" not the answer?

Acyclovir treats herpetic infection.

What concept does this question test?

It tests Pharynx: Vincent's angina in ENT. It responds to penicillin and metronidazole plus oral hygiene. Malignancy and syphilis should be considered if the ulcer persists.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Pharynx: Vincent's angina?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.