A 54-Year-Old Man Comes to the Emergency Department After 2

question 116

Multiple Choice

A 54-year-old man comes to the emergency department after 2 days of fever, chills, dysphagia, and drooling.  The patient has been unable to eat or drink due to pain in his mouth and neck.  He has a history of heavy alcohol use but does not use recreational drugs.  Temperature is 38.8 C (101.8 F) , blood pressure is 110/70 mm Hg, pulse is 108/min, and respirations are 22/min.  The patient appears toxic with drooling and a muffled voice.  The tongue is displaced posteriorly and superiorly due to a swollen area on the floor of the mouth.  The bilateral submandibular area is tender, indurated, and nonfluctuant with palpable crepitus.  Which of the following is the most likely source of infection in this patient?

• A)Bloodstream
• B)Epiglottis
• C)Lymph nodes
• D)Palatine tonsils
• E)Parotid glands
• F)Teeth roots

---

Definitions:

Physical Distractions

are environmental factors or stimuli that can disrupt the focus or attention of individuals, leading to decreased productivity or performance.

Lack of Privacy

Refers to the situation where an individual's personal information is not adequately protected, leading to unauthorized access or exposure.

Information Filtering

The practice of assessing, selecting, and organizing information to ensure that only relevant and necessary data is presented or processed.

Translation

The process of converting text or speech from one language to another, maintaining the original message's intent and context.