Free BCEN Certified Emergency Nurse (CEN) Practice Question

The correct answer is Ludwig's angina. This condition is characterized by a rapidly spreading cellulitis of the floor of the mouth and neck, typically originating from an infected lower molar. Key symptoms include bilateral submandibular swelling, tongue elevation, dysphagia, and muffled speech ('hot potato voice'). It's crucial to recognize this condition quickly as it can lead to potentially fatal airway obstruction.

Peritonsillar abscess, while also a serious infection, typically presents with unilateral throat pain and swelling. Epiglottitis primarily affects the airway and causes severe sore throat and stridor. Mumps primarily affects the salivary glands and is less likely to cause severe neck swelling or difficulty swallowing in adults.