claire.p.larkin
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Practice quiz based on focused review points

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claire.p.larkin
Created by claire.p.larkin about 9 years ago
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Clin Med - Practice Quiz for Nose Conditions

Question 1 of 17

1

The most common form of epistaxis comes from Kiesselbach's plexus, which is located in which of the following regions?

Select one of the following:

  • anterior septum

  • posterior septum

  • inferior turbinate

  • superior nasal vault

  • floor of nose

Explanation

Question 2 of 17

1

A 3-year-old boy presents with a 2-week history of purulent rhinorrhea from his right nostril. Mother complains that the child's nose has a bad odor. What is the most likely diagnosis?

Select one of the following:

  • maxillary sinusitis

  • ethmoid sinusitis

  • foreign body

  • nasal polyp

  • acute viral rhinitis

Explanation

Question 3 of 17

1

Which nasal condition, if found in young children, is suggestive of cystic fibrosis?

Select one of the following:

  • chronic rhinorrhea

  • nasal polyps

  • perennial allergic rhinitis

  • acute sinusitis

Explanation

Question 4 of 17

1

The most common cause of chronic cough in adults is which of the following?

Select one of the following:

  • common cold

  • sinusitis

  • asthma

  • GERD

  • Postnasal drip syndrome

Explanation

Question 5 of 17

1

A 45-year-old man presents with chronic nasal congestion. He has been using a topical 12-hour-duration nasal decongestant for the last several weeks, which has, up until recently, been very effective. Initially, he used it only a couple of times per day. Now, he states that he has to use it every 2 to 3 hours. If he does not use the nasal spray, he feels very congested and cannot breathe. He denies purulent drainage or epistaxis. What is your diagnosis?

Select one of the following:

  • deviated septum

  • allerghic rhinitis

  • nasal polyps

  • rhinitis medicamentosa

Explanation

Question 6 of 17

1

Your patient is a 35 year old female complaining of recurring seasonal rhinitis and mild asthma. You diagnose her with allergic rhinitis. What is the mainstay of treatment for this condition?

Select one of the following:

  • nasal decongestant

  • corticosteroid nasal inhaler

  • antihistamines

  • desensitization

Explanation

Question 7 of 17

1

Upon physical examination of the nose, the nasal turbinates appear pale/violet in color. What is the most likely diagnosis?

Select one of the following:

  • Allergic Rhinitis

  • Viral Rhinitis

  • Bacterial Sinusitis

  • Nasal Foreign Body

Explanation

Question 8 of 17

1

You diagnose your patient with vasomotor rhinitis. Which of the following should you use to treat this condition.

Select one of the following:

  • Intranasal corticosteroids

  • Ipratropium nasal spray

  • Nasal decongestant spray

  • Saline irrigation

Explanation

Question 9 of 17

1

A patient presents with a history of a cold for the last 10 days or so. Initially, she thought she was getting better. However, during the last couple of days, she has had a fever, increasing right maxillary facial pain, and copious purulent drainage from the right nostril. What is your diagnosis?

Select one of the following:

  • Allergic Rhinitis

  • Bacterial Sinusitis

  • Vasomotor Rhinitis

  • Viral Rhinitis

Explanation

Question 10 of 17

1

Which of the following conditions is the most common for predisposing someone to developing acute sinusitis?

Select one of the following:

  • Viral URI

  • Dental infections

  • Intranasal Foreign Body

  • Barotrauma

  • Nasal steroid use

Explanation

Question 11 of 17

1

Your patient is an 80 year old man complaining of clear rhinorrhea that often appears in response to changes in air temperature. His nasal mucosa is pale/violet in color. What is your diagnosis?

Select one of the following:

  • Allergic Rhinitis

  • Vasomotor Rhinitis

  • Viral Rhinitis

  • Nasal Polyps

Explanation

Question 12 of 17

1

Your patient has been on long-term corticosteroid therapy and is now experiencing severe facial pain, and clear nasal discharge. Upon physical exam you find a black eschar (necrotic lesion) on the middle turbinate. What is your diagnosis?

Select one of the following:

  • Nasal Vestibulitis

  • Ramsay-Hunt Syndrome

  • Rhinocerebral mucomycosis

  • Rhinitis Medicamentosa

Explanation

Question 13 of 17

1

For which of the following conditions would you recommend the use of Allegra?

Select one of the following:

  • Perennial Allergic Rhinitis

  • Viral Rhinitis

  • Chronic Idiopathic Urticaria

  • All of the above

Explanation

Question 14 of 17

1

Which of the following are complications of acute viral rhinosinusitis?

Select one of the following:

  • mild eustachian tube dysfunction

  • transient middle ear effusion

  • secondary acute bacterial rhinosinusitis

  • all of the above

Explanation

Question 15 of 17

1

which of the following are complications of acute bacterial sinusitis?

Select one of the following:

  • orbital cellulitis

  • osteomyelitis

  • intracranial extension

  • cavernous sinus thrombosis

  • all of the above

Explanation

Question 16 of 17

1

Which of the following predispose a patient to developing sinusitis?

Select one of the following:

  • Immunocompromised state (DM, end stage renal Dz, long-term corticosteroid use)

  • Viral URI

  • Allergic Rhinitis

  • All of the above

Explanation

Question 17 of 17

1

Which of the following drug classes are matched appropriately with their action against IgE mediated disease?

Select one of the following:

  • Decongestants - reduce swelling of sinus and nasal tissues

  • Antihistamine - block histamine from mast cells

  • Steroids - decrease inflammation

  • Allergy Shots - develop blocking antibodies to allergen (desensitize)

  • All of the above

Explanation

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