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Practice quiz based on focused review points

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Clin Med - Practice Quiz for Nose Conditions

Pregunta 1 de 17

1

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

Selecciona una de las siguientes respuestas posibles:

  • anterior septum

  • posterior septum

  • inferior turbinate

  • superior nasal vault

  • floor of nose

Explicación

Pregunta 2 de 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?

Selecciona una de las siguientes respuestas posibles:

  • maxillary sinusitis

  • ethmoid sinusitis

  • foreign body

  • nasal polyp

  • acute viral rhinitis

Explicación

Pregunta 3 de 17

1

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

Selecciona una de las siguientes respuestas posibles:

  • chronic rhinorrhea

  • nasal polyps

  • perennial allergic rhinitis

  • acute sinusitis

Explicación

Pregunta 4 de 17

1

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

Selecciona una de las siguientes respuestas posibles:

  • common cold

  • sinusitis

  • asthma

  • GERD

  • Postnasal drip syndrome

Explicación

Pregunta 5 de 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?

Selecciona una de las siguientes respuestas posibles:

  • deviated septum

  • allerghic rhinitis

  • nasal polyps

  • rhinitis medicamentosa

Explicación

Pregunta 6 de 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?

Selecciona una de las siguientes respuestas posibles:

  • nasal decongestant

  • corticosteroid nasal inhaler

  • antihistamines

  • desensitization

Explicación

Pregunta 7 de 17

1

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

Selecciona una de las siguientes respuestas posibles:

  • Allergic Rhinitis

  • Viral Rhinitis

  • Bacterial Sinusitis

  • Nasal Foreign Body

Explicación

Pregunta 8 de 17

1

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

Selecciona una de las siguientes respuestas posibles:

  • Intranasal corticosteroids

  • Ipratropium nasal spray

  • Nasal decongestant spray

  • Saline irrigation

Explicación

Pregunta 9 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Allergic Rhinitis

  • Bacterial Sinusitis

  • Vasomotor Rhinitis

  • Viral Rhinitis

Explicación

Pregunta 10 de 17

1

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

Selecciona una de las siguientes respuestas posibles:

  • Viral URI

  • Dental infections

  • Intranasal Foreign Body

  • Barotrauma

  • Nasal steroid use

Explicación

Pregunta 11 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Allergic Rhinitis

  • Vasomotor Rhinitis

  • Viral Rhinitis

  • Nasal Polyps

Explicación

Pregunta 12 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Nasal Vestibulitis

  • Ramsay-Hunt Syndrome

  • Rhinocerebral mucomycosis

  • Rhinitis Medicamentosa

Explicación

Pregunta 13 de 17

1

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

Selecciona una de las siguientes respuestas posibles:

  • Perennial Allergic Rhinitis

  • Viral Rhinitis

  • Chronic Idiopathic Urticaria

  • All of the above

Explicación

Pregunta 14 de 17

1

Which of the following are complications of acute viral rhinosinusitis?

Selecciona una de las siguientes respuestas posibles:

  • mild eustachian tube dysfunction

  • transient middle ear effusion

  • secondary acute bacterial rhinosinusitis

  • all of the above

Explicación

Pregunta 15 de 17

1

which of the following are complications of acute bacterial sinusitis?

Selecciona una de las siguientes respuestas posibles:

  • orbital cellulitis

  • osteomyelitis

  • intracranial extension

  • cavernous sinus thrombosis

  • all of the above

Explicación

Pregunta 16 de 17

1

Which of the following predispose a patient to developing sinusitis?

Selecciona una de las siguientes respuestas posibles:

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

  • Viral URI

  • Allergic Rhinitis

  • All of the above

Explicación

Pregunta 17 de 17

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación