The most common form of epistaxis comes from Kiesselbach's plexus, which is located in which of the following regions?
superior nasal vault
floor of nose
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?
acute viral rhinitis
Which nasal condition, if found in young children, is suggestive of cystic fibrosis?
perennial allergic rhinitis
The most common cause of chronic cough in adults is which of the following?
Postnasal drip syndrome
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?
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?
corticosteroid nasal inhaler
Upon physical examination of the nose, the nasal turbinates appear pale/violet in color. What is the most likely diagnosis?
Nasal Foreign Body
You diagnose your patient with vasomotor rhinitis. Which of the following should you use to treat this condition.
Ipratropium nasal spray
Nasal decongestant spray
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?
Which of the following conditions is the most common for predisposing someone to developing acute sinusitis?
Intranasal Foreign Body
Nasal steroid use
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?
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?
For which of the following conditions would you recommend the use of Allegra?
Perennial Allergic Rhinitis
Chronic Idiopathic Urticaria
All of the above
Which of the following are complications of acute viral rhinosinusitis?
mild eustachian tube dysfunction
transient middle ear effusion
secondary acute bacterial rhinosinusitis
all of the above
which of the following are complications of acute bacterial sinusitis?
cavernous sinus thrombosis
all of the above
Which of the following predispose a patient to developing sinusitis?
Immunocompromised state (DM, end stage renal Dz, long-term corticosteroid use)
Which of the following drug classes are matched appropriately with their action against IgE mediated disease?
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)