Clin Med - Practice Quiz for Nose Conditions

claire.p.larkin
Quiz by claire.p.larkin, updated more than 1 year ago
claire.p.larkin
Created by claire.p.larkin over 5 years ago
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Practice quiz based on focused review points

Resource summary

Question 1

Question
The most common form of epistaxis comes from Kiesselbach's plexus, which is located in which of the following regions?
Answer
  • anterior septum
  • posterior septum
  • inferior turbinate
  • superior nasal vault
  • floor of nose

Question 2

Question
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?
Answer
  • maxillary sinusitis
  • ethmoid sinusitis
  • foreign body
  • nasal polyp
  • acute viral rhinitis

Question 3

Question
Which nasal condition, if found in young children, is suggestive of cystic fibrosis?
Answer
  • chronic rhinorrhea
  • nasal polyps
  • perennial allergic rhinitis
  • acute sinusitis

Question 4

Question
The most common cause of chronic cough in adults is which of the following?
Answer
  • common cold
  • sinusitis
  • asthma
  • GERD
  • Postnasal drip syndrome

Question 5

Question
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?
Answer
  • deviated septum
  • allerghic rhinitis
  • nasal polyps
  • rhinitis medicamentosa

Question 6

Question
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?
Answer
  • nasal decongestant
  • corticosteroid nasal inhaler
  • antihistamines
  • desensitization

Question 7

Question
Upon physical examination of the nose, the nasal turbinates appear pale/violet in color. What is the most likely diagnosis?
Answer
  • Allergic Rhinitis
  • Viral Rhinitis
  • Bacterial Sinusitis
  • Nasal Foreign Body

Question 8

Question
You diagnose your patient with vasomotor rhinitis. Which of the following should you use to treat this condition.
Answer
  • Intranasal corticosteroids
  • Ipratropium nasal spray
  • Nasal decongestant spray
  • Saline irrigation

Question 9

Question
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?
Answer
  • Allergic Rhinitis
  • Bacterial Sinusitis
  • Vasomotor Rhinitis
  • Viral Rhinitis

Question 10

Question
Which of the following conditions is the most common for predisposing someone to developing acute sinusitis?
Answer
  • Viral URI
  • Dental infections
  • Intranasal Foreign Body
  • Barotrauma
  • Nasal steroid use

Question 11

Question
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?
Answer
  • Allergic Rhinitis
  • Vasomotor Rhinitis
  • Viral Rhinitis
  • Nasal Polyps

Question 12

Question
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?
Answer
  • Nasal Vestibulitis
  • Ramsay-Hunt Syndrome
  • Rhinocerebral mucomycosis
  • Rhinitis Medicamentosa

Question 13

Question
For which of the following conditions would you recommend the use of Allegra?
Answer
  • Perennial Allergic Rhinitis
  • Viral Rhinitis
  • Chronic Idiopathic Urticaria
  • All of the above

Question 14

Question
Which of the following are complications of acute viral rhinosinusitis?
Answer
  • mild eustachian tube dysfunction
  • transient middle ear effusion
  • secondary acute bacterial rhinosinusitis
  • all of the above

Question 15

Question
which of the following are complications of acute bacterial sinusitis?
Answer
  • orbital cellulitis
  • osteomyelitis
  • intracranial extension
  • cavernous sinus thrombosis
  • all of the above

Question 16

Question
Which of the following predispose a patient to developing sinusitis?
Answer
  • Immunocompromised state (DM, end stage renal Dz, long-term corticosteroid use)
  • Viral URI
  • Allergic Rhinitis
  • All of the above

Question 17

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