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Practice quiz based on focused review points

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Clin Med - Practice Quiz for Nose Conditions

Questão 1 de 17

1

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

Selecione uma das seguintes:

  • anterior septum

  • posterior septum

  • inferior turbinate

  • superior nasal vault

  • floor of nose

Explicação

Questão 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?

Selecione uma das seguintes:

  • maxillary sinusitis

  • ethmoid sinusitis

  • foreign body

  • nasal polyp

  • acute viral rhinitis

Explicação

Questão 3 de 17

1

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

Selecione uma das seguintes:

  • chronic rhinorrhea

  • nasal polyps

  • perennial allergic rhinitis

  • acute sinusitis

Explicação

Questão 4 de 17

1

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

Selecione uma das seguintes:

  • common cold

  • sinusitis

  • asthma

  • GERD

  • Postnasal drip syndrome

Explicação

Questão 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?

Selecione uma das seguintes:

  • deviated septum

  • allerghic rhinitis

  • nasal polyps

  • rhinitis medicamentosa

Explicação

Questão 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?

Selecione uma das seguintes:

  • nasal decongestant

  • corticosteroid nasal inhaler

  • antihistamines

  • desensitization

Explicação

Questão 7 de 17

1

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

Selecione uma das seguintes:

  • Allergic Rhinitis

  • Viral Rhinitis

  • Bacterial Sinusitis

  • Nasal Foreign Body

Explicação

Questão 8 de 17

1

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

Selecione uma das seguintes:

  • Intranasal corticosteroids

  • Ipratropium nasal spray

  • Nasal decongestant spray

  • Saline irrigation

Explicação

Questão 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?

Selecione uma das seguintes:

  • Allergic Rhinitis

  • Bacterial Sinusitis

  • Vasomotor Rhinitis

  • Viral Rhinitis

Explicação

Questão 10 de 17

1

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

Selecione uma das seguintes:

  • Viral URI

  • Dental infections

  • Intranasal Foreign Body

  • Barotrauma

  • Nasal steroid use

Explicação

Questão 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?

Selecione uma das seguintes:

  • Allergic Rhinitis

  • Vasomotor Rhinitis

  • Viral Rhinitis

  • Nasal Polyps

Explicação

Questão 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?

Selecione uma das seguintes:

  • Nasal Vestibulitis

  • Ramsay-Hunt Syndrome

  • Rhinocerebral mucomycosis

  • Rhinitis Medicamentosa

Explicação

Questão 13 de 17

1

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

Selecione uma das seguintes:

  • Perennial Allergic Rhinitis

  • Viral Rhinitis

  • Chronic Idiopathic Urticaria

  • All of the above

Explicação

Questão 14 de 17

1

Which of the following are complications of acute viral rhinosinusitis?

Selecione uma das seguintes:

  • mild eustachian tube dysfunction

  • transient middle ear effusion

  • secondary acute bacterial rhinosinusitis

  • all of the above

Explicação

Questão 15 de 17

1

which of the following are complications of acute bacterial sinusitis?

Selecione uma das seguintes:

  • orbital cellulitis

  • osteomyelitis

  • intracranial extension

  • cavernous sinus thrombosis

  • all of the above

Explicação

Questão 16 de 17

1

Which of the following predispose a patient to developing sinusitis?

Selecione uma das seguintes:

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

  • Viral URI

  • Allergic Rhinitis

  • All of the above

Explicação

Questão 17 de 17

1

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

Selecione uma das seguintes:

  • 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

Explicação