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ENT > Allergic rhinitis > Flashcards

Allergic rhinitis Flashcards

1
Q

What white cell is activated in type 1 hypersensitivity?

A

Mast cell

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2
Q

What do mast cells activate?

A

Histamine

Leukotriene

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3
Q

What is the ARIA classification of persistent rhinitis?

A

More than 4 days/week

More than 4 weeks long

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4
Q

What is the ARIA classification of moderate rhinitis?

A

One of:
Abnormal sleep
Impairment of normal activities

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5
Q

What is the stepwise approach to allergic rhinitis?

A

Antihistamines
Topical steroids
Then both

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6
Q

What antihistamines are you prescribing for allergic rhinitis?

A

Cetirizine

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7
Q

Which inhaled steroid is being prescribed?

A

Fluticasone

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8
Q

What allergic testing is done?

A

RAST testing or skin prick

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9
Q

What is the benefit of RAST testing?

A

Cheaper.

One blood sample taken and IgE measured.

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10
Q

What nasal decongestant can be given?

A

Otrivine

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11
Q

What must be remembered about Otrivine use?

A

Not for long term

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12
Q

True or False

Nasal polyps are associated witth allergic asthma

A

False

Non-allergic asthma

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13
Q

How are nasal polyps treated?

A

Oral then topical steroids

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14
Q

What symptoms may be present in infective rhinosinusitis?

A

Facial pressure
Discharge
Nasal blockage

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15
Q

What is the treatment for infective rhinosinusitis?

A

Analgesia
Decongestants
Abx if worsening

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16
Q

True or false

Infective rhinosinusitis is mostly viral

A

True

17
Q

What complications of infective rhinosinusitis need to be considered?

A

Orbital cellulitis

18
Q

What is the management of orbital cellulitis?

A

Emergency referral

19
Q

If fungus is the antigen, when is the rhinosinusitis at its worst?

A

Winter

20
Q

What practical advice can be given to a patient with rhinosinusitis?

A 
Keep pets off bed
Hoover well
Mattress protectors
Avoid allergen as much as possible
Take antihistamines if allergen foreseen
21
Q

If unilateral swelling in adolescents males then what condition should be considered?

A

Neurofibroma

ENT (16 decks)

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