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Special Senses > Case 3 > Flashcards

Case 3 Flashcards

1
Q

It is the most common cause of acute rhinosinusitis

a. S. pneumoniae
b. H. influenzae
c. M. catarrhalis
d. rhinovirus

A

D

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2
Q

Rhinosinusitis occurs in the following factors, except:

a. septal deviation
b. Kartagener syndrome
c. cystic fibrosis
d. all of the options
e. none of the options

A

E

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3
Q

The cardinal symptoms of acute rhinosinusitis include the following, except:

a. purulent nasal discharge
b. facial congestion
c. facial pressure
d. post nasal drip

A

D

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4
Q

The following are true about the diagnostic criteria for adults in acute rhinosinusitis, except:

a. 2 major symptoms
b. 1 major + 2 or more minor symptoms
c. minor symptoms include: headache, dental pain, facial pain, ear pain
d. major symptoms include: hyposmia, nasal obstruction, discolored posterior nasal discharge

A

C

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5
Q

The red flags for reconsult include the following, except:

a. recurrent fever <39C
b. double worsening
c. rapid worsening of facial pain that becomes persistent
d. symptoms worsens after an initial period of improvement

A

A

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6
Q

Indications for CT or sinus radiography include the following except:

a. persistent, recurrent, or chronic rhinosinusitis
b. alternate diagnosis
c. complication
d. none of the above

A

D

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7
Q

Antibiotic of choice in acute rhinosinusitis

a. cefuroxime
b. amoxicillin
c. doxycycline
d. levofloxacin

A

B

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8
Q

Commonly isolated bacteria in chronic rhinosinusitis

a. S. pneumoniae
b. H. influenzae
c. M. catarrhalis
d. S. aureus

A

D

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9
Q

Cardinal symptoms of chronic rhinosinusitis, except:

a. ear pressure
b. congestion
c. facial pain
d. post nasal drip
e. anosmia

A

A

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10
Q

True about CRS without polyps, except:

a. more common in women
b. develops in adulthood
c. characterized by presentation of facial pain
d. due to TH1 lymphocyte predominance associated with bacterial infection or colonization

A

B

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11
Q

Nasal polyps that can readily be seen with a nasal speculum but does not occulate the nasal cavity are graded as

a. 0
b. 1
c. 2
d. 3

A

C

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12
Q

First line of treatment for CRS with or without nasal polyps

a. mometasone
b. ciprofloxacin
c. prednisolone
d. doxycycline

A

A

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13
Q

Effects of intranasal corticosteroid, except:

a. symptom improvement
b. decrease in polyp size
c. prevent polyp recurrence
d. improve nasal airflow and olfaction
e. removal of antigens, biofilms, and mediators

A

E

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14
Q

Recommended for without nasal polyps

a. doxycycline
b. montelukast
c. acetylcysteine
d. ciprofloxacin

A

D

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15
Q

It is seen in patients with CRS

a. localized nasal polyps
b. diffuse nasal polyps
c. systemic nasal polyps
d. two of the options

A

B

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16
Q

indication for antibiotic treatment of acute otitis media in children of all ages

a. bilateral ear findings
b. otorrhea
c. symptoms worsening within 48-72h
d. temperature of >39C

A

D

17
Q

The following are correct regarding the duration of antibiotic treatment in acute otitis media

a. Children <2 years or children with severe symptoms:10 days
b. Children 2-5 years w/ mild-moderate symptoms:5-7days
c. Children>6 years with mild-moderate symptoms:5days
d. all of the options
e. none of the options

A

D

18
Q

Most common etiologic cause of chronic otitis media

a. S. pneumoniae
b. H. influenzae
c. M. catarrhalis
d. S. aureus

A

A

19
Q

Which of the following differentiates Chronic Suppurative Otitis Media with Chronic otitis media with effusion

a. Cholesteatoma
b. Fever
c. Perforation
d. two of the options
e. all of the options

A

D

20
Q

According to the CPG guidelines, what is the first-line confirmatory test for diagnosing CRS?

a. Conventional CT Scan
b. Nasal endoscopy
c. High resolution multi-slice CT scan
d. Anterior rhinoscopy

A

B

21
Q

It is the best predictor of acute otitis media in the otoscopic findings:

a. cloudiness of tympanic membrane
b. bulging of tympanic membrane
c. limited or absent mobility of the tympanic membrane
d. markedly retracted tympanic membrane

A

C

22
Q

It is recommended as a primary tool in the diagnosis of middle ear effusion

a. pneumatic otoscopy
b. tonometry
c. both
d. none

A

A

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