List II - Less Common 'Know of' Conditions

Question 1

How common are nasal polyps?

Answer 1

• 1% of adults in the UK have nasal polyps

* 2-4 times more common in men and are not commonly seen in children or the elderly

Question 2

Which conditions are associated with nasal polyps?

Answer 2

• Asthma (particularly late onset)
• Aspirin sensitivity
• Infective sinusitis
• Cystic fibrosis
• Kartagener’s syndrome
• Churg-Strauss syndrome

Question 3

What are the clinical features of nasal polyps?

Answer 3

• Nasal obstruction
• Rhinorrhoea
• Poor sense of taste and smell

Question 4

Which presenting features of nasal polyps require further investigation?

Answer 4

• Unilateral symptoms

* Bleeding

Question 5

How are nasal polyps managed?

Answer 5

• All patient with suspected nasal polyps should be referred to ENT for a full examination
• Topical corticosteroids shrink the polyp size in 80% of patients

Question 6

What is Samter’s triad?

Answer 6

• Associated of asthma, aspirin sensitivity and nasal polyposis