Nose

Question 1

What drug can be used for seasonal allergic rhinitis with concomitant asthma

Answer 1

Motelukast

Question 2

True or false:

Topical nasal steroids can be continued in acute nasal infection

Answer 2

FALSE

Remember steroids are immuno-suppresive!

Question 3

Which topical nasal steroid has the highest systemic absorption and should therefore only be for short term use

Answer 3

Beclometasone (e.g. beconase)

Question 4

OTC nasal steroid preparations should only be sold to those aged _____

Answer 4

18 +

Question 5

Which has the higher risk of side effects:

Nasal sprays or nasal drops

Answer 5

Nasal drops

Administer in “head down” position to minimise risk

Question 6

Sympathomimetic nasal drops and sprays should be used for maximum ______ in order to avoid ________ on withdrawal

Answer 6

7 days

To avoid rebound congestion

Question 7

What are the active ingredients in Naseptin nasal cream (2 points)

Answer 7

Neomycin (an aminoglycoside) and Chlohexidine

Question 8

Which nasal preparation can be used for the eradication of nasal MRSA

Answer 8

Mupirocin (brand name bactroban)

Question 9

True or false:

Antibacterials are always indicated for acute sinusitis

Answer 9

FALSE
It is usually a VIRAL infection that is self limiting
Only occasionally complicated by bacterial infection

Question 10

1st line for acute bacterial sinusitis (if antibiotics indicated)

Answer 10

Phenoxymethypenicillin (Pen V)

Doxycycline (eryth in pregnancy) if penicillin allergic)

Question 11

MHRA warning:

Corticosteroids (via all routes) have been linked to _____________ so patients need to report visual disturbances

Answer 11

Central serous chorioretinopathy