NOSE

Question 1

Allergic rhinitis

Answer 1

IgE diseased of mucous membrane=edema, clear dc, sneeze, nasal stuffiness

Question 2

RAST tests preferred for pts who

Answer 2

pregnant
asmtha
on B-blocker, TCA, Monoamine oxydase inhibitor
hx of anaphylaxis

Question 3

Allergic rhinitis tx

Answer 3

antihistamines, nasal steroids, topical cromolyn, leukotriene modifier

Question 4

Sinusitis bacterial vs viral time

Answer 4

7-10 days for viral infection to resolve
7-10+ days=bacterial
double sickening, tooth pain, pain leaning forward

Question 5

sinusitis organisms (3)

Answer 5

strep pna, h. flu, m. cat

Question 6

sinusitis dx ct only needed w

Answer 6

recurrent sinusitis/resistant

Question 7

Sinusitis tx

Answer 7

amoxicilin-clavulanate 1st line
3rd gen cephalosporins
doxy, levofloxacin, moxifloxacin if PCN allergy
PO steroids

Question 8

When to refer sinusitis

Answer 8

xResponse w 3-4 wk abx, nasal polyps, periorbital cellulitis (Emergenc)

Question 9

Epistaxis anterior vs posterior

Answer 9

anterior-kiesselbach plexus

posterior-sphenopalatine ARTERIES, asymptomatic, nausea, hematemesis, anemia, hemoptysis, melena

Question 10

espistaxis causes

Answer 10

sinusitis, rhinitis neoplasm/polyps, smoke, corticosteroids, septal deviation, telangiectasia

Question 11

Epistaxis tx

Answer 11

Phenylephrine

Cautery w silver nitrate stick if visible bleed