Nose

Question 1

where do most anterior nasal bleeds occur?

Answer 1

kiesselbach’s plexus

Question 2

good choice for tx of active anterior nasal bleed

Answer 2

topical afrin

Question 3

msot utilized technique for anterior nasal bleed

Answer 3

anterior nasal packing

Question 4

how long should packing be left in nose

Answer 4

minimum 3 days

Question 5

is anterior or posterior bleeding more rapid

Answer 5

posterior more rapid

Question 6

posterior recurrent nose bleeds seen in teenage males

Answer 6

juvenile nasopharyngeal angiofibroma

Question 7

most common causes of anosmia (3)

Answer 7

1. nasal polyps & chronic sinusitis
2. post viral URI
3. head trauma

Question 8

what test to use to r/o paranasal pathology in w/u of altered smell

Answer 8

CT

Question 9

what test to use if concerns of intracranial issues related to loss of smell

Answer 9

MRI

Question 10

tx of altered smell includes

Answer 10

1. topical nasal steroids

2. oral steroids/antivirals

Question 11

dry scabbing blood sometimes sort anterior nasal passage

Answer 11

nasal vestibulitis

Question 12

nasal vestibulitis is related to?

Answer 12

dry weather, nasal spray use, manual irritation

Question 13

what can nasal vestibulitis develop into

Answer 13

squamous metaplasia

Question 14

tx of nasal vestibulitis

Answer 14

incr humidity, use moisterizing ointment

Question 15

addiction to topical decongestants (afrin)

Answer 15

rhinitis medicamentosa

Question 16

what are the culprits in the nose for rhinitis medicamentosa

Answer 16

inferior turbinates

Question 17

tx of rhinitis medicamentosa

Answer 17

nasal steroids, turbinoplasty