Nose And Sinus

Question 1

Ciclesonide

Answer 1

Omnaris

Question 2

Mometasone

Answer 2

Nasonex

Question 3

Fluticasone

Answer 3

Flonase, veramyst

Question 4

Budesonide

Answer 4

Rhinocort

Question 5

Triamcinoclone

Answer 5

Nasacort

Question 6

1st generation oral antihistamines

Answer 6

Diphenhydramine (benadryl)
Chlorpheniramine
Hydroxyzine (vistaril)

Question 7

2nd and 3rd generation oral antihistamines

Answer 7

Loratidine (claritin)
Desloratidine (clarinex)
Cetirizine (Zyrtec)
Levocetirizine (xyval) 
Fexofenadine (Allegra)

Question 8

Samter’s triad:

Answer 8

Aspirin allergy, nasal polyps, asthma

Question 9

Epistaxis tx

Answer 9

Direct pressure 5-30 min and if unsuccessful, Rq silver nitrate cauterization

• petroleum jelly or bacitracin applied 3-4x/d to the nares w. Qtip
• ant/post nasal packing if cauterization is unsuccessful; removed 3-4d later; empiric abx; ENT consult

Question 10

Dx procedure of choice for a foreign body

Answer 10

Physical exam

Question 11

Oxymetazoline HCL

Answer 11

(Afrin) used as topical vasoconstrictor in “draining the sinuses” tx for Rhinosinusitis
- limit to 3-5 days bc can cause rhinosinusitis medicamentosa

Question 12

Phenylephrine and pseudoephedrine

Answer 12

Tx as oral vasoconstrictors in draining the sinuses w/ rhinosinusitis

Question 13

Mucolytics

Answer 13

I.e. Guanefesin, robitussin, mucinex–> help drain the sinus in rhinosinusitis

Question 14

Intranasal steroids

Answer 14

Use 15-21 days; help drain the sinus in tx for rhinosinusitis

Question 15

Saline lavage

Answer 15

help drain the sinus in tx for rhinosinusitis

- may be helpful for those w/ CV probs or on multiple meds

Question 16

These meds should not be used in tx for rhinosinusitis

Answer 16

Antihistamines 1st generation (increase mucous viscosity)

Question 17

Acute sinusitis tx for community infx

Answer 17

Amoxilicin- clauvanate acid (augmentin)
- 2 g BID PO
Or
- 90 mg/kg/day PO

Question 18

Nosocomial sinusitis pathogens

Answer 18

Almost always polymicrobial: Klebsiella, pseudomonas, enterobacter, proteus, and E. coli

Question 19

Sinusitis is MC in what time and gender

Answer 19

Early fall to early spring; women

Question 20

Sinusitis w/ anaerobes?

Answer 20

Following dental dz or chronic sinusitis

Question 21

Normal flora sinusitis

Answer 21

H flu, m catarrhalis, s. Pneumoniae, and s. Aureus