Nose and Sinus Quiz

Question 1

Nonspecific term used to describe acute infections of the nose, sinuses, pharynx, trachea, and bronchi.

Answer 1

Upper respiratory infection

Question 2

Conditions that account for the majority of antibiotic prescriptions prescribed

Answer 2

Upper Respiratory Infection

Otitis media

Question 3

Signs and symptoms of viral rhinitis

Answer 3

A.k.a. Common Cold
Signs = swollen nasal tissues and cervical lymph nodes
Symptoms =Stuffy nose and sinuses with a watery to thick discharge, sneezing, sore throat, cough and headache

Question 4

Signs and symptoms of allergic rhinitis

Answer 4

A.k.a. Hay fever
Signs = swollen nasal tissues and cervical lymph nodes
Symptoms = stuffy nose and sinuses with a watery discharge, sneezing, post nasal drip, cough, itchy eyes, nose and throat persisting beyond 10 days

Question 5

Signs and symptoms of acute sinusitis

Answer 5

Signs = swollen nasal tissues and cervical lymph nodes
Symptoms = stuffy nose and sinuses with a green purulent discharge, face, teeth or eye pain aggravated by bending over

Question 6

What tests can be utilized to check for suspected acute sinusitis?

Answer 6

Digital pressure (of maxillary and frontal sinuses)
Transillumination (same sinuses)

Question 7

Grape like inflammatory swellings of the nasal lining

Answer 7

Polyps

Question 8

Who develops nasal polyps?

Answer 8

Adults have have had allergies and/or chronic sinus infections over the years.

Question 9

T/F Polyps will never interfere with nasal drainage

Answer 9

FALSE

They may interfere with nasal drainage

Question 10

Trauma to the nose may lead to this condition. May cause breathing difficulties following the trauma

Answer 10

Deviated septum

Question 11

Tool used to inspect someone with a suspected deviated septum

Answer 11

Nasal speculum (or light)

Question 12

What is the Nasal Cycle?

Answer 12

A normal cycle of mild congestion and decongestion alternating between nostrils about every 4 hours making it easier to breathe out of one nostril more than the other

Question 13

Any child with a one-sided runny noise should be examined for this

Answer 13

Foreign objects

Question 14

Cranial nerve tested when the patient is asked to smell something

Answer 14

C.N. I (Olfactory nerve)

Question 15

More than half of the reported cases of loss of smell are due to:

Answer 15

• Head injuries
• Post URI’s
• Nasal/sinus conditions

Question 16

Mullin’s 5 T’s

Answer 16

• Teeth (maloclussions and cavities)
• Tongue (top bottom and sides)
• Tissues (between cheeks, lips, and gums)
• Tonsils (often atrophied and not visible in the adult)
• Throat (a very limited view)

Question 17

Causes a cold sore/ fever blister

Answer 17

Herpes simplex type 1

Question 18

Conditions of the teeth

Answer 18

Crowded teeth

Malocclusions

Question 19

Red, swollen smooth tongue due to the loss of papillae.

Answer 19

Glossitis

Question 20

T/F Glossitis is always a primary tongue problem

Answer 20

FALSE.

Is can be a primary tongue problem or secondary to another disorder

Question 21

Form of glossitis were the papillae are temporarily loss leaving, smooth, irregular patches with a white outline

Answer 21

Geographic tongue

Question 22

Characterized by groves in the tongue of varying depth and width. Benign, asymptomatic condition starting in childhood and becoming more prominent with age.

Answer 22

Fissured tongue

Question 23

Fissured tongue is frequently associated with what other condition?

Answer 23

Geographic tongue

Question 24

Results from long term antibiotic use or failure of the papillae to naturally fall off causing them to elongate.

Answer 24

Black hairy tongue

Question 25

Characterized by recurrent, crops of small, painful ulcers on the intraoral mucosa that heal without scaring in 2 weeks

Answer 25

Aphthous stomatitis (Canker sore)

Question 26

Noncancerous or precancerous oral lesion common to people who use tobacco products. Appear as white leathery ridges on the buccal mucosa.

Answer 26

Leukoplakia

Question 27

T/F Leukoplakia will never resolve once it forms

Answer 27

FALSE.

Leukoplakia will resolve in about 6 weeks if they quit chewing tobacoo

Question 28

Causes red, swollen, sensitive and bleeding gums.

Answer 28

Gingivitis

Question 29

In gingivitis, resident bacteria and saliva form ____; _____ is a hardened version of this that causes gingivitis. Brushing and flossing is used to prevent this.

Answer 29

Plaque

Tartar

Question 30

Tobacco products is associated with 70-80% of cases. May present as persistent, painless thickening, lump, ulcer, or a red or white patch anywhere in the mouth or throat.

Answer 30

Oral carcinoma

Question 31

Most common places for oral carcinoma

Answer 31

Sides of the tongue, lips, and floor of the mouth

Question 32

Benign exostosis of either the hard palate or mandible that appear around age 30

Answer 32

Torus palatinus (Torus mandibularis)

Question 33

Self-limiting viral or bacterial infection of the pharyngeal tonsils.

Answer 33

Tonsillitis

Question 34

Signs and symptoms of tonsillitis

Answer 34

Signs = sore throat, thick voice, swollen cervical lymph nodes, red, swollen tonsils that may be coated or have white spots on them
Symptoms = painful swallowing

Question 35

Forms when mucous, sulfur producing bacteria and debris condense into small particles and collect in the crypts on the surface on the tonsils.

Answer 35

Tonsillar debris (tonsil stones)

Question 36

Accounts for about 60% of sore throats

Answer 36

Viral pharyngitis

Question 37

Clinical features of viral pharyngitis

Answer 37

Runny nose, cough, hoarseness, conjunctivitis, or diarrhea

Question 38

Accounts for about 40% of sore throats

Answer 38

Bacterial pharyngitis

Question 39

Clinical features of bacterial pharyngitis

Answer 39

Rapid onset of throat pain aggravated by swallowing,. Fever, tender cervical lymph nodes and inflammation with a purulent, patchy white, yellow, or gray exudate

Question 40

Accounts for about 10% of bacterial sore throats

Answer 40

Streptococcal pharyngitis

Question 41

Best way to identify streptococcal pharyngitis

Answer 41

Throat cultures (and strep test)

Question 42

Occurs in 1% of people who have had strep throat. Antibiotics are more than 90% effective in preventing this.

Answer 42

Rheumatic fever

Question 43

Self-limiting illness and is not prevented with antibiotic treatment. May cause damage to a heart valve

Answer 43

Post-streptococcal glomerulonephritis

Question 44

Common upper respiratory tract conditions

Answer 44

1) Common cold
2) Allergic rhinitis
3) Sinusitis
4) Pharyngitis
(sometimes Laryngitis can be common)

Question 45

Irritation of the larynx causes inflammation of the mucous lining and vocal cords resulting in a sore scratchy throat, hoarseness or loss of voice

Answer 45

Laryngitis

Question 46

Only physical sign of Laryngitis

Answer 46

Cervical lymphadenopathy

Possibly stridor

Question 47

T/F Fremitus, percussion, and auscultation will all be abnormal in someone with laryngitis

Answer 47

FALSE.

Fremitus, percussion, and auscultation will all be normal

Question 48

Cranial nerves that need to be assessed as part of the mouth and throat exam

Answer 48

XII
IX
X
XII

Question 49

C.N. sense anterior 2/3 of the tongue primarily dealing with sweet and salty tastes

Answer 49

XII

Question 50

C.N. sense posterior 1/3 of the tongue primarily dealing with sour and bitter tastes

Answer 50

IX

Question 51

C.N. tested when initiating a gag reflex

Answer 51

IX

X

Question 52

C.N. tested when the patient says “Coo la me”

Answer 52

X

Question 53

C.N. tested when the patient presses their tongue into each cheek

Answer 53

XII