Nose Nasal Cavity And Paranasal Sinuses Flashcards

1
Q

Give 5 functions of the nose and nasal cavity

A
Sense of smell
Provides route for inspired air
Filters air 
Moistens air 
Resonating chamber for speech 
Drains lacrimal and paranasal sinuses
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2
Q

What portion of the maxilla contributes to the bony nose along with the nasal bones?

A

Frontal process

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3
Q

What nerve carries general sensation from the nasal cavity?

Which branch of this nerve carries sensory to most of it?

Vestibule?

A

Trigeminal

V2 (posterior-inferior)

V1 (anterior superior)

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4
Q

Give some symptoms of nasal polyps.

What is a red flag?

Common age group?

A
Blocked nose 
Watery rhinoohea 
Post-nasal drip (causing cough) 
Decreased smell and reduced taste
Snoring 

Unilateral +/- blood tinged secretion

> 40

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5
Q

Unilateral blocked nose with discharge in child is indicative of what?

A

Foreign objects

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6
Q

In severe epistaxis what might the surgical treatment be?

A

Spenopalatine artery ligation

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7
Q

What sinus is most commonly inflamed?

A

Maxillary

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8
Q

What is the general sensory to frontal, ethmoidal sphenoid and maxillary sinuses?

A

Frontal ethmoidal and sphenodal Va

Maxillary - Vb

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9
Q

Name some symptoms for acute sinusitis.

A
Recent URTI 
Blocked nose 
Rhinorrhea - green and yellow dishca e
Head ache
Face pain - worse on leaning forward
Pyrexia
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10
Q

Describe Pathophysiology behind acute sinusitis.

A

Primary infection leads to

  • Reduced ciliary function
  • Oedema in nasal mucosa and sinus Ostia
  • Increased nasal secretions a

Impeding drainage

Stagnation - breeding group

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11
Q

What are the most common bacteria in acute sinusitis.

A

SP
HI
Moraxella catarrhalis

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12
Q

How would moraxella catarrhalis appear under microscopy?

A

Gram negative coccus

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