Nose & Sinuses

Question 1

What is the primary symptom of ethmoid sinusitis in children?

Answer 1

Pain between the eyes

Question 2

What structure passes through the cribriform plate?

Answer 2

Olfactory nerve fibers

Question 3

What is the standard first-line treatment for acute sinusitis?

Answer 3

Decongestants and saline irrigation

Question 4

Which sinus is most likely affected in a child with persistent nasal discharge and headache?

Answer 4

Ethmoid sinus

Question 5

What complication is common in chronic fungal sinusitis?

Answer 5

Bone erosion

Question 6

What is the most common causative organism in viral upper respiratory tract infections?

Answer 6

Rhinovirus

Question 7

What is the next step for a patient with headache, diplopia, and a swollen eyelid?

Answer 7

CT of the sinuses and brain

Question 8

What anatomical structure connects the frontal sinus to the nasal cavity?

Answer 8

Infundibulum

Question 9

Which symptom differentiates viral sinusitis from bacterial sinusitis?

Answer 9

Fever above 38°C persisting for 3-4 days

Question 10

What is the most likely diagnosis for a patient with cheek pain, purulent discharge, and dental pain?

Answer 10

Maxillary sinusitis

Question 11

What is the likely diagnosis for a child with fever, nasal discharge, and swelling around the eyes?

Answer 11

Orbital cellulitis

Question 12

What is the probable diagnosis for a patient with unilateral nasal obstruction and epistaxis?

Answer 12

Juvenile nasopharyngeal angiofibroma

Question 13

What is the likely condition for a patient with a morning frontal headache and nasal discharge for weeks?

Answer 13

Chronic sinusitis

Question 14

What is the causative factor for cavernous sinus thrombosis in a sinusitis patient?

Answer 14

Spread of infection from ethmoid or sphenoid sinus

Question 15

What is the commonest site of sinusitis in adults?

Answer 15

Maxillary sinus

Question 16

Complications of sinusitis include which of the following?

Answer 16

Cavernous sinus thrombosis

Question 17

What is the treatment for acute sinusitis?

Answer 17

Antibiotic, analgesic, saline wash

Question 18

What is the most likely diagnosis for a 6-year-old with headache, nasal discharge, post-nasal drip, and high fever?

Answer 18

Acute ethmoid sinusitis

Question 19

Which sinus drains into the superior nasal meatus?

Answer 19

Sphenoid sinus

Question 20

Which structure drains into the inferior meatus?

Answer 20

Nasolacrimal duct

Question 21

Which is the most common sinus involved in children?

Answer 21

Ethmoid sinus

Question 22

What is a common complication after septoplasty?

Answer 22

Hematoma

Question 23

Which sinus drains into the middle meatus?

Answer 23

Frontal sinus

Question 24

What is the superior boundary of the nose?

Answer 24

Cribriform plate

Question 25

Which of the following is true regarding chronic rhinosinusitis?

Answer 25

Caused by fungal infections

Question 26

What is the causative organism of upper respiratory tract infection in a patient with cold-like symptoms?

Answer 26

Rhinovirus

Question 27

What is the next step in a patient with orbital cellulitis caused by sinusitis?

Answer 27

Admission to hospital and IV antibiotics

Question 28

What is the common site for sinusitis in adults?

Answer 28

Maxillary sinus

Question 29

What is a Pott Puffy Tumor associated with?

Answer 29

Frontal sinus tumor

Question 30

What is the function of the cribriform plate?

Answer 30

Allows passage of olfactory nerve fibers