Nose & Sinuses Flashcards
What is the primary symptom of ethmoid sinusitis in children?
Pain between the eyes
What structure passes through the cribriform plate?
Olfactory nerve fibers
What is the standard first-line treatment for acute sinusitis?
Decongestants and saline irrigation
Which sinus is most likely affected in a child with persistent nasal discharge and headache?
Ethmoid sinus
What complication is common in chronic fungal sinusitis?
Bone erosion
What is the most common causative organism in viral upper respiratory tract infections?
Rhinovirus
What is the next step for a patient with headache, diplopia, and a swollen eyelid?
CT of the sinuses and brain
What anatomical structure connects the frontal sinus to the nasal cavity?
Infundibulum
Which symptom differentiates viral sinusitis from bacterial sinusitis?
Fever above 38°C persisting for 3-4 days
What is the most likely diagnosis for a patient with cheek pain, purulent discharge, and dental pain?
Maxillary sinusitis
What is the likely diagnosis for a child with fever, nasal discharge, and swelling around the eyes?
Orbital cellulitis
What is the probable diagnosis for a patient with unilateral nasal obstruction and epistaxis?
Juvenile nasopharyngeal angiofibroma
What is the likely condition for a patient with a morning frontal headache and nasal discharge for weeks?
Chronic sinusitis
What is the causative factor for cavernous sinus thrombosis in a sinusitis patient?
Spread of infection from ethmoid or sphenoid sinus
What is the commonest site of sinusitis in adults?
Maxillary sinus
Complications of sinusitis include which of the following?
Cavernous sinus thrombosis
What is the treatment for acute sinusitis?
Antibiotic, analgesic, saline wash
What is the most likely diagnosis for a 6-year-old with headache, nasal discharge, post-nasal drip, and high fever?
Acute ethmoid sinusitis
Which sinus drains into the superior nasal meatus?
Sphenoid sinus
Which structure drains into the inferior meatus?
Nasolacrimal duct
Which is the most common sinus involved in children?
Ethmoid sinus
What is a common complication after septoplasty?
Hematoma
Which sinus drains into the middle meatus?
Frontal sinus
What is the superior boundary of the nose?
Cribriform plate
Which of the following is true regarding chronic rhinosinusitis?
Caused by fungal infections
What is the causative organism of upper respiratory tract infection in a patient with cold-like symptoms?
Rhinovirus
What is the next step in a patient with orbital cellulitis caused by sinusitis?
Admission to hospital and IV antibiotics
What is the common site for sinusitis in adults?
Maxillary sinus
What is a Pott Puffy Tumor associated with?
Frontal sinus tumor
What is the function of the cribriform plate?
Allows passage of olfactory nerve fibers
