Olfaction Flashcards
Distorted sense of smell
A. Anosmia
B. Hyposmia
C. Parosmia
D. Phantasomia
C
Initial drug of choice in management of moderate to severe acute rhinitis
A. Oral anti-histamine
B. Intranasal steroid
C. Topical decongestant
D. Oral leukotriene receptor agonist
B
3 year old with orbital swelling and mucopurulent discharge. Which paranasal sinus is involved?
A. Frontal
B. Ethmoid
C. Sphenoid
D. Maxillary
B
26 year old with watery discharge and intermittent obstruction. Anterior rhinoscopy would show?
A. Pale turbinates with watery discharge
B. Pale turbinates with mucoid discharge
C. Hyperemic turbinates with watery discharge
D. Hyperemic turbinates with mucoid discharge
A
40 year old with right nasal obstruction, diplopia, scanty serosanguinous discharge, blurred vision in the right eye:
A. Inverting papilloma
B. Maxillary SCCA
C. Nasopharyngeal CA
D. Nasal polyp
C
70/F with hyposmia. What is the classification of hyposmia?
A. Conductive, due to scar tissue blocking the olfactory groove
B. Sensory, due to damage to neuronal epithelium
C. Neuronal, due to decrease in cellular elements and olfactory bulb volume
D. Neuronal, due to damage to central olfactory complex
C
Anosmia, but can still smell:
A. Onion
B. Apple
C. Dulce de leche
D. Ammonia
D
Normal nasopharynx on CT scan looks like
A. Cuboid
B. Rounded
C. 2 small hills
D. Sunken
C
Most common sinonasal affliction?
A. Polyps
B. Sinusitis
C. Angiofibroma
D. Nasal fracture
B
Nasal polyps usually arise from the
A. Superior meatus
B. Middle meatus
C. Inferior meatus
D. Sphenoethmoidal recess
B
On a contrast CT scan, compared to the normal surroundings, juvenile angiofibroma would manifest as
A. Hypodensity
B. Isodensity
C. Hyperdensity
D. NOTA
C
What radiological exam is most appropriate in the diagnosis of sinus disease?
A. Water’s view xray
B. PNS CT scan
C. PNS MRI
D. Caldwell’s view xray
B
Radiographically, one can diagnose acute sinusitis based on this finding
A. Thickened sinus walls
B. Congested turbinates
C. Air-fluid level
D. Multiple grape-like masses
C
There is said to be a positive correlation between allergic rhinitis and
A. Facial deformity
B. Nasal polyposis
C. Acute sinusitis
D. Nasal cancer
B
Intranasal masses associated with systemic allergic conditions
A. Angiofibroma
B. Nasopharyngeal CA
C. Inflammatory nasal polyps
C
Found in adolescent males, benign, but quite formidable to remove thru surgery because of the risk of hemorrhage
A. Angiofibroma
B. Nasopharyngeal CA
C. Inflammatory nasal polyps
D. Capillary hemangioma
A
A 35 year old male consulted for epistaxis. He also reported unilateral ear discomfort for quite some time. PE of the head and neck revealed palpable nodularities at the right cervical area.Nasal cavity examination showed a bulging fullness of the nasopharyngeal mucosa. Which of the following describes the lesion?
A. Histopathologic type does not affect response to therapy
B. Prognosis is uniformly dismal regardless of age upon diagnosis
C. A significant role for viral oncogenesis is associated with the disease
D. Chemotherapy currently provides the most optimal therapeutic response
C
Which of the ff is the functional cause of nasal obstruction? (others are structural)
a. septal deviation
B. rebound rhinitis
c. nasal polyps
d. inverting papillomaB
Initial management for moderate to severe allergic rhinitis according to the ARIA guidelines is steroids
a. antihistamine
B. steroids
*
50 year old male with progressive bilateral nasal obstruction. What imaging study will you do?
A. Coronal CT
b. Xray
c. MRI
*
26 y/o female with watery rhinorrhea and
intermittent nasal obstruction, what is the finding in anterior rhinoscopy (so were talking about allergic rhinitis)?
a. Nasal polyps
B. Pale turbinates and clear secretions
*
48 yo male with right nasal destruction, scanty foul-smelling serosanguinous rhinorrhea, diplopia and blurring of vision in the right
a. nasal polyp
b. nasopharyngeal CA
C. maxillary sinus SCCA
d. inverted papiloma*
