Otolaryngology

Question 1

unilateral facial pain/pressure, fever > 102, purulent nasal discharge with obstruction of the nasal passages indicates what condition?

Answer 1

bacterial sinusitis

Question 2

t/f antibiotics for acute rhinosinusitis should be considered for patients with at least 3 days of severe symptoms, significant worsening of symptoms after 3-5 days, or 7 or more days of symptoms

Answer 2

true

Question 3

t/f studies have shown that amoxicillin is as effective as augmentin for first line treatment of acute bacterial rhinosinusitis

Answer 3

true

Question 4

for adults with PCN class allergy, what other two treatment options are first line for bacterial rhinosinusitis?

Answer 4

doxycycline or fluoroquinolone

Question 5

t/f bactrim and macrolide antibiotics can be used first line for treatment of acute bacterial rhinosinusitis

Answer 5

false - high rate of resistance in S. pneumoniae and H. influenzae

Question 6

what are the three most common pathogens responsible for bacterial rhinosinusitis?

Answer 6

strep pneumo, H. influenzae and moraxella

Question 7

patients with acute bacterial rhinosinusitis that improves over how many days do not need an antibiotic?

Answer 7

7 days

Question 8

a CRP level above what value increases the likelihood of bacterial rhinosinusitis?

Answer 8

greater than 15

Question 9

what type of CT scan is needed to differentiate between orbital and preseptal cellulitis?

Answer 9

CT w/ contrast

Question 10

according to the IDSA, what is the antibiotic treatment duration for bacterial rhinosinusitis in adults and children, respectively?

Answer 10

adults : 5-7 days
children: 10-14 days

Question 11

what is the most common complication of acute rhinosinusitis?

Answer 11

preseptal cellulitis

Question 12

what is cacosmia?

Answer 12

foul smelling odor ( found in bacterial sinusitis)

Question 13

IDSA recommends antibiotic therapy for sinusitis if severe symptoms have persisted how many days?

Answer 13

3 or more days