Sinusitis

Question 1

Sinuses present at birth

Answer 1

1) Ethmoidal 2) Maxillary

Question 2

Only pneumaised sinus at birth

Answer 2

Ethmoidal

Question 3

Maxillary sinuses are not pneumatised until

Answer 3

4 y/o

Question 4

Sphenoidal sinuses are present by

Answer 4

5 y/o

Question 5

Frontal sinuses begin development at age

Answer 5

7-8 y/o

Question 6

Bacterial pathogens causing acute bacterial sinusitis in children and adolescents

Answer 6

1) S. pneumoniae 2) Nontypable H influenzae 3) M. catarrhalis

Question 7

Chronic sinusitis present with symptoms that last how long

Answer 7

> 90 days

Question 8

The only accurate method of diagnosis for sinusitis but is not practical for routine use in immunocompetent patients

Answer 8

Sinus aspirate culture

Question 9

Bacterial vs Viral URTI: Clear, non-purulent nasal discharge, cough, and initial fever that usually do not persist beyond 10-14 days

Answer 9

Viral

Question 10

Initial therapy for majority of children with uncomplicated bacterial sinusitis

Answer 10

Amoxicillin

Question 11

___ sinusitis can rapidly progress to serious intracranial complications and necessitates initiation of parenteral antibiotics until substantial clinical improvement is achieved

Answer 11

Frontal

Question 12

Antibiotic indicated for frontal sinusitis

Answer 12

Ceftriaxone

Question 13

Sinusitis that is most often the cause of secondary orbital complications including periorbital edema and orbital cellulitis

Answer 13

Bacterial ethmoiditis

Question 14

Pott puffy tumor

Answer 14

Osteomyelitis of the frontal bone (complication of sinusitis)

Question 15

Edema and swelling of the forehead, and mucoceles that can expand causing displacement of the eye with resultant diplopia

Answer 15

Pott puffy tumor