What is the MC type of rhinitis?
A.) IgE mediated mast cell histamine release
B.) IgE mediated basophil histamine release
C.) IgA mediated mast cell
... [Show More] histamine release
A.) IgE mediated mast cell histamine release
A 6yo girl comes into the office complaining of pruritus, cough, sneezing and rhinorrhea. On physical exam you find allergic shiners, allergic salute and mouth breathing. The child has a family history of allergies and asthma. How would you most likely treat this condition?
A.) oral/ nasal antihistamines and decongestants
B.) NSAID's and amoxicillin
C.) surgery for temporary relief
A.) oral/ nasal antihistamines and decongestants
This patient has allergic rhinitis
A patient comes into the office complaining of pain and pressure in the maxillary part of the face that is worse w/ bending over and sometimes radiates to the incisors. Other sx include purulent discharge, malaise and cough that have been going on for about 2 weeks. You notice tenderness upon palpation when performing your physical exam. A leukocytosis is done to help confirm the diagnosis. The diagnosis of this condition is...
A.) allergic rhinitis
B.) acute bacterial sinusitis
C.) nasal polyps
D.) chronic sinusitis
B.) acute bacterial sinusitis
complications include: orbital cellulitis, abscess, osteomyelitis
Tx includes: NSAID's, oral/ nasal decongestants, antibiotics (amoxicillin) if lasting longer than two weeks, refer if failure w/ antibiotics
The MC bacteria to cause acute bacterial sinusitis is
A.) M. catarrhalis
B.) aspergillus
C.) strep pneumonia
D.) staph aureus
C.) strep pneumonia
Causes for this infection typically include impairment of mucociliary clearance from repeated infection and staph aureus or aspergillus. What is this infection and how do you treat it?
A.) chronic sinusitis, decongestants, and antihistamines
B.) nasal polyps, antibiotics, and intranasal glucocorticosteroids
C.) chronic sinusitis, culture guided antibiotics for 3-4 weeks, netti pot, and intranasal glucocorticosteroids
C.) chronic sinusitis, culture guided antibiotics for 3-4 weeks, netti pot, and intranasal glucocorticosteroids
Chronic sinusitis typically lasts 8-12 weeks, it is persistent nasal congestion and sinus pressure w/ flare ups
A patient comes into the ED w/ unilateral purulent rhinitis, and persistent sinusitis. On physical exam you see a blocked nasal passage. What is this condition?
A.) acute bacterial sinusitis
B.) foreign body
C.) nasal polyps
D.) allergic rhinitis
B.) foreign body
Tx includes: if visible remove w/ forceps, curette, foley or removal by probe
Foreign body is the MC for acute or chronic unexplained nasal sx in young children
A patient has benign, painless growths in the nasal cavity w/ purulent discharge and post nasal drip. The patient has cystic fibrosis. What would be the best treatment for this patients condition?
A.) antihistamines and intranasal corticosteroids
B.) antibiotics
C.) intranasal/ oral corticosteroids
D.) decongestants
B.) antibiotics
The patient has neutrophilic nasal polyps which can be associated w/ cystic fibrosis, sinusitis, and immune deficiencies [Show Less]