POST-TEST

1. A 26 yo female presents to ENT for evaluation. She has been experiencing the 4 cardinal signs/symptoms of chronic sinusitis. She has mucopurulent drainage, nasal congestion, and facial pain/pressure. What is the fourth cardinal sign/symptom she is also suffering from?

2. An adult pt presents with symptoms of nasal polyps as well as frequent sinus infections. He has been treated in the past with nasal and systemic glucocorticoids w/o significant relief. You refer him to ENT. What will the PA there recommend as a next step in treatment?

3. A 2 yo comes into your outpatient clinic. Her mother complains of unilateral purulent discharge of the right nare x 3 days. The patient is nontoxic and playful. On exam you find a small rubber object extending between the nasal cavity and the nasopharynx. Name the openings that allow communication between the nasopharynx and nasal cavity?