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?
Reduction/loss of sense of smell
Cough
Epistaxis
Ear fullness/pain
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?
Sinus surgery
Nasal endoscopy with biopsy
Omalizumab or other biologics
Antileukotrienes such as Montelukast
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?
Inferior turbinate
Choanae
Maxillary Sinuses
Frontal sinuses
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