Nose

Question 1

Definition of Ped chronic rhinosinusitis

Answer 1

90 continuous days of 2 or more symptoms: purulent rhinorrhea, nasal obstruction, facial pressure/pain, or cough

AND
Endoscopic mucosal edema, purulent drainage, nasal polyposis

AND/OR CT with mucosal changes in OMC
And/or sinuses

Question 2

Hi many days of abic therapy should pts with CrS undergo.

Answer 2

From consensus statement:
20 days of abic therapy may produce a superior clinical response compared to 10 days

Note- panel did not agree that therapy should include reflux therapy

Question 3

Factor associated with development of Ped crs

Answer 3

Tobacco smoke

OR 3.96

Question 4

Definition of allergic rhinitis

Answer 4

Inflammatory, IgE mediated disease characterized by nasal congestion, rhinorrhea, sneezing, nasal itching.

Question 5

Definition of persistent allergic rhinitis

Answer 5

Inflam response > 4 days per week and > 4 weeks/year

Question 6

Recommended treatment for allergic rhinitis- consensus statement

Answer 6

Nasal steroids for those with affected qol

Second generation antihistamines
For pts with sneezing and nasal itching

DO NOT rx leukotrienne receptor antagonists as primary therapy

Question 7

What width in mm of piriform aperture is diagnostic of piriform aperture stenosis

Answer 7

<11 mm